Cargando…
Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study
Background and Aim. Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods. This was an IRB-approved prospective randomized...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781963/ https://www.ncbi.nlm.nih.gov/pubmed/27006590 http://dx.doi.org/10.1155/2016/2072401 |
_version_ | 1782419867300790272 |
---|---|
author | Garg, Shashank Girotra, Mohit Chandra, Lakshya Verma, Vipin Kaur, Sumanjit Allawy, Allawy Secco, Alessandra Anand, Rohit Dutta, Sudhir K. |
author_facet | Garg, Shashank Girotra, Mohit Chandra, Lakshya Verma, Vipin Kaur, Sumanjit Allawy, Allawy Secco, Alessandra Anand, Rohit Dutta, Sudhir K. |
author_sort | Garg, Shashank |
collection | PubMed |
description | Background and Aim. Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods. This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group (n = 48) and control group (n = 46). The MME group received comprehensive multimedia education including an audio-visual program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results. MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16–6.09) and on the right side of the colon (OR 2.74, 95% CI 1.12–6.71) as compared to control group (p < 0.05). Large polyps (>1 cm) were found more frequently in the MME group (11/31, 35.5% versus 0/13; p < 0.05). More polyps and adenomas were detected in MME group (57 versus 39 and 31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion. MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population. |
format | Online Article Text |
id | pubmed-4781963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-47819632016-03-22 Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study Garg, Shashank Girotra, Mohit Chandra, Lakshya Verma, Vipin Kaur, Sumanjit Allawy, Allawy Secco, Alessandra Anand, Rohit Dutta, Sudhir K. Diagn Ther Endosc Clinical Study Background and Aim. Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods. This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group (n = 48) and control group (n = 46). The MME group received comprehensive multimedia education including an audio-visual program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results. MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16–6.09) and on the right side of the colon (OR 2.74, 95% CI 1.12–6.71) as compared to control group (p < 0.05). Large polyps (>1 cm) were found more frequently in the MME group (11/31, 35.5% versus 0/13; p < 0.05). More polyps and adenomas were detected in MME group (57 versus 39 and 31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion. MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population. Hindawi Publishing Corporation 2016 2016-02-23 /pmc/articles/PMC4781963/ /pubmed/27006590 http://dx.doi.org/10.1155/2016/2072401 Text en Copyright © 2016 Shashank Garg et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Garg, Shashank Girotra, Mohit Chandra, Lakshya Verma, Vipin Kaur, Sumanjit Allawy, Allawy Secco, Alessandra Anand, Rohit Dutta, Sudhir K. Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title | Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title_full | Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title_fullStr | Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title_full_unstemmed | Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title_short | Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study |
title_sort | improved bowel preparation with multimedia education in a predominantly african-american population: a randomized study |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781963/ https://www.ncbi.nlm.nih.gov/pubmed/27006590 http://dx.doi.org/10.1155/2016/2072401 |
work_keys_str_mv | AT gargshashank improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT girotramohit improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT chandralakshya improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT vermavipin improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT kaursumanjit improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT allawyallawy improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT seccoalessandra improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT anandrohit improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy AT duttasudhirk improvedbowelpreparationwithmultimediaeducationinapredominantlyafricanamericanpopulationarandomizedstudy |