ArticleAnnals of gastroenterology
Is the level of cleanliness using segmental Boston bowel preparation scale associated with a higher adenoma detection rate?
Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Pooled it
- Prevalence and Clinical Features of Sessile Serrated Polyps: A Systematic Review.Gastroenterology · 2020Pooled it
- Effectiveness of using a patient education mobile application to improve the quality of bowel preparation: a randomised controlled trial.BMJ open gastroenterology · 2023Trial
- Evaluating quality indicators in colorectal cancer screening via fecal immunochemical tests: a five-year study from a developing country.BMC gastroenterology · 2025Article
- Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators.Frontiers in medicine · 2022Article
- Opportunistic Colonoscopy Cancer Screening Pays off in Romania-A Single-Centre Study.Diagnostics (Basel, Switzerland) · 2021Article
- Bowel cleansing efficacy for colonoscopy: prospective, randomized comparative study of same-day dosing with 1-L and 2-L PEG + ascorbate.Endoscopy international open · 2021Article
- Comparing the Real-World Effectiveness of High- Versus Low-Volume Split Colonoscopy Preparations: An Experience Through the British Columbia Colon Cancer Screening Program.Journal of the Canadian Association of Gastroenterology · 2021Article
- Longer Withdrawal Time Is More Important than Excellent Bowel Preparation in Colonoscopy of Adequate Bowel Preparation.Digestive diseases and sciences · 2021Article
- Predictive factors for adenoma detection rates: a video study of endoscopist practices.Endoscopy international open · 2021Article
- Adenoma detection rate as a quality indicator for colonoscopy: a descriptive cross-sectional study from a tertiary care hospital in Pakistan.Endoscopy international open · 2020Article
- Efficacy, safety, and tolerability of a ready-to-drink bowel preparation in overweight and obese adults: subanalysis by body mass index from a phase III, assessor-blinded study.Therapeutic advances in gastroenterology · 2020Article
- Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy.Clinical endoscopy · 2019Article
- In split-dose prepared patients, water exchange could significantly improve overall and segmental bowel preparation scores and increase adenoma detection rate.Annals of gastroenterologyArticle
- The Role of Analgesia in the Identification and Treatment of Digestive Tract Lesions: A Randomized, Prospective, Double-Blind Study.Current health sciences journalArticle
- Split-dose bowel preparation versus water exchange and adenoma detection rate: have we arrived there yet?Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of Boston bowel preparation scale (BBPS) scores on the adenoma detection rate (ADR) in each segment has not been adequately addressed. The aim of this study was to determine the association between segmental or overall ADR and serrated polyp detection rate (SDR) with segmental and total BBPS scores.
methodsAll outpatient screening colonoscopies with documented BBPS scores were retrospectively reviewed at a tertiary institution from January to December 2013. Chi-square tests and logistic regression were used to analyze the detection rates of adenomas and serrated polyps with bowel prep scores. Odds ratios were calculated using logistic regression that controlled for withdrawal time, age, body mass index, diabetes status and sex.
resultsWe analyzed 1991 colonoscopies. The overall ADR was 37.5% (95% confidence interval [CI], 35.3-39.6). There was a significant difference in the overall ADR, and in SDR across all bowel category groups, with total BBPS scores of 8 and 9 having lower detection rates than scores of 5, 6 and 7. As the quality of bowel preparation increased, there was a statistical decrease in the ADR (odds ratio [OR] 0.79 [CI 0.66-0.94], P=0.04) of the right colon, while in the left colon, there was a statistical decrease in SDR (OR 0.78, [CI 0.65-0.92] P=0.019).
conclusionSegmental ADR and SDR both decreased as prep scores increased, decreasing notably in patients with excellent prep scores of 8 and 9. A possible explanation for this unexpected discrepancy may be related to longer and better visualization of the mucosa when cleansing and suctioning is necessary.
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