Evidence map›Paper›PMID 37713038›Full record

Observational studyDigestive diseases and sciences2023

Importance of Bowel Habits in Predicting Inadequate Bowel Preparation: A Prospective Observational Study.

Akira Higashimori, Natsumi Maeda, Masami Nakatani, Ikki Yamamoto, Takeshi Yanagida, Daiyu Kin, Yuji Matsumoto, Kenichi Morimoto, Eiji Sasaki, Takashi Fukuda and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

12 authors at 3 institutions in 1 country.

Akira HigashimoriDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan. higamo@omu.ac.jp.ORCID 0000-0002-9950-9899
Natsumi MaedaDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Masami NakataniDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Ikki YamamotoDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Takeshi YanagidaDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Daiyu KinDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Yuji MatsumotoDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Kenichi MorimotoDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Eiji SasakiDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Takashi FukudaDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Tetsuo ArakawaDepartment of Gastroenterology, Minami Osaka Hospital, Osaka, Japan.
Yasuhiro FujiwaraDepartment of Gastroenterology, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-Ku, Osaka, 545-8585, Japan.
Osaka Hospital · JPOsaka City University · JPOsaka Metropolitan University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInadequate bowel preparation (BP) negatively affects the efficacy and quality of colonoscopy. Although constipation has already been reported as one of the most important predictors of inadequate BP, there is limited information on the relation between inadequate BP and bowel habits including constipation-related symptoms, medications, and severity of constipation.

methodsThis single-center, prospective observational study was conducted between August 2019 and May 2020. All participants answered questionnaires regarding personal bowel habits and received low-volume polyethylene glycol plus ascorbic acid for outpatient colonoscopy. Severity of constipation was evaluated by constipation scoring system. Bowel preparation cleansing was evaluated using Boston Bowel Preparation Scale (BBPS). Potential predictors of inadequate BP were analyzed using multivariate logistic regression models.

resultsOverall, 1054 patients were enrolled, of which, 105 (10%) had inadequate BP (total BBPS ≤ 6 or any segmental BBPS < 2). The risk of inadequate BP increased with constipation severity (P = 0.01). Multivariate analysis showed that frequent straining (> 25% of defecations) (OR 2.09, 95% CI: 1.33-3.28) and chronic use of stimulant laxatives (OR 2.57, 95% CI: 1.59-4.17) were significant predictors of inadequate BP, among personal bowel habits.

conclusionFrequent straining and chronic use of stimulant laxatives were predictors of inadequate BP. An intensified preparation regimen should be considered for severely constipated patients with straining and chronic use of stimulant laxatives.

Indexed as

CatharticsColonoscopyConstipationDefecationAdultAgedAscorbic AcidFemaleHumansLaxativesMaleMiddle AgedPolyethylene GlycolsProspective StudiesAscorbic AcidCatharticsLaxativesPolyethylene GlycolsBowel habitColonoscopyConstipationInadequate bowel preparation

Identifiers

PMID37713038
OpenAlexW4386757894

What OpenQuestion holds

Textmetadata
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.