Bowel Preparation for Colonoscopy
Conditions
Keywords
Colonoscopy, Educational intervention
Brief summary
This trial will evaluate the efficacy in colon cleansing of a nurse-led educational telephone intervention 24-48 hours before a colonoscopy, in selected participants with a previous inadequate bowel preparation.
Interventions
Subjects will receive a nurse-led educational telephone intervention for bowel preparation 24-48 hours before the colonoscopy
Standard education for bowel preparation at the time of colonoscopy scheduling
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive patients with a colonoscopy with inadequate bowel preparation, for any indication and where the endoscopist considers that the colonoscopy should be repeated to optimize the visualization with a better bowel preparation. Participants must have been properly informed and they have to sign the inform consent.
Exclusion criteria
* Hospitalized patients * Unwillingness to participate in the study * Inability to follow instructions: cognitive impairment or language barrier * Inability to use a telephone or not owning a telephone * Active inflammatory bowel disease * Severe renal impairment * Pregnancy of breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adequate bowel cleansing for colonoscopy | At the moment of colonoscopy | The efficacy of bowel preparation will be rated by blinded endoscopists using the Boston Bowel Preparation Scale (BBPS). Adequate bowel cleansing will be defined as a BBPS of 2 or more points in every segment of the colon and inadequate bowel cleansing will be defined by at least one of the colon segments with less than 2 points. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall adenoma detection rate, as defined by the ratio of patients with at least one adenoma in the overall colon | At the moment of colonoscopy | The ratio of patients with at least one adenoma in the overall colon |
| Adenoma detection rate in the right colon | At the moment of colonoscopy | Ratio of patients with at least one adenoma in the right colon (proximal to the splenic flexure) |
| Overall serrated lesion detection rate | At the moment of colonoscopy | Ratio of patients with at least one serrated lesion in the overall colon |
| Serrated lesion detection rate in the right colon | At the moment of colonoscopy | Ratio of patients with at least one serrated lesion in the right colon (proximal to the splenic flexure) |
| Complete colonoscopy rate | At the moment of colonoscopy | Ratio of successful complete colonoscopies (cecal intubation or in case of previous surgery, ileocolic anastomosis) |
| Boston Bowel Preparation Scale | At the moment of colonoscopy | Application of the Boston Bowel Preparation Scale to evaluate colonoscopy bowel cleansing |
| Barcelona Bowel Preparation Scale | At the momento of colonoscopy | Application of the Barcelona Bowel Preparation Scale to evaluate colonoscopy bowel cleansing |
Countries
Spain