Department of Internal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
Department of Medical Pharmacology, Faculty of Medicine, Inonu University, Malatya, Turkey.
Saudi J Gastroenterol. 2023 Mar-Apr;29(2):71-87. doi: 10.4103/sjg.sjg_207_22.
The aim of this scoping review is to evaluate the impact of smartphone application (SPA) technology in patients undergoing elective colonoscopy to measure compliance with appointments, cost-effectiveness, bowel preparation, and quality of life. The scoping review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Ovid Medline, Web of Science, Science Direct, Scopus, Cochrane Library, and PubMed were screened up to Oct 14, 2020, and bibliographies of the retrieved articles were included. Based on pre-specified inclusion and exclusion criteria, 8 primary studies were included in the final analysis from a total of 3,979 non-duplicate articles. Seven out of eight studies measured the bowel preparation quality. In six of these studies, patients in the smartphone group had a successful bowel preparation when compared with the control arm; on the other hand, one study did not find any differences between groups. Adherence to colonoscopy screening was assessed by one study. Patients in the digital intervention arm were significantly more likely to complete a screening test. Patient satisfaction during the periprocedural period of colonoscopy was assessed by five studies which reported significantly higher patient satisfaction in the intervention arm compared to the control arm. None of the studies measured cost-effectiveness. We came to the conclusion that a well-designed, user-friendly SPA can help and guide patients undergoing colonoscopy through the process of following up on their appointments, adhering to bowel preparation, and better understanding their disease condition. Future trials investigating SPAs should include cost-effectiveness and adherence to appointments as an endpoint.
本综述的目的是评估智能手机应用 (SPA) 技术在接受择期结肠镜检查的患者中的应用效果，以评估其对预约、成本效益、肠道准备和生活质量的影响。本综述按照系统评价和荟萃分析扩展的首选报告项目进行。截至 2020 年 10 月 14 日，检索了 Ovid Medline、Web of Science、Science Direct、Scopus、Cochrane 图书馆和 PubMed 数据库，并纳入了检索到的文章的参考文献。根据预先设定的纳入和排除标准，从总共 3979 篇非重复文章中最终有 8 项原始研究纳入了最终分析。8 项研究中有 7 项评估了肠道准备质量。在这 7 项研究中，与对照组相比，智能手机组的患者肠道准备更成功；另一方面，有一项研究发现两组之间没有差异。有一项研究评估了结肠镜筛查的依从性。数字干预组的患者更有可能完成筛查测试。有 5 项研究评估了结肠镜检查围手术期患者的满意度，与对照组相比，干预组的患者满意度显著更高。没有研究测量成本效益。我们得出的结论是，设计良好、用户友好的 SPA 可以帮助和指导接受结肠镜检查的患者完成预约、遵守肠道准备以及更好地了解自己的病情。未来研究 SPA 的试验应将成本效益和对预约的依从性作为终点纳入其中。
