Ding Yuming, Vandeleur Ann, Chinchilla Gonzalo, Littlemore Kimberley, Hodgson Ruth, Rahman Tony
Department of Gastroenterology & Hepatology, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Department of Gastroenterology, The Prince Charles Hospital, Chermside, Australia.
Endosc Int Open. 2024 Nov 18;12(11):E1326-E1333. doi: 10.1055/a-2441-8166. eCollection 2024 Nov.
High-quality bowel preparation is integral to high-quality colonoscopy and adenoma detection. Studies evaluating the effect of pre-colonoscopy educational videos on bowel preparation quality have been variable. We investigated whether augmenting bowel preparation education using our professionally produced, patient-oriented, online educational video series would improve preparation quality, reduce need for repeat procedures, and improve adenoma detection rate (ADR). We conducted a pilot, retrospective, single-center observational study using endoscopy data from a tertiary hospital. Colonoscopy outcomes were compared between two discrete 6-month study periods, before (control group) and after (video group) implementation of the online video intervention. All patients received standard-of-care written and verbal instructions. The video group received a link providing access to the video platform. Primary outcome was adequacy of bowel preparation (defined by the Aronchick Scale). Secondary outcomes included rate of repeat colonoscopy due to inadequate preparation, ADR, and sessile serrated lesion (SSL) detection rate. The video intervention group had a lower rate of inadequate bowel preparation compared with the control group (6.3% vs 9.8%, = 0.018). There was no difference between groups in rate of repeat colonoscopies due to inadequate preparation ( = 0.62), ADR ( = 0.11), or SSL detection rate ( = 0.94). Multivariable analysis did not reveal any independent predictors of bowel preparation quality. Our study supports the addition of a novel patient-oriented online educational video resource as an effective tool in enhancing bowel preparation adequacy while maintaining provision of high-quality colonoscopy.
高质量的肠道准备是高质量结肠镜检查和腺瘤检测的重要组成部分。评估结肠镜检查前教育视频对肠道准备质量影响的研究结果不一。我们调查了使用我们专业制作的、以患者为导向的在线教育视频系列来加强肠道准备教育是否会提高准备质量、减少重复检查的需求并提高腺瘤检出率（ADR）。我们使用一家三级医院的内镜检查数据进行了一项前瞻性、回顾性、单中心观察性研究。在实施在线视频干预之前（对照组）和之后（视频组）的两个连续6个月研究期内比较结肠镜检查结果。所有患者均接受了标准的书面和口头指导。视频组收到了一个提供视频平台访问权限的链接。主要结局是肠道准备的充分性（由阿龙奇克量表定义）。次要结局包括因准备不充分而进行重复结肠镜检查的比率、ADR和锯齿状息肉（SSL）检出率。与对照组相比，视频干预组肠道准备不充分的比率较低（6.3%对9.8%，P = 0.018）。两组之间因准备不充分导致的重复结肠镜检查比率（P = 0.62）、ADR（P = 0.11）或SSL检出率（P = 0.94）没有差异。多变量分析未发现肠道准备质量的任何独立预测因素。我们的研究支持添加一种新型的以患者为导向的在线教育视频资源，作为提高肠道准备充分性同时保持提供高质量结肠镜检查的有效工具。
