Evidence map›Paper›PMID 32838693›Full record

SynthesisUnited European gastroenterology journal2020

Can adjuncts to bowel preparation for colonoscopy improve patient experience and result in superior bowel cleanliness? A systematic review and meta-analysis.

Umair Kamran, Abdullah Abbasi, Imran Tahir, James Hodson, Keith Siau

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in United European gastroenterology journal, 2020. 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
0.7field-weighted citation impact, top 28% 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. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. The Effects and Adverse Reactions of Different Bowel Cleansers on Gut Microbiota After Colonoscopy.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. The unmet needs for identifying the ideal bowel preparation.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
  14. Young GI angle #Twitter2Paper: Taking an idea from Twitter to paper.United European gastroenterology journal · 2021
    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

5 authors at 4 institutions in 1 country.

Umair KamranUniversity Hospitals NHS Foundation Trust Birmingham, Birmingham, UK.
Abdullah AbbasiDepartment of Gastroenterology, Shrewsbury and Telford NHS Trust, Shrewsbury, UK.
Imran TahirDepartment of Gastroenterology, Worcestershire Acute Hospitals NHS Foundation Trust, Worcester, UK.
James HodsonMedical Statistics, University of Birmingham, Birmingham, UK.
Keith SiauUniversity Hospitals NHS Foundation Trust Birmingham, Birmingham, UK.ORCID 0000-0002-1273-9561
University Hospitals Birmingham NHS Foundation Trust · GBShrewsbury and Telford Hospital NHS Trust · GBUniversity College Birmingham · GBWorcestershire Acute Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBowel preparation for colonoscopy is often poorly tolerated due to poor palatability and adverse effects. This can negatively impact on the patient experience and on the quality of bowel preparation. This systematic review and meta-analysis was carried out to assess whether adjuncts to bowel preparation affected palatability, tolerability and quality of bowel preparation (bowel cleanliness).

methodsA systematic search strategy was conducted on PubMed, MEDLINE, EMBASE and the Cochrane Database of Systematic Reviews to identify studies evaluating adjunct use for colonoscopic bowel preparation. Studies comparing different regimens and volumes were excluded. Specific outcomes studied included palatability (taste), willingness to repeat bowel preparation, gastrointestinal adverse events and the quality of bowel preparation. Data across studies were pooled using a random-effects model and heterogeneity assessed using

resultsOf 467 studies screened, six were included for analysis (all single-blind randomised trials;

conclusionIn this meta-analysis, the use of adjuncts was associated with better palatability, less vomiting and bloating, willingness to repeat bowel preparation and superior quality of bowel preparation. The addition of adjuncts to bowel preparation may improve outcomes of colonoscopy and the overall patient experience.

Indexed as

ColonoscopyHumansLaxativesPatient Outcome AssessmentPatient SatisfactionPharmaceutic AidsPreoperative CareRandomized Controlled Trials as TopicTasteTreatment OutcomeLaxativesPharmaceutic Aidsbowel preparationColonoscopyendoscopypatient experiencescreening

Identifiers

PMID32838693
PMCPMC7724533
OpenAlexW3080552144

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.