Evidence map›Paper›PMID 30921345›Full record

Trial reportPloS one2019

A randomized clinical prospective trial comparing split-dose picosulfate/ magnesium citrate and polyethylene glycol for colonoscopy preparation.

Alaa Rostom, Catherine Dube, Kirles Bishay, Lilia Antonova, Steven J Heitman, Robert Hilsden

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415687 (A Randomized Prospective Trial Comparing Pico-Salax), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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.

NCT01415687 phase3completednot on this map

A Randomized Prospective Trial Comparing Pico-Salax (Magnesium Citrate) Plus Bisacodyl Versus Split Dose Polyethylene Glycol-Based Lavage In Preparation Of Patients For Colonoscopy

TypeinterventionalSponsorUniversity of CalgaryRan2011 to 2011Enrolled171ConditionsBowel Preparation for ColonoscopyArmsPolyethylene Glycol-Based Lavage, Pico-Salax (Magnesium Citrate) plus Bisacodyl
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 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. 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. Review
  4. Article
  5. Article
  6. Article
  7. The unmet needs for identifying the ideal bowel preparation.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
  8. Review
  9. Review
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

6 authors at 2 institutions in 1 country.

Alaa RostomDepartment of Medicine and Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada.
Catherine DubeDepartment of Medicine and Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada.
Kirles BishayDepartment of Medicine and Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada.ORCID 0000-0003-4478-089X
Lilia AntonovaDepartment of Medicine and Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada.
Steven J HeitmanDepartment of Medicine and Community Health Sciences, University of Calgary, Calgary, Canada.
Robert HilsdenDepartment of Medicine and Community Health Sciences, University of Calgary, Calgary, Canada.
University of Ottawa · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColonoscopy remains the gold standard for the investigation of abnormalities within the colon. However, its success is highly dependent on the quality of bowel preparation. The objective of this study was to compare the bowel preparation efficacy of picosulfate/magnesium citrate (PMC) vs polyethylene glycol (PEG) in a one-day vs two-day split dose regimen.

methodsA prospective, randomized, controlled trial was conducted at the Forzani & MacPhail Colon Cancer Screening Centre in Calgary, Canada. 171 colonoscopy outpatients were randomized to split-dose PMC or PEG lavage as well as into one-day split or two-day split regimens in blocks of eight. Bowel preparation quality was recorded in a blinded manner by the endoscopist using the Ottawa Bowel Preparation Scale (OBPS) prior to washing or suctioning. The scale results were analyzed using a two-factor analysis of variance.

results141 patients received complete colonoscopies (PMC-71; PEG-70). PEG was found to be superior to PMC (mean OBPS: 4.14 ± 2.64 vs 5.11 ± 3.44, p = 0.019), when adjusted for administration regimen, leading to significantly more adequate bowel preparations (79.7% vs 59.7%, p = 0.007). A two-day split dose was superior to a one-day split dose regimen (mean OBPS: 3.68± 2.82 vs 5.69 ± 3.06, p<0.001). Two-day split dosing also resulted in a better right colon cleanliness score (right bowel OBPS 1.27±0.11 vs 2.10±0.12 for one-day split, P<0.001).

conclusionsOptimal bowel preparation was achieved with the use of PEG lavage when administered in a two-day split dose regimen. This trial is registered with ClinicalTrials.gov under identifier NCT01415687.

Indexed as

AdultAgedAged, 80 and overCitratesCitric AcidColonColonoscopyEarly Detection of CancerFemaleHumansMaleMiddle AgedOrganometallic CompoundsPatient CompliancePicolinesPolyethylene GlycolsCitratesCitric Acidmagnesium citrateOrganometallic CompoundsPicolinespicosulfate sodiumPolyethylene Glycols

Identifiers

PMID30921345
PMCPMC6438535
OpenAlexW2932937186

What OpenQuestion holds

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LicenceCC BY
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.