Terry C Davis1, Jill Hancock2, James Morris3, Perry Branim4, Abhishek Seth5, Alfred Rademaker6, Connie L Arnold7. 1. Professor, Department of Medicine and Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, Shreveport, LA. 2. Research Associate, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA. 3. Assistant Professor, Department of Medicine, Section of Gastroenterology, Louisiana State University Health Sciences Center, Shreveport, LA. 4. Nurse Manager, Gastroenterology Clinic, University Health, Shreveport, LA. 5. Clinical Fellow, Department of Medicine, Section of Gastroenterology, Louisiana State University Health Sciences Center, Shreveport, LA. 6. Professor, Department of Preventive Medicine and the Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL. 7. Associate Professor, Department of Medicine and Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, Shreveport, LA;, Email: carnol@lsuhsc.edu.
Abstract
OBJECTIVES: To improve patient colonoscopy bowel preparation with a newly developed simplified instruction sheet in a safety-net hospital system. METHODS: Bowel preparation quality was compared in a retrospective chart review of 543 patients, 287 of whom received standard instructions (9th grade reading level) between November 2015 and February 2016, and 256 of whom received simplified instructions (6th grade level) between March and May 2016. Instructions were mailed to all patients. The primary outcome was bowel preparation quality recorded by the endoscopist as optimal or suboptimal preparation. RESULTS: 543 medical records were reviewed and results indicated a significant association between the instructions used and preparation quality with patients receiving simplified instructions being significantly more prepared (69.1% vs 65.5%) and having a lower cancellation rate (4.7% vs 10.5%), p = .042. CONCLUSIONS: A no-cost simplified colonoscopy instruction sheet improved bowel preparation among patients in an academic safety-net health system.
OBJECTIVES: To improve patient colonoscopy bowel preparation with a newly developed simplified instruction sheet in a safety-net hospital system. METHODS:Bowel preparation quality was compared in a retrospective chart review of 543 patients, 287 of whom received standard instructions (9th grade reading level) between November 2015 and February 2016, and 256 of whom received simplified instructions (6th grade level) between March and May 2016. Instructions were mailed to all patients. The primary outcome was bowel preparation quality recorded by the endoscopist as optimal or suboptimal preparation. RESULTS: 543 medical records were reviewed and results indicated a significant association between the instructions used and preparation quality with patients receiving simplified instructions being significantly more prepared (69.1% vs 65.5%) and having a lower cancellation rate (4.7% vs 10.5%), p = .042. CONCLUSIONS: A no-cost simplified colonoscopy instruction sheet improved bowel preparation among patients in an academic safety-net health system.
Authors: Franchesca Arias; Michael Riverso; Shellie-Anne Levy; Rebecca Armstrong; David S Estores; Patrick Tighe; Catherine C Price Journal: Anesth Analg Date: 2019-09 Impact factor: 5.108
Authors: Terry C Davis; James D Morris; Elise H Reed; Laura M Curtis; Michael S Wolf; Adrienne B Davis; Connie L Arnold Journal: Contemp Clin Trials Date: 2021-12-11 Impact factor: 2.261
Authors: Patrizio Zanobini; Chiara Lorini; Alberto Baldasseroni; Claudia Dellisanti; Guglielmo Bonaccorsi Journal: Int J Environ Res Public Health Date: 2020-02-06 Impact factor: 3.390