Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study
| Autor: | Mohit Girotra, Allawy Allawy, Sumanjit Kaur, Shashank Garg, Alessandra Secco, Sudhir K. Dutta, Rohit Anand, Lakshya Chandra, Vipin Verma |
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| Rok vydání: | 2015 |
| Předmět: |
African american population
lcsh:Medical technology Adenoma Article Subject Population Colonoscopy computer.software_genre law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Statistical significance medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine education Entire colon education.field_of_study medicine.diagnostic_test Multimedia business.industry medicine.disease digestive system diseases lcsh:R855-855.5 Bowel preparation Clinical Study 030211 gastroenterology & hepatology business computer |
| Zdroj: | Diagnostic and Therapeutic Endoscopy Diagnostic and Therapeutic Endoscopy, Vol 2016 (2016) |
| ISSN: | 1070-3608 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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