Evidence map›Paper›PMID 28812132›Full record

Trial reportEuropean radiology2018

Bowel preparation in CT colonography: Is diet restriction necessary? A randomised trial (DIETSAN).

Davide Bellini, Domenico De Santis, Damiano Caruso, Marco Rengo, Riccardo Ferrari, Tommaso Biondi, Andrea Laghi

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Publisher
In one paragraph

Trial report in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
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

7 authors at 2 institutions in 2 countries.

Davide BelliniDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy.
Domenico De SantisDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy.
Damiano CarusoDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy.
Marco RengoDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy.
Riccardo FerrariDepartment of Emergency Radiology, San Camillo Forlanini Hospital, Rome, Italy.
Tommaso BiondiDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy.
Andrea LaghiDepartment of Radiological Sciences, Oncology and Pathology, "SAPIENZA" University of Rome, Rome, Italy. andrea.laghi@uniroma1.it.ORCID http://orcid.org/0000-0002-2731-6959
CTO Hospital · ITCarlo Forlanini Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether diet restriction affects quality of colon cleansing and patient tolerance during reduced bowel preparation for CT colonography (CTC).

methodsAsymptomatic and symptomatic patients were enrolled in this pragmatic, single-centre, randomised trial. All patients were randomly assigned (1:1 ratio, blocks of ten) to receive a reduced bowel preparation and faecal tagging with (Diet-Restriction-Group [DR]) or without (No-Diet-Restriction-Group [NDR]) dietary restriction. Five readers performed a blinded subjective image analysis, by means of 4-point Likert-scales from 0 (highest score) to 3 (worst score). Endpoints were the quality of large bowel cleansing and tolerance to the assigned bowel preparation regimen. The trial is registered at ClinicalTrial.gov (URomLSDBAL1).

resultsNinety-five patients were randomly allocated to treatments (48 in NDR-group, 47 in DR-group). Both groups resulted in optimal colon cleansing. The mean residual stool (0.22, 95%CI 0.00-0.44) and fluid burden (0.39, 95%CI 0.25-0.53) scores for patients in DR-group were similar to those in patients in NDR-group (0.25, 95%CI 0.03-0.47 [p = 0.82] and 0.49, 95%CI 0.30-0.67 [p = 0.38], respectively). Tolerance was significantly better in NDR-group.

conclusionA reduced bowel preparation in association with faecal tagging and without any dietary restriction demonstrated optimal colon cleansing effectiveness for CTC, providing better patient compliance compared with dietary restriction. KEY POINTS: • Dietary restriction in reduced bowel preparation regimen can be avoided. • The quality of colon cleansing is not affected by dietary restriction. • The quality of faecal tagging is not affected by dietary restriction. • Avoidance of dietary restriction improves patients' tolerance for CTC.

Indexed as

AdultAgedCatharticsColonography, Computed TomographicColorectal NeoplasmsDietEnemaFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultCatharticsBowel preparationCT colonographyDietary restrictionPatient toleranceRandomised trial

Identifiers

PMID28812132
OpenAlexW2745175275

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.