metricas
covid
Buscar en
Gastroenterología y Hepatología (English Edition)
Toda la web
Inicio Gastroenterología y Hepatología (English Edition) Agreement between the perception of colon cleansing reported by patients and col...
Journal Information
Vol. 47. Issue 2.
Pages 130-139 (February 2024)
Share
Share
Download PDF
More article options
Vol. 47. Issue 2.
Pages 130-139 (February 2024)
Original article
Agreement between the perception of colon cleansing reported by patients and colon cleansing assessed by a validated colon cleansing scale
Concordancia entre la percepción de limpieza colónica referida por los pacientes y la limpieza colónica evaluada mediante una escala de limpieza validada
Antonio Z. Gimeno-Garcíaa,
Corresponding author
antozeben@gmail.com

Corresponding author.
, Federica Benítez-Zafraa, Anjara Hernándeza, Domingo Hernandez-Negrína, David Nicolás-Péreza, Goretti Hernándeza, José Luis Baute-Dortaa, Yaiza Cedrésa, Rocío del-Castilloa, Jorge Mona, Alejandro Jiménezb, Marco A. Navarro-Dávilac, Eduardo Rodríguez-Hernándeza, Onofre Alarcona, Rafael Romeroa, Vanessa Felipea, Noemi Seguraa, Manuel Hernandez-Guerraa
a Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), Internal Medicine Department, Universidad de La Laguna, Tenerife, Spain
b Research Unit, Hospital Universitario de Canarias, Tenerife, Spain
c Pharmacy Department, Hospital Universitario de Canarias, Tenerife, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (4)
Table 1. Baseline characteristics of the patients.
Table 2. Statistical performance of the patient and staff perceptions of the last bowel movement in the original cohort.
Table 3. Simple logistic regression analysis. Variables associated with poor bowel cleansing.
Table 4. Multiple logistic regression analysis. Variables associated with poor bowel cleansing.
Show moreShow less
Additional material (1)
Abstract
Aims

Patients’ perception of their cleansing quality can guide strategies to improve cleansing during colonoscopy. There are no studies assessing the agreement between the quality of cleansing perceived by patients and cleansing quality assessed during colonoscopy using validated bowel preparation scales. The main aim of this study was to compare the cleansing quality reported by patients with the quality during colonoscopy using the Boston Bowel Preparation Scale (BBPS).

Patients and methods

Consecutive patients referred to an outpatient colonoscopy were included. Four drawings representing different degrees of cleansing were designed. Patients chose the drawing that most resembled the last stool. The predictive ability of the patient's perception and agreement between the patient's perception and the BBPS were calculated. A BBPS score of <2 points in any segment was considered inadequate.

Results

Six hundred and thirty-three patients were included (age: 62.8±13.7 years, male: 53.4%). Overall, 107 patients (16.9%) had inadequate cleansing during colonoscopy, and in 12.2% of cases, the patient's perception was poor. The patient's perception compared to the quality of cleanliness during colonoscopy presented a positive and negative predictive value of 54.6% and 88.3%, respectively. The agreement between patient perception and the BBPS was significant (P<0.001), although fair (k=0.37). The results were similar in a validation cohort of 378 patients (k=0.41).

Conclusions

The cleanliness perceived by the patient and the quality of cleanliness using a validated scale were correlated, although fair. However, this measure satisfactorily identified patients with adequate preparation. Cleansing rescue strategies may target patients who self-report improper cleaning.

Registration number of the trial: NCT03830489.

Keywords:
Bowel cleansing
Boston Bowel Preparation Scale
Patient perception
Abbreviations:
BBPS
CRC
ADR
ECOG
PEG
ASC
BMI
FDR
IBD
OR
CI
Resumen
Objetivos

La percepción de los pacientes sobre su calidad de limpieza previa a la colonoscopia puede guiar estrategias de rescate para mejorar la limpieza durante la colonoscopia. El objetivo fue evaluar la concordancia entre la calidad de limpieza percibida por los pacientes con la calidad durante la colonoscopia utilizando la escala de preparación colónica de Boston (BBPS).

Pacientes y métodos

Se incluyeron pacientes consecutivos remitidos a una colonoscopia ambulatoria. Se diseñó un set de 4 imágenes representativas de diferentes grados de limpieza. Los pacientes elegían la imagen que se asemejaba más a la última deposición. Se calculó la concordancia entre la percepción del paciente y la BBPS. Una puntuación de la BBPS<2 puntos en cualquier segmento se consideró una limpieza inadecuada.

Resultados

Se incluyeron 633 pacientes. Globalmente, 107 pacientes (16,9%) presentaron una limpieza inadecuada durante la colonoscopia, y en el 12,2% de los casos, la percepción del paciente fue de limpieza inadecuada. La percepción del paciente presentó un valor predictivo positivo y negativo de 54,6 y 88,3%, respectivamente, para predecir la calidad de limpieza mediante la BBPS. La concordancia entre la percepción del paciente y la BBPS fue significativa (p<0,001), aunque aceptable (k=0,37). Los resultados fueron similares en una cohorte de validación de 378 pacientes (k=0,41).

Conclusiones

Existe concordancia entre la limpieza percibida por el paciente y la calidad de la limpieza mediante una escala validada, aunque esta fue aceptable. Estos resultados sustentan el uso de estrategias de rescate en los pacientes con percepción de una limpieza colónica inadecuada.

Palabras clave:
Preparación colónica
Escala de preparación colónica de Boston
Percepción del paciente

Article

These are the options to access the full texts of the publication Gastroenterología y Hepatología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Gastroenterología y Hepatología (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos