Evidence map›Paper›PMID 28944412›Full record

Trial reportInternational journal of colorectal disease2017

A head-to-head comparison of 4-L polyethylene glycol and low-volume solutions before colonoscopy: which is the best? A multicentre, randomized trial.

Vladimir Kojecky, Jan Matous, Radan Keil, Milan Dastych, Radek Kroupa, Zdena Zadorova, Michal Varga, Jiri Dolina, Milan Kment, Ales Hep

2 registry-linked trialsAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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.

NCT02956057 phase4completednot on this map

A Head-to-head Comparison of Efficiency and Tolerance of 4-L Polyethylene Glycol and Sodium Picosulphate/ Magnesium Citrate, Polyethylene Glycol/Ascorbate Before Colonoscopy

TypeinterventionalSponsorTomas Bata Hospital, Czech RepublicRan2016 to 2017Enrolled1,044ConditionsColonoscopyArmsPolyethylene Glycols, Natrium picosulfate / Magnesium citrate, Polyethylene glycol / Ascorbic acid
NCT03410524 phase3completednot on this mapstarted 2018, after this paper: background citation

Simethicone Pretreatment With Low-volume Polyethylene Glycol-3350 and Bisacodyl in an Effort to Improve Bowel Wall Visualization During Colonoscopy

TypeinterventionalSponsorUniversity of Nevada, RenoRan2018 to 2018Enrolled250ConditionsColonoscopyArmsSimethicone Solution, Water
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Efficacy of ultra-low volume (≤1 L) bowel preparation fluids: Systematic review and meta-analysis.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Split dose bowel preparation before colonoscopy of PEG (Nulytely) in comparison to routine single dose bowel preparation.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Trial
  5. Review
  6. Article
  7. Review
  8. 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

10 authors at 3 institutions in 1 country.

Vladimir KojeckyInternal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
Jan Matous2nd Department of Internal Medicine, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Radan KeilDepartment of Internal Medicine, 2nd Faculty of Medicine, Charles University, Motol University Hospital, Prague, Czech Republic.
Milan DastychDepartment of Gastroenterology and Internal Medicine, University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Radek KroupaDepartment of Gastroenterology and Internal Medicine, University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Zdena Zadorova2nd Department of Internal Medicine, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Michal VargaInternal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
Jiri DolinaDepartment of Gastroenterology and Internal Medicine, University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic. jidoli@post.cz.ORCID http://orcid.org/0000-0003-0664-8847
Milan Kment2nd Department of Internal Medicine, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Ales HepDepartment of Gastroenterology and Internal Medicine, University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Charles University · CZMasaryk University · CZKrajská nemocnice T. Bati · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to compare the efficacy and tolerability of polyethylene glycol (PEG) to sodium picosulfate/magnesium citrate (SPMC) and low-volume polyethylene glycol/ascorbic acid (PEGA) in a single- or split-dose regimen for colonoscopy bowel preparation.

methodsThis was a prospective, randomized, endoscopist-blinded, multicentre study. Outpatients received either PEG or SPMC or PEGA in a single or a split dose before the colonoscopy. Quality and tolerability of the preparation and complaints during preparation were recorded.

resultsNine hundred seventy-three patients were analysed. Satisfactory bowel cleansing (Aronchick score 1 + 2) was more frequent when a split dose was used irrespective of the solution type (PEG 90.1 vs 68.8%, PEGA 86.0 vs 71.6%, SPMC 84.3 vs 60.2%, p < 0.001). SPMC was the best tolerated followed by PEGA (p < 0.006) and PEG as the worst (p < 0.001). Tolerability did not correlate with the regimen and amount of the solution used. Female gender is associated with a higher incidence of nausea, vomiting and pain (p < 0.029).

conclusionsBoth PEG, PEGA and SPMC are fully comparable in terms of colonic cleansing when used in similar regimens. The split-dose preparation is more effective in all agents. SPMC and PEGA are better tolerated than PEG. The preparation regimen and/or the volume do not affect tolerability.

Indexed as

ColonoscopyAscorbic AcidCatharticsCitratesCitric AcidCzech RepublicFemaleHumansLaxativesMaleOrganometallic CompoundsPicolinesPolyethylene GlycolsProspective StudiesTherapeutic IrrigationTreatment OutcomeAscorbic AcidCatharticsCitratesCitric AcidLaxativesmagnesium citrateMoviPrepOrganometallic CompoundsPicolinespicosulfate sodiumPolyethylene GlycolsAscorbic acidColonoscopyMagnesium citratePicosulfate sodiumPolyethylene glycol

Identifiers

PMID28944412
OpenAlexW2758053884

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.