A Modified Bowel Preparation Regimen for Colonoscopy Providing the Patients’ Satisfaction and Convenience

Abstract

BackgroundA complete cleansing of the bowel is a critical factor that impacts the diagnostic accuracy of colonoscopies. However, the common bowel preparation regimen of two 45 mL doses of sodium phosphate (2×NaP) often leads to uncomfortable symptoms and subsequently lower patient adherence. To improve patient adherence and satisfaction, we proposed a modified regimen composed of two sennoside tablets and one bottle of NaP (S+NaP) and we then evaluated bowel preparation quality and patient satisfaction.Material/MethodsA total of 531 patients who underwent colonoscopies at the outpatient coloproctology clinic from January 2016 to December 2016 were retrospectively reviewed. Eligible patients were divided into two groups: S+NaP group (n=93) and 2×NaP group (n=60). We compared bowel preparation quality, adenoma detection rate (ADR), self-reported patient satisfaction scores, and adverse events among the two groups.ResultsRegarding high bowel preparation quality, our results showed that there was no significant difference among the two groups (p=0.775), as well as no significant differences in ADRs (p=0.187). However, a lower proportion of nausea was found in the S+NaP group compared to the 2×NaP group (24.7% versus 41.7%, respectively, p=0.028). In addition, patients in the S+NaP group were more likely to be very satisfied with the regimen compared with patients in the 2×NaP group (odds ratio: 5.58; 95% confidence interval: 2.36–13.213, p<0.001).ConclusionsOur modified bowel preparation regimen, S+NaP, yielded significantly higher patient satisfaction with less nausea while maintaining similar bowel preparation quality.

Preoperative automatic reminder systems and impact on quality and compliance with colonoscopy preparation: A multicenter randomized controlled trial

“…Patients understood the significance of bowel preparation, and engaged with appropriate methods and self‐assessment of the results. Patient compliance was improved, which is promising for the outcomes of colonoscopy 21 . The PP analysis showed that patients in the E‐reminder group had high subjective efficacy and satisfaction with automated phone and text message reminder services.…”

“…Patient compliance was improved, which is promising for the outcomes of colonoscopy. 21 The PP analysis showed that patients in the E-reminder group had high subjective efficacy and satisfaction with automated phone and text message reminder services. Thus, preoperative education was conducive to appropriate secondary bowel cleansing.…”

Factors predicting improved compliance towards colonoscopy in individuals with positive faecal immunochemical test (FIT)

“…There are numerous studies focusing their effort to improve patient satisfaction, tolerance and receptiveness of bowel preparation through the selection of the agent, adjustment of volume required and its frequency. [19][20][21][22] Instead, when evaluating the results from a socioecological modelling perspective, our findings suggest that the network around these FIT-positive individuals play a huge role. Family members and close friends are likely to be able to persuade these individuals to complete the colonoscopic evaluation.…”

“…There are numerous studies focusing their effort to improve patient satisfaction, tolerance and receptiveness of bowel preparation through the selection of the agent, adjustment of volume required and its frequency. 19 , 20 , 21 , 22 …”

Dried lemon slices improve bowel cleansing quality of polyethylene glycol for colonoscopy preparation: Randomized controlled trial

“…Hence, improving the flavor of laxatives and reducing adverse effects is critical for qualified bowel preparation (4).…”