Evidence map›Paper›PMID 36584216›Full record

Trial reportPloS one2022

Comparison of optimal bowel cleansing effects of 1L polyethylene glycol with ascorbic acid versus sodium picosulfate with magnesium citrate: A randomized controlled study.

Jun Lee, Seong-Jung Kim, Sang-Wook Kim, Hyo-Yeop Song, Geom Seog Seo, Dong-Hyun Kim, Dae-Seong Myung, Hyun-Soo Kim, Young-Eun Joo, So Yeong Kim

Open access · goldAbstract readRandomized Controlled TrialMulticenter StudyEquivalence Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

10 authors at 3 institutions in 1 country.

Jun LeeDepartment of Internal Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea.ORCID 0000-0002-8060-9646
Seong-Jung KimDepartment of Internal Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea.ORCID 0000-0003-1456-941X
Sang-Wook KimDepartment of Internal Medicine, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Hyo-Yeop SongDepartment of Internal Medicine and Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Republic of Korea.
Geom Seog SeoDepartment of Internal Medicine and Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Republic of Korea.
Dong-Hyun KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Dae-Seong MyungDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Hyun-Soo KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Young-Eun JooDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.ORCID 0000-0003-0422-2439
So Yeong KimDepartment of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea.ORCID 0000-0002-2132-9580
Chonnam National University · KRChosun University · KRWonkwang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Various low-volume bowel cleansing formulations that improve compliance have been approved and are being used in clinical practice. This study aimed to compare the effectiveness of 1 L polyethylene glycol (PEG) with ascorbic acid with that of sodium picosulfate (PICO) with magnesium citrate. This was a multicenter, randomized controlled, non-inferiority study. Patients were randomized into a 1 L PEG with ascorbic acid group and a PICO with magnesium citrate group according to the bowel cleansing agent used. Colonoscopy was performed as a single-blind study wherein the endoscopist had no information about any bowel preparation agent. The efficacy of bowel cleansing was assessed using the Harefield Cleansing Scale (HCS), and adverse events, preferences, and satisfaction were evaluated using a patient-reported questionnaire before colonoscopy. A total of 254 participants were randomly assigned to two groups: 115 in the 1 L PEG with ascorbic acid group and 113 in the PICO with magnesium citrate group. Overall bowel cleansing success was not statistically different between the two groups (97.4 vs. 97.3%), confirming that 1 L PEG with ascorbic acid was not inferior to PICO with magnesium citrate (lower confidence limit, -4.15%; p = 1.00). High-quality bowel cleansing was achieved in 87% of the 1 L PEG with ascorbic acid group and 77% of the PICO with magnesium citrate group (Lower confidence limit, 1.29%, p = 0.05). In terms of patient satisfaction, PICO with magnesium citrate was better, but compliance and side effects were similar in both groups. The 1 L PEG with ascorbic acid showed similar efficacy and adverse events as PICO with magnesium citrate. Although 1 L PEG with ascorbic acid is very effective in bowel preparation despite its small volume, it is necessary to increase satisfaction such as taste and feeling.

Indexed as

Ascorbic AcidPolyethylene GlycolsCatharticsCitratesCitric AcidColonoscopyHumansLaxativesOrganometallic CompoundsPicolinesSingle-Blind MethodAscorbic AcidCatharticsCitratesCitric AcidLaxativesmagnesium citrateOrganometallic CompoundsPicolinespicosulfate sodiumPolyethylene Glycols

Identifiers

PMID36584216
PMCPMC9803231
OpenAlexW4313307788

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.