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

Autor:	Alvarez-Gonzalez MA; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain.; Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.; IMIM, Hospital del Mar Medical Research Institute, Barcelona, Spain., Pantaleón Sánchez MÁ; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain.; Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain., Bernad Cabredo B; Department of Digestive Diseases, Hospital Universitario de Burgos, Burgos, Spain., García-Rodríguez A; Department of Digestive Diseases, Hospital de Viladecans, Barcelona, Spain., Frago Larramona S; Department of Digestive Diseases, Hospital Santa Bárbara, Soria, Spain., Nogales O; Department of Digestive Diseases, Hospital Gregorio Marañón, Madrid, Spain., Díez Redondo P; Department of Digestive Diseases, Hospital del Rio Hortega, Valladolid, Spain., Puig Del Castillo I; Department of Digestive Diseases, Altahia Xarxa Asistencial Universitaria de Manresa, Barcelona, Spain., Romero Mascarell C; Department of Digestive Diseases, Consorci Sanitari de Terrassa, Barcelona, Spain., Caballero N; Department of Digestive Diseases, Hospital Germans Trias i Pujol, Badalona, Spain., Romero Sánchez-Miguel I; Department of Digestive Diseases, Hospital 12 de Octubre, Madrid, Spain., Pérez Berbegal R; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain., Hernández Negrín D; Department of Digestive Diseases, Hospital Universitario de Canarias, La Laguna, Spain., Bujedo Sadornill G; Department of Digestive Diseases, Hospital Universitario de Burgos, Burgos, Spain., Pérez Oltra A; Department of Digestive Diseases, Hospital de Viladecans, Barcelona, Spain., Casals Urquiza G; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain., Amorós Martínez J; Open University of Catalonia, Barcelona, Spain., Seoane Urgorri A; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain.; IMIM, Hospital del Mar Medical Research Institute, Barcelona, Spain., Ibáñez Zafón IA; Department of Digestive Diseases, Hospital del Mar, Barcelona, Spain., Gimeno-García AZ; Department of Digestive Diseases, Hospital Universitario de Canarias, La Laguna, Spain.
Jazyk:	angličtina
Zdroj:	Endoscopy [Endoscopy] 2020 Nov; Vol. 52 (11), pp. 1026-1035. Date of Electronic Publication: 2020 Jun 17.
DOI:	10.1055/a-1178-9844
Abstrakt:	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. Competing Interests: Marco Antonio Álvarez-Gonzáles has received honoria from Norgine Ldt. for advisory board attendance, speaking and teaching and from Casen-Recordati for speaking and teaching. (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/).)
Databáze:	MEDLINE
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