An Evidence-based Approach Towards Targeted Patient Education to Improve Bowel Preparation for Colonoscopy

医学 优势比 肠道准备 结肠镜检查 内科学 置信区间 逻辑回归 社会经济地位 病人教育 风险因素 重症监护医学 结直肠癌 家庭医学 人口 环境卫生 癌症
作者
Marguerite Kutyla,Sam O’Connor,Luke F. Hourigan,Bradley J. Kendall,Amanda Whaley,Vera Meeusen,Gerald Holtmann
出处
期刊:Journal of Clinical Gastroenterology [Lippincott Williams & Wilkins]
卷期号:54 (8): 707-713 被引量:8
标识
DOI:10.1097/mcg.0000000000001286
摘要

Goals and Background: Quality of bowel preparation is an important factor influencing adenoma detection. Patient education is believed to improve the quality of bowel preparation but might be resource-intensive. We aimed to (a) identify risk factors for failed bowel preparations and (b) develop and test the efficacy of a screening tool that allows to prospectively identify and target patients at increased risk. Study: Part 1: 76 consecutive outpatients with poor bowel preparation were compared with 76 age-matched and gender-matched outpatients with good preparation from the same procedure lists. Sociodemographic and clinical data were obtained from centralized databases. Univariate analysis and multivariate logistic regression was used to identify risk factors for poor bowel preparation. Part 2: on the basis of results of part 1, a screening tool for prospectively identifying patients at high risk was developed, and targeted education tested. Results: We identified the use of opioids or other constipating agents and low socioeconomic status as risk factors for poor bowel preparation [odds ratio (OR)=2.88; 95% confidence interval (CI): 1.22-6.80 and OR=2.43; 95% CI: 1.25-4.72]. Diabetes, hypothyroidism, age, and gender were found to have no effect on quality. When education was provided only to patients at increased risk, the targeted approach did not negatively affect the proportion of poor preparation (OR=6.12%; 95% CI: 4.79%-7.78% vs. OR=5.73%; 95% CI: 4.61%-7.10%). Conclusions: Poor bowel preparation is associated with specific risk factors. Identifying and specifically targeting education at patients with these risk factors appears to facilitate more efficient use of education resources in endoscopy.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
研友_VZG7GZ应助惟吾德馨采纳,获得20
刚刚
周而复始@发布了新的文献求助10
1秒前
大神装发布了新的文献求助10
3秒前
繁荣的过客完成签到,获得积分20
4秒前
jzyy完成签到 ,获得积分10
4秒前
wbk发布了新的文献求助10
6秒前
6秒前
甜晞发布了新的文献求助20
7秒前
少少完成签到,获得积分20
9秒前
11秒前
明理的盼山完成签到,获得积分10
11秒前
华仔应助nevermore采纳,获得10
12秒前
13秒前
繁荣的夏岚完成签到 ,获得积分10
13秒前
33完成签到,获得积分10
13秒前
sujustin333发布了新的文献求助10
15秒前
33发布了新的文献求助10
16秒前
17秒前
17秒前
17秒前
17秒前
18秒前
隐形曼青应助自然的梦松采纳,获得30
18秒前
21秒前
阳光蛋挞完成签到,获得积分10
21秒前
领导范儿应助xiao123789采纳,获得10
21秒前
852应助sujustin333采纳,获得10
22秒前
yw完成签到,获得积分10
23秒前
23秒前
25秒前
26秒前
漂亮芸关注了科研通微信公众号
26秒前
念所三旬完成签到,获得积分10
26秒前
淡淡母鸡完成签到,获得积分10
26秒前
yiqingLin完成签到,获得积分10
27秒前
Cpp完成签到 ,获得积分10
27秒前
小陈完成签到,获得积分10
27秒前
朴实的之桃关注了科研通微信公众号
27秒前
斯文觅云完成签到 ,获得积分10
27秒前
阳光蛋挞发布了新的文献求助10
28秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3969557
求助须知:如何正确求助?哪些是违规求助? 3514377
关于积分的说明 11173836
捐赠科研通 3249692
什么是DOI,文献DOI怎么找? 1794979
邀请新用户注册赠送积分活动 875537
科研通“疑难数据库(出版商)”最低求助积分说明 804836