Diabetics on Narcotics Are Less Likely to Achieve Excellent Bowel Preparation Than Are Patients with Either Condition.
Dig Dis Sci
; 62(3): 723-729, 2017 03.
Article
en En
| MEDLINE
| ID: mdl-28035547
ABSTRACT
BACKGROUND:
Diabetes and chronic narcotic use negatively affect the quality of bowel preparation before colonoscopy.AIM:
To investigate whether narcotic use and diabetes have an additive negative impact on bowel preparation. PATIENTS ANDMETHODS:
We performed a retrospective study of 2841 patients (mean age 61 ± 10.2; 94% male) who received outpatient colonoscopies at our Veterans Affairs Medical Center between June 2012 and December 2014. We collected information related to demographics, body mass index, indications, and medical/surgical history (diabetes mellitus, stroke, cirrhosis, dementia, constipation, hypothyroidism, and use of narcotics or antidepressants/anxiolytics for more than three months). Patients were classified into four groups (1) diabetics on narcotics, (2) diabetics only, (3) on narcotics only, and (4) neither diabetic nor using narcotics. Quality of the bowel preparation was scored using the Boston Bowel Preparation Scale (BBPS) and categorized as either excellent (BBPS ≥7, with no individual segment scoring <2) or not excellent (BBPS <7). Multivariate logistic regression analysis was performed to identify the combined impact of narcotic use and diabetes on bowel preparation.RESULTS:
Bowel preparation quality was excellent in 49%. Thirty-eight percent of patients with diabetes who were using narcotics (adjusted OR 0.6, CI [0.4, 0.8]) achieved excellent bowel preparation compared with 44% (adjusted OR 0.7, CI [0.6, 0.9]) of patients on narcotics only, 48% (adjusted OR 0.8, CI [0.7, 0.9]) of diabetics only, and 54% of patients with neither condition.CONCLUSION:
Concomitant narcotic use and diabetes have a compounding effect on the quality of bowel preparation prior to colonoscopy.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Dolor
/
Tránsito Gastrointestinal
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Neoplasias Colorrectales
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Catárticos
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Colonoscopía
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Diabetes Mellitus
/
Narcóticos
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Dig Dis Sci
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos