Salimi Qasim, Nasereddin Thayer, Patel Neel, Hashemipour Reza, Tawadros Augustine, Brelvi Zamir, Ahlawat Sushil
Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Division of Gastroenterology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Gastroenterol Res Pract. 2019 Mar 6;2019:8319747. doi: 10.1155/2019/8319747. eCollection 2019.
The goal of this study was to develop an objective and detailed scoring system to assess the quality of bowel preparation.
The quality of bowel preparation impacts the success of the colonoscopy. We developed and compared a new bowel preparation scoring system, the New Jersey Bowel Preparation Scale (NJBPS), with existing systems that are limited by a lack of detail and objectivity in the Boston Bowel Preparation Scale (BBPS) and the Ottawa Bowel Preparation Scale (OBPS).
This was a single-center, prospective, dual-observer study performed at Rutgers New Jersey Medical School University Hospital. Patients who were at medium risk for colorectal cancer and undergoing outpatient screening colonoscopy were enrolled in the study, and their bowel preparation was assessed separately by an attending and a fellow using each of the bowel preparation scoring systems.
98 patients were analyzed in the study, of which 59% were female. Most of the patient population was African American (65%) or Hispanic (25%). The average age of the patient was 60 years. Chi-squared analysis using SPSS software revealed intraclass correlation coefficient values between attending and fellow scores for each scale. The NJBPS had the highest value at 0.988, while the BBPS and OBPS had values of 0.883 and 0.894.
Single-center study.
The NJBPS and BBPS scores demonstrated a statistically significant agreement with each other. Overall, there was good interobserver agreement for all three scoring systems when comparing attendings to fellows for the same scoring system. However, the NJBPS possessed a stronger correlation.
本研究的目的是开发一种客观、详细的评分系统，以评估肠道准备的质量。
肠道准备的质量会影响结肠镜检查的成功率。我们开发并比较了一种新的肠道准备评分系统，即新泽西肠道准备量表（NJBPS），与现有的系统，如波士顿肠道准备量表（BBPS）和渥太华肠道准备量表（OBPS），这些现有系统存在缺乏细节和客观性的局限性。
这是一项在罗格斯新泽西医学院大学医院进行的单中心、前瞻性、双观察者研究。纳入了患结直肠癌中度风险且正在接受门诊筛查结肠镜检查的患者，其肠道准备情况由一名主治医师和一名住院医师分别使用每种肠道准备评分系统进行评估。
本研究共分析了98例患者，其中59%为女性。大多数患者为非裔美国人（65%）或西班牙裔（25%）。患者的平均年龄为60岁。使用SPSS软件进行的卡方分析揭示了每种量表的主治医师评分与住院医师评分之间的组内相关系数值。NJBPS的值最高，为0.988，而BBPS和OBPS的值分别为0.883和0.894。
单中心研究。
NJBPS和BBPS评分在统计学上显示出显著的一致性。总体而言，在将同一评分系统的主治医师与住院医师进行比较时，所有三种评分系统的观察者间一致性良好。然而,NJBPS具有更强的相关性。
