Evidence map›Paper›PMID 29302876›Full record

ArticleDigestive diseases and sciences2018

Improving the Quality of Inpatient Bowel Preparation for Colonoscopies.

Sarah K Argyropoulos, S Kashif Mahmood, Emily J Campbell, James M Richter

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Factors influencing inpatient bowel preparation: a scoping review.Journal of gastroenterology and hepatology · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. The unmet needs for identifying the ideal bowel preparation.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
  9. Article
  10. Article
  11. Review
  12. 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

4 authors at 2 institutions in 1 country.

Sarah K ArgyropoulosDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Bartlett 920, Boston, MA, 02114, USA.
S Kashif MahmoodDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Bartlett 920, Boston, MA, 02114, USA.
Emily J CampbellDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Bartlett 920, Boston, MA, 02114, USA.
James M RichterDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Bartlett 920, Boston, MA, 02114, USA. jrichter@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · US

Funding

Massachusetts General Hospital Department of Medicine Grant
6 · The paper itself

Abstract

backgroundHospitalized patients completing bowel preparation for colonoscopy typically have preparations of poorer quality when compared to outpatient populations.

aimsOur study aimed to evaluate the effectiveness of a performance improvement program in improving colonoscopy preparation for an inpatient population.

methodsWe identified a cohort of adult patients (n = 641) undergoing an inpatient colonoscopy during a 12-month period at an academic medical center and compared a multifactor intervention group to a historical baseline group. During this 12-month period, a performance improvement program including use of a dedicated gastrointestinal nurse facilitator, implementation of standardized order sets, and introduction of split bowel preparations in the inpatient setting was made available to the cohort group.

resultsThe primary outcome was quality of bowel preparation for colonoscopy as rated by endoscopists using the modified Aronchick scale. When comparing the baseline group to the intervention group, the rate of acceptable preparations, characterized as excellent, good, or adequate, increased from 69.9 to 78.9%, which was statistically significant (p < 0.001).

conclusionsA comprehensive performance improvement program improved the quality of colonoscopy preparation among inpatients. The use of a dedicated gastrointestinal nurse facilitator, implementation of standardized order sets, and introduction of split bowel preparations are recommended in the inpatient setting for an effective bowel preparation.

Indexed as

ColonoscopyInpatientsAdolescentAdultAgedAged, 80 and overCatharticsFemaleHumansMaleMiddle AgedQuality Indicators, Health CareYoung AdultCatharticsColonoscopyInpatientsNursing staffQuality assurance, health care

Identifiers

PMID29302876
OpenAlexW2781717402

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.