Evidence map›Paper›PMID 33815499›Full record

ArticleGastroenterology research and practice2021

Safety of Polyethylene Glycol Solution plus Ascorbic Acid for Bowel Preparation for Colonoscopy in Patients with Chronic Kidney Disease.

Naoki Ohmiya, Yoshihito Nakagawa, Noriyuki Horiguchi, Takafumi Omori, Toshiaki Kamano, Kohei Funasaka, Mitsuo Nagasaka, Tomoyuki Shibata

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

8 authors at 1 institution in 1 country.

Naoki OhmiyaDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.ORCID https://orcid.org/0000-0002-7651-402X
Yoshihito NakagawaDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Noriyuki HoriguchiDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Takafumi OmoriDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Toshiaki KamanoDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Kohei FunasakaDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Mitsuo NagasakaDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Tomoyuki ShibataDepartment of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Fujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPolyethylene glycol-electrolyte lavage solution plus ascorbic acid (PEG-ELS-Asc) has been recommended for colonoscopy, but little is known about the safety of PEG-ELS-Asc in patients with chronic kidney disease (CKD). The aim of this study was to determine its safety and efficacy in CKD patients.

methodsBlood and urine samples prospectively collected before and after same-day bowel preparation for colonoscopy with the conventional volume of PEG-ELS-Asc, vital signs before and after colonoscopy, and adverse events within 30 days postcolonoscopy were analyzed in consenting patients with CKD. The cleansing level was evaluated with the Boston bowel preparation score (BBPS) from colonoscopic findings.

resultsOf 57 patients enrolled, 1 was excluded for refusal. Serum bicarbonate significantly dropped, and blood hemoglobin, serum total protein, albumin, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, total bilirubin, and uric acid significantly rose after bowel preparation, although these changes were not clinically important. Only in nondialysis patients did the platelet count and potassium significantly rise, although these changes were not clinically important either. Renal function, such as the urea, creatinine, and estimated glomerular filtration rate, was not significantly altered. An adequate bowel cleansing score, BBPS ≥ 6, was achieved in 94% of patients. The blood pressure and heart rate were not significantly different between before and after colonoscopy in either nondialysis (

conclusionsThe conventional volume of same-day bowel preparation with PEG-ELS-Asc may be safe and effective in CKD patients.

Identifiers

PMID33815499
PMCPMC7987408
OpenAlexW3136077879

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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.