Evidence map›Paper›PMID 29637916›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Bowel preparation quality between hospitalized patients and outpatient colonoscopies.

Majid A Almadi, Othman Alharbi, Nahla Azzam, Mohannad Altayeb, Salem Thaniah, Abdulrahman Aljebreen

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Article
  4. Article
  5. Review
  6. Exploring intraprocedural performance in colonoscopy: Insights from a tertiary care center in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Which Patient-Related Factors Determine Optimal Bowel Preparation?Current treatment options in gastroenterology · 2018
    Review
  12. Response to AlmalkiSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  13. Bowel preparation: The elderly, the hospitalized, and the colonoscope.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  14. Findings during screening colonoscopies in a Middle Eastern cohort.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Majid A AlmadiGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia; Gastroenterology Division, The McGill University Health Center, Montreal General Hospital, McGill University, Montreal, Canada.
Othman AlharbiGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Nahla AzzamGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Mohannad AltayebGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Salem ThaniahGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Abdulrahman AljebreenGastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
King Saud University · SAKing Khalid University Hospital · SAMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: Optimal bowel preparation is essential for a complete high-quality colonoscopy. We sought to determine whether an inpatient, as opposed to an ambulatory setting, would affect the quality of bowel preparation. Patients and Methods: A retrospective chart review was conducted in a tertiary care university hospital. We collected demographic data from consecutive patients who underwent a colonoscopy for any reason between August 2007 and April 2012. Results: A total of 2999 patients were included in the study with a mean age of 50.36 (95%CI; 49.79-50.94). Males comprised 58.12%. Ambulatory patients had a higher rate of good bowel preparations (67.23% vs. 56.64%, P value < 0.01), a lower rate of poor bowel preparations (18.22% vs. 27.14%, P value < 0.01), and a higher rate of colonoscopy completion (86.79% vs. 77.59%, P value < 0.01). There was no difference between the rates of polyps detected (18.90% vs. 20.83%, P value = 0.22). The univariabe modeling factors associated with a sub-optimal bowel preparation were age OR 1.02 (95% CI, 1.01 to 1.02), chronic kidney disease OR 2.34 (95% CI, 1.12 to 4.88), diabetes mellitus OR 2.00 (95% CI, 1.50 to 2.68), hypertension OR 1.48 (95% CI, 1.11 to 1.97), anemia OR 1.81 (95% CI, 1.33 to 2.47), and weight loss OR 1.41 (95% CI, 1.01 to 1.96). Better bowel preparation was associated with colonoscopies performed in the outpatient setting OR 0.63 (95% CI, 0.54 to 0.73). Conclusion: Bowel preparation quality is affected by the setting in which it is performed. This result suggests that, when appropriate, colonoscopies should be performed on an outpatient basis. Further studies are required to replicate this finding.

Indexed as

InpatientsOutpatientsCatharticsColonoscopyFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTertiary Care CentersCatharticsColonoscopydiverticulosisendoscopygastrointestinal bleedinglower gastrointestinal bleedingscreening

Identifiers

PMID29637916
PMCPMC5900480
OpenAlexW2796004120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.