Antonio Z. Gimeno-García , Federica Benítez-Zafra , Anjara Hernández , Domingo Hernandez-Negrín , David Nicolás-Pérez , Goretti Hernández , José Luis Baute-Dorta , Yaiza Cedrés , Rocío del-Castillo , Jorge Mon , Alejandro Jiménez , Marco A. Navarro-Dávila , Eduardo Rodríguez-Hernández , Onofre Alarcon , Rafael Romero , Vanessa Felipe , Noemi Segura , Manuel Hernandez-Guerra
{"title":"患者报告的结肠清洁感与有效结肠清洁量表评估的结肠清洁感之间的一致性。","authors":"Antonio Z. Gimeno-García , Federica Benítez-Zafra , Anjara Hernández , Domingo Hernandez-Negrín , David Nicolás-Pérez , Goretti Hernández , José Luis Baute-Dorta , Yaiza Cedrés , Rocío del-Castillo , Jorge Mon , Alejandro Jiménez , Marco A. Navarro-Dávila , Eduardo Rodríguez-Hernández , Onofre Alarcon , Rafael Romero , Vanessa Felipe , Noemi Segura , Manuel Hernandez-Guerra","doi":"10.1016/j.gastrohep.2023.02.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>Patients’ perception of their cleansing quality can guide strategies to improve cleansing during colonoscopy. There are no studies assessing the agreement between the quality of cleansing perceived by patients and cleansing quality assessed during colonoscopy using validated bowel preparation scales. The main aim of this study was to compare the cleansing quality reported by patients with the quality during colonoscopy using the Boston Bowel Preparation Scale (BBPS).</p></div><div><h3>Patients and methods</h3><p>Consecutive patients referred to an outpatient colonoscopy were included. Four drawings representing different degrees of cleansing were designed. Patients chose the drawing that most resembled the last stool. The predictive ability of the patient's perception and agreement between the patient's perception and the BBPS were calculated. A BBPS score of <2 points in any segment was considered inadequate.</p></div><div><h3>Results</h3><p>Six hundred and thirty-three patients were included (age: 62.8<!--> <!-->±<!--> <!-->13.7 years, male: 53.4%). Overall, 107 patients (16.9%) had inadequate cleansing during colonoscopy, and in 12.2% of cases, the patient's perception was poor. The patient's perception compared to the quality of cleanliness during colonoscopy presented a positive and negative predictive value of 54.6% and 88.3%, respectively. The agreement between patient perception and the BBPS was significant (<em>P</em> <!--><<!--> <!-->0.001), although fair (<em>k</em> <!-->=<!--> <!-->0.37). The results were similar in a validation cohort of 378 patients (<em>k</em> <!-->=<!--> <!-->0.41).</p></div><div><h3>Conclusions</h3><p>The cleanliness perceived by the patient and the quality of cleanliness using a validated scale were correlated, although fair. However, this measure satisfactorily identified patients with adequate preparation. Cleansing rescue strategies may target patients who self-report improper cleaning.</p><p><em>Registration number of the trial</em>: <span>NCT03830489</span><svg><path></path></svg>.</p></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Agreement between the perception of colon cleansing reported by patients and colon cleansing assessed by a validated colon cleansing scale\",\"authors\":\"Antonio Z. Gimeno-García , Federica Benítez-Zafra , Anjara Hernández , Domingo Hernandez-Negrín , David Nicolás-Pérez , Goretti Hernández , José Luis Baute-Dorta , Yaiza Cedrés , Rocío del-Castillo , Jorge Mon , Alejandro Jiménez , Marco A. Navarro-Dávila , Eduardo Rodríguez-Hernández , Onofre Alarcon , Rafael Romero , Vanessa Felipe , Noemi Segura , Manuel Hernandez-Guerra\",\"doi\":\"10.1016/j.gastrohep.2023.02.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>Patients’ perception of their cleansing quality can guide strategies to improve cleansing during colonoscopy. There are no studies assessing the agreement between the quality of cleansing perceived by patients and cleansing quality assessed during colonoscopy using validated bowel preparation scales. The main aim of this study was to compare the cleansing quality reported by patients with the quality during colonoscopy using the Boston Bowel Preparation Scale (BBPS).</p></div><div><h3>Patients and methods</h3><p>Consecutive patients referred to an outpatient colonoscopy were included. Four drawings representing different degrees of cleansing were designed. Patients chose the drawing that most resembled the last stool. The predictive ability of the patient's perception and agreement between the patient's perception and the BBPS were calculated. A BBPS score of <2 points in any segment was considered inadequate.</p></div><div><h3>Results</h3><p>Six hundred and thirty-three patients were included (age: 62.8<!--> <!-->±<!--> <!-->13.7 years, male: 53.4%). Overall, 107 patients (16.9%) had inadequate cleansing during colonoscopy, and in 12.2% of cases, the patient's perception was poor. The patient's perception compared to the quality of cleanliness during colonoscopy presented a positive and negative predictive value of 54.6% and 88.3%, respectively. The agreement between patient perception and the BBPS was significant (<em>P</em> <!--><<!--> <!-->0.001), although fair (<em>k</em> <!-->=<!--> <!-->0.37). The results were similar in a validation cohort of 378 patients (<em>k</em> <!-->=<!--> <!-->0.41).</p></div><div><h3>Conclusions</h3><p>The cleanliness perceived by the patient and the quality of cleanliness using a validated scale were correlated, although fair. However, this measure satisfactorily identified patients with adequate preparation. Cleansing rescue strategies may target patients who self-report improper cleaning.</p><p><em>Registration number of the trial</em>: <span>NCT03830489</span><svg><path></path></svg>.</p></div>\",\"PeriodicalId\":12802,\"journal\":{\"name\":\"Gastroenterologia y hepatologia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gastroenterologia y hepatologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0210570523000432\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gastroenterologia y hepatologia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0210570523000432","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Agreement between the perception of colon cleansing reported by patients and colon cleansing assessed by a validated colon cleansing scale
Aims
Patients’ perception of their cleansing quality can guide strategies to improve cleansing during colonoscopy. There are no studies assessing the agreement between the quality of cleansing perceived by patients and cleansing quality assessed during colonoscopy using validated bowel preparation scales. The main aim of this study was to compare the cleansing quality reported by patients with the quality during colonoscopy using the Boston Bowel Preparation Scale (BBPS).
Patients and methods
Consecutive patients referred to an outpatient colonoscopy were included. Four drawings representing different degrees of cleansing were designed. Patients chose the drawing that most resembled the last stool. The predictive ability of the patient's perception and agreement between the patient's perception and the BBPS were calculated. A BBPS score of <2 points in any segment was considered inadequate.
Results
Six hundred and thirty-three patients were included (age: 62.8 ± 13.7 years, male: 53.4%). Overall, 107 patients (16.9%) had inadequate cleansing during colonoscopy, and in 12.2% of cases, the patient's perception was poor. The patient's perception compared to the quality of cleanliness during colonoscopy presented a positive and negative predictive value of 54.6% and 88.3%, respectively. The agreement between patient perception and the BBPS was significant (P < 0.001), although fair (k = 0.37). The results were similar in a validation cohort of 378 patients (k = 0.41).
Conclusions
The cleanliness perceived by the patient and the quality of cleanliness using a validated scale were correlated, although fair. However, this measure satisfactorily identified patients with adequate preparation. Cleansing rescue strategies may target patients who self-report improper cleaning.
期刊介绍:
Gastroenterology and Hepatology is the first journal to cover the latest advances in pathology of the gastrointestinal tract, liver, pancreas, and bile ducts, making it an indispensable tool for gastroenterologists, hepatologists, internists and general practitioners.