S385 Prep for Success: Contributors to Suboptimal Colonoscopy Bowel Preparation in an Ambulatory Surgical Center

Introduction: Colonoscopies can have suboptimal outcomes due to poor quality bowel preparation leading to missed identification of polyps, exposure to unnecessary anesthesia, and decreased patient and clinician satisfaction. In multivariate analysis, factors associated with cancellation included age...

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Bibliographic Details
Published in:	The American journal of gastroenterology Vol. 118; no. 10S; pp. S279 - S280
Main Authors:	Paul, Nicole, Bansal, Ria, Taraska, Cassandra, Hunt, Tammy, Rodgers, Joan, Warner, Nikki, Liu, Yisi, Vaidya, Dhananjay, Huang, Shanshan, Gupta, Ekta
Format:	Journal Article
Language:	English
Published:	New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01-10-2023
Subjects:	Colonoscopy Colorectal cancer Constipation Gastroenterology Patients Primary care Self evaluation
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Summary:	Introduction: Colonoscopies can have suboptimal outcomes due to poor quality bowel preparation leading to missed identification of polyps, exposure to unnecessary anesthesia, and decreased patient and clinician satisfaction. In multivariate analysis, factors associated with cancellation included age (OR = 1.026, 95% CI 1.005-1.047), history of constipation (OR = 1.949, 95% CI 1.181 – 3.218), and a higher score on the color-based self-assessment stool scale (OR = 2.741, 95% CI 2.129 - 3.529). Patients Who Did Not Have Their Colonoscopies Cancelled Compared to Those Who Had Their Colonoscopies Cancelled During Pre-Operative Evaluation or During the Procedure Variable Non-Cancellation Cancellation P-Value Age (years), mean (SD) 52.821 (11.859) 56.065 (11.844) 0.011 Race 0.006 White 53.9% 46.7% Black 27.3% 43.5% Asian 10.5% 4.3% Other 7.5% 5.4% Unknown 0.7% 0.0% Completion of Bowel Preparation 0.007 No 13.0% 22.8% Yes 87.0% 77.2% Preparation Solution 0.18 PEG 71.8% 78.3% Miralax and Dulcolax 17.1% 8.7% Suprep 8.3% 10.9% Sutab 1.3% 0.0% Clenpiq 0.7% 1.1% Unknown 0.7% 1.1% History of Constipation 0.001 No 77.1% 60.9% Yes 22.8% 37.0% Unknown 0.1% 2.2% Language Barrier 0.78 No 93.9% 93.5% Yes 5.8% 6.5% Unknown 0.3% 0.0% Primary Care referral or Gastroenterologist referral 0.96 Primary Care 50.7% 51.1% Gastroenterologist 42.5% 42.4% Unknown 6.7% 6.5% Color of stool, mean (SD) 1.179 (0.537) 1.890 (1.027) < 0.001 Colonoscopy Cancelled in Pre-Operative Evaluation < 0.001 No 100.0% 70.7% Yes 0.0% 29.3% Boston Bowel Prep Score, mean (SD) 7.299 (1.355) 4.000 (2.523) < 0.001 Colonoscopy Aborted During Procedure < 0.001 No 100.0% 0.0% Yes 0.0% 70.7% N/A; cancelled in pre-op 0.0% 29.3% Author Notes *Presenter
ISSN:	0002-9270 1572-0241
DOI:	10.14309/01.ajg.0000951180.88050.0f