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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2020
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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. |
format | Online Article Text |
id | pubmed-7591317 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
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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