Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:7591637.
doi: 10.1155/2016/7591637. Epub 2016 Nov 27.

Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy

Hari Padmanabhan  1 , Alexander Rothnie  1 , Andy Higgins  1 , Amandeep Grewal  1 , Katherine Arndtz  1 , Alan M Nevill  2 , Matthew J Brookes  3 , Ray Mathew  1
Affiliations

Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy

Hari Padmanabhan et al. Can J Gastroenterol Hepatol. 2016.

Abstract

Aim. To determine whether preassessment improves bowel preparation quality and prevents renal deterioration for chronic kidney disease (CKD) patients. Methods. Data was collected prospectively starting in January 2011 for 12 months. Patients were divided according to the presence or absence of preassessment and stratified to one of three risk groups based on patient's comorbidities and identified risk factors for poor bowel preparation; group 1 had no risk factors, group 2 had 1 risk factor, and group 3 patients had 2 or more risk factors. The association between preassessment and bowel preparation quality was analyzed using binary logistic regression. Results. 1840 colonoscopies were carried out during the period. Total number analyzed was 1704. 404 patients were preassessed. Preassessment patients had significantly better bowel preparation across all groups (OR 1.605; p = 0.002). Group 3 patients were 52% more likely to have good bowel preparation (p = 0.04) if they had been preassessed. Eighty-eight patients were identified with an eGFR < 60 mL/min. There was a significant difference in the eGFR percentage change between patients with preassessment and those without (p = 0.006). Conclusions. Face-to-face preassessment appears to improve the quality of bowel preparation and aids in minimizing the risk of renal injury in patients with CKD.

PubMed Disclaimer

Conflict of interest statement

Matthew Brookes received grant and travel support from Vifor Pharma, Ltd. For the remaining authors, there are no competing interests.

Figures

Figure 1
Figure 1
Percentage change in eGFR in patients with or without preassessment. eGFR: estimated glomerular filtration rate.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Connor A., Tolan D., Hughes S., Carr N., Tomson C. Consensus guidelines for the safe prescription and administration of oral bowel-cleansing agents. Gut. 2012;61(11):1525–1532. doi: 10.1136/gutjnl-2011-300861. - DOI - PubMed
    1. National Patient Safety Agency. Reducing Risk of Harm from Oral Bowel Cleansing Solutions. London, UK: NPSA; 2009.
    1. Flanagan P. K., Ahmed M. S., Tin S. M., Sarkar S. Service implications of implementing guidance for oral bowel cleansing agents in colonoscopy. Journal of the Royal College of Physicians of Edinburgh. 2011;41(2):100–105. doi: 10.4997/jrcpe.2011.202. - DOI - PubMed
    1. Tibble J. A., Forgacs I., Bjarnason I., Przemioslo R. The effects of a preassessment clinic on nonattendance rates for day-case colonoscopy. Endoscopy. 2000;32(12):963–965. doi: 10.1055/s-2000-9629. - DOI - PubMed
    1. Aronchick C. A. Bowel preparation scale. Gastrointestinal Endoscopy. 2004;60(6):1037–1039. doi: 10.1016/s0016-5107(04)02213-8. - DOI - PubMed