SynthesisThe American journal of gastroenterology2016
Validated Scales for Colon Cleansing: A Systematic Review.
Synthesis in The American journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 82 papers, 3 of them syntheses that pooled 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.
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.
A 3-day Versus 1-day Low Residue Diet to Improve Colonoscopy Preparation Result and Patient Tolerability: A Prospective, Randomized, Single-blinded, Controlled Trial
Simethicone Pretreatment With Low-volume Polyethylene Glycol-3350 and Bisacodyl in an Effort to Improve Bowel Wall Visualization During Colonoscopy
Evaluation of Information Provided to Patients Provided About Bowel Preparation for Morning Colonoscopy
Effect of Adding Simethicone to a Split Regimen of Polyethylene Glycol for Bowel Preparation in a Colorectal Cancer Screening Colonoscopy Setting: an Endoscopist-blinded Randomized Controlled Trial
PolyDeep Advance 2: Clinical Validation of PolyDeep. Randomized Clinical Trial with a Tandem Colonoscopy Design.
PolyDeep Advance 3: Randomized Clinical Trial Comparing High Definition Colonoscopy With PolyDeep Assisted High Definition Colonoscopy.
Polydeep Advance I: Prospective Diagnostic Tests Trial with a Paired Study Design
Who cites it
82 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of 1L Adjuvant Auxiliary Preparations with 2L Solely Polyethylene Glycol plus Ascorbic Acid Regime for Bowel Cleaning: A Meta-analysis of Randomized, Controlled Trials.BioMed research international · 2021Pooled it
- How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review.PloS one · 2016Pooled it
- Factors Associated With the Overuse of Colorectal Cancer Screening: A Systematic Review.American journal of medical quality : the official journal of the American College of Medical QualityPooled it
- Effect of linaclotide combined with polyethylene glycol on bowel preparation before colonoscopy in patients with constipation.Frontiers in medicine · 2026Trial
- Efficacy and Safety of TJP-008 Compared to 2 L PEG with Ascorbate in Colon Cleansing: A Randomized Phase 3 Trial.Gut and liver · 2022Trial
- Comparative study between manitol and sodium picosulfate with magnesium oxide solutions in the preparation for colonoscopy.Revista do Colegio Brasileiro de Cirurgioes · 2022Trial
- Effects of a Personalized Smartphone App on Bowel Preparation Quality: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Impact of second forward-view examination on adenoma detection rate during unsedated colonoscopy: a randomized controlled trial.BMC gastroenterology · 2021Trial
- Prospective single-blinded single-center randomized controlled trial of Prep Kit-C and Moviprep: Does underlying inflammatory bowel disease impact tolerability and efficacy?World journal of gastroenterology · 2021Trial
- Bowel preparation for colonoscopy in patients with surgically altered anatomy: a narrative review and institutional protocol.iGIE : innovation, investigation and insights · 2026Review
- Body Mass Index-Dependent Effect of Glucagon-Like Peptide 1 Receptor Agonist Therapy on Bowel Preparation Quality.Clinical and translational gastroenterology · 2026Article
- The Clinical Importance of Adequate Bowel Preparation.Alimentary pharmacology & therapeutics · 2026Review
- Review
- Impact of glucagon-like peptide-1 receptor agonists on colonoscopy outcomes: a systematic review and meta-analysis.Clinical endoscopy · 2026Article
- Automated assessment of small bowel and colon cleansing in enteroscopy using a convolutional neural network.Endoscopy international open · 2026Article
- Written Recommendation to Repeat Colonoscopy within 1 Year after Inadequate Bowel Preparation: A Simple and Highly Effective Intervention.Endoscopy international open · 2026Article
- Research progress on intestinal preparation before colonoscopy.World journal of gastrointestinal endoscopy · 2025Review
- Article
- A Prospective Randomized Study to Predict Bowel Preparation Quality Prior to Colonoscopy: Comparison of Two Stool Collection Methods for the Objective Assessment of Final Rectal Effluent Clarity.Diagnostics (Basel, Switzerland) · 2025Article
- Enhancing Patient Education for Colonoscopy Preparation: Strategies, Tools, and Best Practices.Journal of clinical medicine · 2025Review
22 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesBowel cleanliness is a critical determinant of colonoscopy quality, mandating its standardized assessment, yet bowel preparation scales have been variably validated. The objective of this study was to assess validity and reliability of existing bowel preparation scales.
methodsA systematic review of literature from January 1980 to January 2015 was performed. Main outcomes of this study are face, content, construct, and criterion validity, and inter- and intra-observer reliability measured by associations, interclass correlations (ICC) or κ-coefficients.
resultsFourteen citations assessed seven scales. The Aronchick Scale, showed fair-to-substantial inter-observer reliability (ICC=0.31-0.76), and was the reference for subsequent validity testing. The Ottawa Bowel Preparation Quality Scale revealed superior inter-observer reliability (ICC=0.94). Five studies assessed the Boston Bowel Preparation Scale (BBPS). Increasing BBPS scores were associated with polyp detection (left colon: odds ratio (OR)=2.58 (1.34; 4.98), right colon: OR=1.6 (1.01; 2.55), less repeat colonoscopies (cutoff of 5, P<0.001), and shorter insertion/withdrawal times (P<0.001), while displaying substantial to excellent inter- and intra-observer reliability (ICC=0.74-0.91). Criterion validity of the Harefield Cleansing Scale (HCS) yielded slight-to-moderate expert-investigator agreement (ICC=0.15-0.46); HCS grades were not discriminant for adenoma detection. Inter- and intra-observer reliabilities were fair-to-moderate (ICC=0.46 (0.37; 0.54) and κ=0.28, respectively). The Chicago Bowel Preparation Scale displayed excellent inter-observer reliability (Pearson's r=0.84 (0.79; 0.88)), yet has been less studied.
conclusionsTo conclude, all the published scales displayed limitations. The BBPS is the most thoroughly validated scale and should be used in a clinical setting. Between-scale comparisons for repeat colonoscopy time interval, ease, and pertinence of use for auditing are needed.
Indexed as
Identifiers
26782820What OpenQuestion holds
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.