Factors Affecting Bowel Preparation Quality in Colonoscopy
Author Information
Author(s): Chan Wah-Kheong, Saravanan Arjunan, Manikam Jeeta, Goh Khean-Lee, Mahadeva Sanjiv
Primary Institution: University of Malaya
Hypothesis
What are the risk factors associated with poor bowel preparation in adult patients undergoing colonoscopy?
Conclusion
Education levels and appointment waiting times, along with non-adherence to bowel preparation instructions, increase the risk of poor bowel preparation in adult patients undergoing colonoscopy.
Supporting Evidence
- 30.1% of patients had poor bowel preparation.
- Lower education level was identified as an independent risk factor for poor bowel preparation.
- Prolonged appointment waiting time beyond 16 weeks increased the risk of poor bowel preparation.
Takeaway
If patients don't follow the instructions for getting ready for a colonoscopy, or if they have to wait a long time for their appointment, they might not be prepared well enough for the procedure, which can make it harder for doctors to see what they need to.
Methodology
A prospective, cross-sectional study was conducted in a tertiary center with patients undergoing colonoscopy, collecting data on demographics, compliance, and bowel preparation quality.
Potential Biases
Potential bias in self-reported compliance to bowel preparation instructions.
Limitations
The study did not use a validated bowel grading scale and relied on patient self-reporting for compliance.
Participant Demographics
Mean age 60.1 years, 51.2% males, 60.9% with secondary education or higher.
Statistical Information
P-Value
< 0.001
Confidence Interval
95% CI = 1.54 - 3.60
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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