Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy
Background. Inadequate bowel preparation is common in outpatients undergoing screening colonoscopy because of unawareness and poor adherence to instruction. Methods. Herein, 105 consecutive outpatients referred for screening colonoscopy were enrolled in this prospective, colonoscopist-blinded study....
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/570180 |
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| author | Tze-Yu Shieh Ming-Jen Chen Chen-Wang Chang Chien-Yuan Hung Kuang-Chun Hu Yang-Che Kuo Shou-Chuan Shih Horng-Yuan Wang |
| author_facet | Tze-Yu Shieh Ming-Jen Chen Chen-Wang Chang Chien-Yuan Hung Kuang-Chun Hu Yang-Che Kuo Shou-Chuan Shih Horng-Yuan Wang |
| author_sort | Tze-Yu Shieh |
| collection | DOAJ |
| description | Background. Inadequate bowel preparation is common in outpatients undergoing screening colonoscopy because of unawareness and poor adherence to instruction. Methods. Herein, 105 consecutive outpatients referred for screening colonoscopy were enrolled in this prospective, colonoscopist-blinded study. The patients were assigned to an intensive-education group, with 10 minutes of physician-delivered education, or to standard care. At the time of colonoscopy, the quality of bowel preparation was assessed using the Boston Bowel Preparation Scale (BBPS). The primary outcome was a BBPS score ≥5. The secondary outcomes were the mean BBPS score, insertion time, adenoma detection rate, and number of adenomas detected. Results. We analyzed 39 patients who received intensive education and 60 controls. The percentage of adequate bowel preparations with a BBPS score ≥5 was higher in the intensive-education group than in the control group (97.4% versus 80.0%; P=0.01). The adjusted odds ratio for having a BBPS score ≥5 in the intensive-education group was 10.2 (95% confidence interval = 1.23–84.3; P=0.03). Other secondary outcomes were similar in the 2 groups. Conclusions. Physician-delivered education consisting of a brief counseling session in addition to written instructions improves the quality of bowel preparation in outpatients undergoing screening colonoscopy. |
| format | Article |
| id | doaj-art-4bfa3297ec19431f8baf75b9cd1740e0 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-4bfa3297ec19431f8baf75b9cd1740e02025-02-03T05:53:58ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/570180570180Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening ColonoscopyTze-Yu Shieh0Ming-Jen Chen1Chen-Wang Chang2Chien-Yuan Hung3Kuang-Chun Hu4Yang-Che Kuo5Shou-Chuan Shih6Horng-Yuan Wang7Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanBackground. Inadequate bowel preparation is common in outpatients undergoing screening colonoscopy because of unawareness and poor adherence to instruction. Methods. Herein, 105 consecutive outpatients referred for screening colonoscopy were enrolled in this prospective, colonoscopist-blinded study. The patients were assigned to an intensive-education group, with 10 minutes of physician-delivered education, or to standard care. At the time of colonoscopy, the quality of bowel preparation was assessed using the Boston Bowel Preparation Scale (BBPS). The primary outcome was a BBPS score ≥5. The secondary outcomes were the mean BBPS score, insertion time, adenoma detection rate, and number of adenomas detected. Results. We analyzed 39 patients who received intensive education and 60 controls. The percentage of adequate bowel preparations with a BBPS score ≥5 was higher in the intensive-education group than in the control group (97.4% versus 80.0%; P=0.01). The adjusted odds ratio for having a BBPS score ≥5 in the intensive-education group was 10.2 (95% confidence interval = 1.23–84.3; P=0.03). Other secondary outcomes were similar in the 2 groups. Conclusions. Physician-delivered education consisting of a brief counseling session in addition to written instructions improves the quality of bowel preparation in outpatients undergoing screening colonoscopy.http://dx.doi.org/10.1155/2013/570180 |
| spellingShingle | Tze-Yu Shieh Ming-Jen Chen Chen-Wang Chang Chien-Yuan Hung Kuang-Chun Hu Yang-Che Kuo Shou-Chuan Shih Horng-Yuan Wang Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy Gastroenterology Research and Practice |
| title | Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy |
| title_full | Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy |
| title_fullStr | Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy |
| title_full_unstemmed | Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy |
| title_short | Effect of Physician-Delivered Patient Education on the Quality of Bowel Preparation for Screening Colonoscopy |
| title_sort | effect of physician delivered patient education on the quality of bowel preparation for screening colonoscopy |
| url | http://dx.doi.org/10.1155/2013/570180 |
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