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Existing Bowel Preparation Quality Scales Are Reliable in the Setting of Centralized Endoscopy Reading.
Hanzel, Jurij; Sey, Michael; Ma, Christopher; Zou, Guangyong; East, James E; Siegel, Corey A; Mosli, Mahmoud; Reinisch, Walter; McDonald, John W D; Silverberg, Mark S; Van Viegen, Tanja; Shackelton, Lisa M; Clayton, Lucy B; Enns, Robert; Epstein, Ian; Hilsden, Robert J; Hookey, Lawrence; Moffatt, Dana C; Ng Kwet Shing, Richard; Telford, Jennifer J; von Renteln, Daniel; Feagan, Brian G; Barkun, Alan; Jairath, Vipul.
Afiliação
  • Hanzel J; Department of Gastroenterology and Hepatology, Amsterdam UMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
  • Sey M; Faculty of Medicine, University of Ljubljana, University Medical Centre Ljubljana, Zaloska Cesta 7, 1000, Ljubljana, Slovenia.
  • Ma C; Alimentiv Inc, 100 Dundas St Suite 200, London, ON, Canada.
  • Zou G; Division of Gastroenterology, Department of Medicine, Western University & London Health Sciences Centre, University Hospital, 1151 Richmond St, Room A10-219, London, ON, Canada.
  • East JE; Lawson Health Research Institute, London Health Sciences Centre-Victoria Hospital, 800 Commissioners Rd E, London, ON, Canada.
  • Siegel CA; Alimentiv Inc, 100 Dundas St Suite 200, London, ON, Canada.
  • Mosli M; Division of Gastroenterology & Hepatology, Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University Calgary, 2500 University Dr NW, Calgary, AB, Canada.
  • Reinisch W; Department of Epidemiology and Biostatistics, Western University, 1151 Richmond St, London, ON, Canada.
  • McDonald JWD; Translational Gastroenterology Unit, Experimental Medicine Division, Nuffield Department of Medicine, John Radcliffe Hospital, University of Oxford, Oxford, OX1 2JD, UK.
  • Silverberg MS; Division of Gastroenterology and Hepatology, Mayo Clinic Healthcare, 15 Portland Pl, London, UK.
  • Van Viegen T; Section of Gastroenterology & Hepatology, Department of Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH, USA.
  • Shackelton LM; Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, 22254, Saudi Arabia.
  • Clayton LB; Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
  • Enns R; Alimentiv Inc, 100 Dundas St Suite 200, London, ON, Canada.
  • Epstein I; Inflammatory Bowel Disease Centre, Mount Sinai Hospital, 600 University Ave, Toronto, ON, Canada.
  • Hilsden RJ; Alimentiv Inc, 100 Dundas St Suite 200, London, ON, Canada.
  • Hookey L; Alimentiv Inc, 100 Dundas St Suite 200, London, ON, Canada.
  • Moffatt DC; Norgine Ltd, Widewater Place Moorhall Road, Harefield, England, UK.
  • Ng Kwet Shing R; Division of Gastroenterology, Department of Medicine, St. Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada.
  • Telford JJ; Division of Digestive Care & Endoscopy, Department of Medicine, Dalhousie University, 6299 South St, Halifax, NS, Canada.
  • von Renteln D; Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, 2500 University Dr NW, Calgary, AB, Canada.
  • Feagan BG; Forzani & MacPhail Colon Cancer Screening Centre, Alberta Health Services, 3280 Hospital Dr NW, Calgary, AB, Canada.
  • Barkun A; Gastrointestinal Diseases Research Unit, Department of Medicine, Queen's University, 99 University Ave, Kingston, ON, Canada.
  • Jairath V; Department of Medicine, Max Rady College of Medicine, University of Manitoba, 66 Chancellors Cir, Winnipeg, Canada.
Dig Dis Sci ; 68(4): 1195-1207, 2023 04.
Article em En | MEDLINE | ID: mdl-36266592
BACKGROUND: Development of bowel preparation products has been based upon colon cleansing rating by a local endoscopist. It is unclear how bowel preparation scales perform when centrally evaluated. AIMS: To evaluate the reliability of bowel preparation quality scales when assessed by central readers. METHODS: Four central readers evaluated 52 videos in triplicate, 2 weeks apart, during the entire endoscopic procedure (insertion/withdrawal of the colonoscope) and exclusively on colonoscope withdrawal using the Boston Bowel Preparation Scale (BBPS), Chicago Bowel Preparation scale, Harefield Cleansing Scale, Ottawa Bowel Preparation Quality Scale (OBPQS), Aronchick score, a visual analogue scale, and additional items proposed in a modified Research and Development/University of California Los Angeles appropriateness process. Reliability was assessed with intraclass correlation coefficients. RESULTS: Intraclass correlation coefficients (95% confidence interval) for inter-rater reliability of the quality scales ranged from 0.51 to 0.65 (consistent with moderate to substantial inter-rater reliability) during the entire procedure. Corresponding intraclass correlation coefficients for intra-rater reliability ranged from 0.69 to 0.77 (consistent with substantial intra-rater reliability). Reliability was highest in the right colon and lowest in the left colon. No differences were observed in reliability when assessed for the procedure overall (insertion/withdrawal) relative to assessment on withdrawal alone. CONCLUSION: All five bowel preparation quality scales had moderate to substantial inter-rater reliability. Panelists considered the Aronchick score too simplistic for clinical trials and recognized that assessment of residual fluid in the Ottawa Bowel Preparation Quality Scale was not amenable to central assessment.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Catárticos / Colonoscopia Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Catárticos / Colonoscopia Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article