Evidence map›Paper›PMID 26093612›Full record

ArticleDigestive diseases and sciences2015

Predictors of Inadequate Inpatient Colonoscopy Preparation and Its Association with Hospital Length of Stay and Costs.

Rena Yadlapati, Elyse R Johnston, Dyanna L Gregory, Jody D Ciolino, Andrew Cooper, Rajesh N Keswani

4 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02887014 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Providing Specific Verbal Instructions Improves Bowel Preparation of Inpatients Undergoing Colonoscopy: a Multi-center Single Blinded Randomized Study

TypeinterventionalSponsorAttikon HospitalRan2016 to 2017Enrolled300ConditionsAdequate Colonoscopy Preparation for InpatientsArmsSPECIFIC VERBAL INSTRUCTIONS
NCT03902561 unknown statusnot on this mapstarted 2019, after this paper: background citation

Risk Factors of Inadequate Bowel Cleansing in Inpatients: a Predictive Score

TypeobservationalSponsorHospital Universitario de CanariasRan2019 to 2020Enrolled400ConditionsColon AdenomaArmsone time colonoscopy in inpatients
NCT04093557 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Validation of a Novel Clinical Prediction Scoring System for Improved Bowel Preparation Prior to Outpatient Colonoscopy

TypeinterventionalSponsorUniversity of VirginiaRan2024 to 2024Enrolled0ConditionsColonic Polyp, Colon CancerArmsOrton Score, Typical Standard of Care
NCT05054036 phase4completednot on this mapstarted 2022, after this paper: background citation

Efficacy, Safety, and Tolerability of MoviPrep® Versus GoLYTELY® Bowel Preparation in Hospitalized Patients Undergoing Colonoscopy: a Randomized Control Trial

TypeinterventionalSponsorYale UniversityRan2022 to 2024Enrolled520ConditionsBowel Preparation Before ColonoscopyArmsMoviPrep, Golytely
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 111 citations in OpenAlex.

  1. Trial
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  10. Is Cognitive Impairment Associated with Inadequate Bowel Preparation for Colonoscopy?Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  11. Safety of Colonoscopies in Patients on Advanced Heart Failure Therapies Who Received a Heart Transplant.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  12. Article
  13. Factors influencing inpatient bowel preparation: a scoping review.Journal of gastroenterology and hepatology · 2024
    Article
  14. Article
  15. Incidence and predicting factors of inadequate bowel preparation for colonoscopy: A cross-sectional study.JGH open : an open access journal of gastroenterology and hepatology · 2024
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rena YadlapatiDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA. rena.yadlapati@northwestern.edu.
Elyse R JohnstonDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Dyanna L GregoryDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Jody D CiolinoDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Andrew CooperDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Rajesh N KeswaniDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsAdequate bowel preparation is essential to safe and effective inpatient colonoscopy. Predictors of poor inpatient colonoscopy preparation and the economic impacts of inadequate inpatient preparations are not defined. The aims of this study were to (1) determine risk factors for inadequate inpatient bowel preparations, and (2) examine the association between inadequate inpatient bowel preparation and hospital length of stay (LOS) and costs.

methodsWe performed a retrospective cohort study of adult patients undergoing inpatient colonoscopy preparation over 12 months (1/1/2013-12/31/2013).

resultsOf 524 identified patients, 22.3% had an inadequate preparation. A multiple logistic regression model identified the following potential predictors of inadequate bowel preparation: lower income (OR 1.11; 95% CI 1.04, 1.22), opiate or tricyclic antidepressant (TCA) use (OR 1.55; 0.98, 2.46), and afternoon colonoscopy (OR 1.66; 1.07, 2.59); as well as American Society of Anesthesiologists (ASA) class ≥3 (OR 1.15; 1.05, 1.25) and symptoms of nausea/vomiting (OR 1.14; 1.04, 1.25) when a fair preparation was considered inadequate. Inadequate bowel preparation was associated with significantly increased hospital LOS (model relative mean estimate 1.25; 95% CI 1.03, 1.51) and hospital costs (estimate 1.31; 1.03, 1.67) when compared to adequate preparations.

conclusionsThe rate of inadequate inpatient bowel preparations is high and associated with a significant increase in hospital LOS and costs. We identified five potential predictors of inadequate inpatient preparation: lower socioeconomic class, opiate/TCA use, afternoon colonoscopies, ASA class ≥3, and pre-preparation nausea/vomiting; these data should guide future initiatives to improve the quality of inpatient bowel preparations.

Indexed as

Hospital CostsAdultAgedAnalgesics, OpioidAntidepressive Agents, TricyclicAppointments and SchedulesCatharticsColonoscopyFemaleHumansInpatientsLength of StayLinear ModelsLogistic ModelsMaleMiddle AgedAnalgesics, OpioidAntidepressive Agents, TricyclicCatharticsBowel preparationInpatient colonoscopyQuality

Identifiers

PMID26093612
OpenAlexW1902056075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.