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Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial

Background  The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods  We pe...

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Autores principales: Alvarez-Gonzalez, Marco Antonio, Pantaleón Sánchez, Miguel Ángel, Bernad Cabredo, Belén, García-Rodríguez, Ana, Frago Larramona, Santiago, Nogales, Oscar, Díez Redondo, Pilar, Puig del Castillo, Ignasi, Romero Mascarell, Cristina, Caballero, Noemí, Romero Sánchez-Miguel, Iván, Pérez Berbegal, Rocío, Hernández Negrín, Domingo, Bujedo Sadornill, Gema, Pérez Oltra, Alicia, Casals Urquiza, Gemma, Amorós Martínez, Jaume, Seoane Urgorri, Agustín, Ibáñez Zafón, Inés Ana, Gimeno-García, Antonio Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591317/
https://www.ncbi.nlm.nih.gov/pubmed/32557475
http://dx.doi.org/10.1055/a-1178-9844
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author Alvarez-Gonzalez, Marco Antonio
Pantaleón Sánchez, Miguel Ángel
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
author_facet Alvarez-Gonzalez, Marco Antonio
Pantaleón Sánchez, Miguel Ángel
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
author_sort Alvarez-Gonzalez, Marco Antonio
collection PubMed
description Background  The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods  We performed a multicenter, endoscopist-blinded, randomized controlled trial. Consecutive outpatients with previous inadequate bowel preparation were enrolled. Both groups received the same standard bowel preparation protocol. The intervention group also received reinforced education by telephone within 48 hours before the colonoscopy. The primary outcome was effective bowel preparation according to the Boston Bowel Preparation Scale. Intention-to-treat (ITT) analysis included all randomized patients. Per-protocol analysis included patients who could be contacted by telephone and the control cases. Results  657 participants were recruited by 11 Spanish hospitals. In the ITT analysis, there was no significant difference between the intervention and control groups in the rate of successful bowel preparation (77.3 % vs. 72 %; P  = 0.12). In the intervention group, 267 patients (82.9 %) were contacted by telephone. Per-protocol analysis revealed significantly improved bowel preparation in the intervention group (83.5 % vs. 72.0 %; P  = 0.001). Conclusion  Among all patients with previous inadequate bowel preparation, nurse-led telephone education did not result in a significant improvement in bowel cleansing. However, in the 83 % of patients who could be contacted, bowel preparation was substantially improved. Phone education may therefore be a useful tool for improving the quality of bowel preparation in those cases.
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spelling pubmed-75913172020-10-29 Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial Alvarez-Gonzalez, Marco Antonio Pantaleón Sánchez, Miguel Ángel Bernad Cabredo, Belén García-Rodríguez, Ana Frago Larramona, Santiago Nogales, Oscar Díez Redondo, Pilar Puig del Castillo, Ignasi Romero Mascarell, Cristina Caballero, Noemí Romero Sánchez-Miguel, Iván Pérez Berbegal, Rocío Hernández Negrín, Domingo Bujedo Sadornill, Gema Pérez Oltra, Alicia Casals Urquiza, Gemma Amorós Martínez, Jaume Seoane Urgorri, Agustín Ibáñez Zafón, Inés Ana Gimeno-García, Antonio Z. Endoscopy Background  The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods  We performed a multicenter, endoscopist-blinded, randomized controlled trial. Consecutive outpatients with previous inadequate bowel preparation were enrolled. Both groups received the same standard bowel preparation protocol. The intervention group also received reinforced education by telephone within 48 hours before the colonoscopy. The primary outcome was effective bowel preparation according to the Boston Bowel Preparation Scale. Intention-to-treat (ITT) analysis included all randomized patients. Per-protocol analysis included patients who could be contacted by telephone and the control cases. Results  657 participants were recruited by 11 Spanish hospitals. In the ITT analysis, there was no significant difference between the intervention and control groups in the rate of successful bowel preparation (77.3 % vs. 72 %; P  = 0.12). In the intervention group, 267 patients (82.9 %) were contacted by telephone. Per-protocol analysis revealed significantly improved bowel preparation in the intervention group (83.5 % vs. 72.0 %; P  = 0.001). Conclusion  Among all patients with previous inadequate bowel preparation, nurse-led telephone education did not result in a significant improvement in bowel cleansing. However, in the 83 % of patients who could be contacted, bowel preparation was substantially improved. Phone education may therefore be a useful tool for improving the quality of bowel preparation in those cases. Georg Thieme Verlag KG 2020-11 2020-06-17 /pmc/articles/PMC7591317/ /pubmed/32557475 http://dx.doi.org/10.1055/a-1178-9844 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Alvarez-Gonzalez, Marco Antonio
Pantaleón Sánchez, Miguel Ángel
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title_full Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title_fullStr Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title_full_unstemmed Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title_short Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
title_sort educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591317/
https://www.ncbi.nlm.nih.gov/pubmed/32557475
http://dx.doi.org/10.1055/a-1178-9844
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