Dankner Lauren, Quiros Jose Antonio, Volpert Diana, Atreja Ashish
Division of Pediatric Gastroenterology, Valley Hospital, Ridgewood, NJ, United States.
Division of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Front Pediatr. 2023 Oct 9;11:1271222. doi: 10.3389/fped.2023.1271222. eCollection 2023.
Adequate bowel preparation is essential for optimal colonoscopy diagnosis and/or intervention. However, suboptimal bowel preparation occurs in as many as 1 in 3 pediatric colonoscopies, leading to missed diagnoses, procedural complications, wasted resources, and increased costs. We aimed to evaluate the effect of an automated Pediatric Colonoscopy Digital Navigation Program (PC-DNP) on the quality of colonoscopy preparation among pediatric patients.
The PC-DNP sent patients timely weight-based bowel preparation instructions, video and text-based educational modules, logistical information, and appointment reminders prior to their scheduled diagnostic and/or therapeutic colonoscopies. Physician reported bowel preparation quality among patients/caregivers who were prescribed the PC-DNP were compared to bowel preparation quality of a historical sample of patients/caregivers who received standard care instructions.
We found that the PC-DNP group had significantly higher bowel preparation quality than the standard care group.
These results demonstrated that automated DNPs may be easily implemented into the pediatric gastroenterologists' practice and may help streamline and improve bowel preparation in pediatric patients.
充分的肠道准备对于优化结肠镜检查诊断和/或干预至关重要。然而，在多达三分之一的儿科结肠镜检查中，肠道准备不充分，导致漏诊、手术并发症、资源浪费和成本增加。我们旨在评估自动化儿科结肠镜数字导航程序（PC-DNP）对儿科患者结肠镜检查准备质量的影响。
PC-DNP在患者预定的诊断性和/或治疗性结肠镜检查之前，及时发送基于体重的肠道准备说明、视频和文本形式的教育模块、后勤信息以及预约提醒。将接受PC-DNP的患者/护理人员中医生报告的肠道准备质量与接受标准护理说明的患者/护理人员历史样本的肠道准备质量进行比较。
我们发现PC-DNP组的肠道准备质量明显高于标准护理组。
这些结果表明，自动化数字导航程序可以轻松应用于儿科胃肠病学家的实践中，并可能有助于简化和改善儿科患者的肠道准备。
