Stacy B. Menees|H. Myra Kim|Patricia A. Wren|Brian J. Zikmund?Fisher|Grace H. Elta|Stanley O. Foster|Sheryl J. Korsnes|Brittany B. Graustein|Philip Schoenfeld
Patient compliance and suboptimal bowel preparation with split-dose bowel regimen in average-risk screening colonoscopy
University of Michigan–Ann Arbor|Michigan Medicine|Oakland University|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine
although splitdose bowel regimen recommended colon cancer screening surveillance guidelines implementation clinical practice seemingly lagged concerns patient complianceto assess patient compliance splitdose bowel regimen assess patient preparation processrelated factors associated compliance bowel preparation adequacyprospective survey cohorttertiary care settingaveragerisk patients undergoing colonoscopy colorectal cancer screening august 2011 january 2013splitdose bowel regimen patientreported compliance bowel preparation adequacy boston bowel preparation scale scoresurveys boston bowel preparation scale score data completed 462 participants 154 noncompliant splitdose bowel regimen suboptimal bowel preparation score 5 reported 16 procedures white p 009 married p 01 subjects least likely noncompliant whereas hispanic subjects reported incomes us75000 less likely noncompliant p 004 participants noncompliant splitdosing less likely follow laxative instructions likely colonoscopy appointment 1030 compliance differed bowel preparation type p 003 2 test used miralax showing highest compliance followed polyethylene glycol electrolyte solution bowel preparations noncompliance splitdose bowel preparation odds ratio 67 95 confidence interval 32142 strongest predictor suboptimal bowel preparationpatient selfreport performed tertiary care centeroverall 1 7 patients comply splitdose bowel regimen ensuring compliance splitdose bowel regimen reduce risk suboptimal bowel preparation