Articles producció científica> Infermeria

Oral sulfate solution benefits polyp and adenoma detection during colonoscopy: Meta-analysis of randomized controlled trials

  • Dades identificatives

    Identificador: imarina:9261316
    Autors:
    Chen CShi MLiao ZChen WWu YTian X
    Resum:
    Objectives Although oral sulfate solution (OSS) has been revealed to be not only safe and efficacious but also noninferior to polyethylene glycol with ascorbic acid (PEG + ASC), it is unclear whether OSS can ultimately increase the polyp detection rate (PDR) and adenoma detection rate (ADR). We performed this meta-analysis to estimate the effect of OSS on PDR and ADR during colonoscopy. Methods We searched PubMed, EMBASE, and the Cochrane Library to identify relevant randomized controlled trials (RCTs) investigating the comparative effect of OSS versus PEG + ASC on the PDR and ADR during colonoscopy. Cecal intubation time (CIT), cecal intubation rate (CIR), and bowel preparation score were also evaluated. Review Manager (RevMan) version 5.3.0 was used to perform statistical analysis. Results Eight RCTs involving 2059 patients fulfilled the selection criteria. Meta-analysis suggested that OSS significantly increased the PDR (47.34% vs. 40.14%, risk ratio [RR] 1.13, 95% confidence interval [CI] 1.03-1.24, P = 0.01) and ADR (44.60% vs. 38.14%, RR 1.17, 95% CI 1.03-1.33, P = 0.01) during colonoscopy. Subgroup analysis showed that the beneficial effects of OSS on PDR and ADR were consistent among patients with mean age >55 years and with body mass index <25 kg/m(2) receiving outpatient colonoscopy, morning colonoscopy, and the 2-L bowel preparation protocol. Meanwhile, patients receiving OSS had a beneficial bowel preparation score. Conclusion Compared with polyethylene glycol-based regimens, the OSS bowel preparation regimen significantly increased the PDR and ADR in patients undergoing colonoscopy.
  • Altres:

    Autor segons l'article: Chen C; Shi M; Liao Z; Chen W; Wu Y; Tian X
    Departament: Infermeria
    Autor/s de la URV: Tian, Xu
    Paraules clau: Task-force Suboptimal bowel preparation Standard peg Split method Solution oss Reduced-volume Polyethylene-glycol Oral sulfate solution Impact Colorectal-cancer Colorectal cancer Colonoscopy Bowel preparation Ascorbic-acid Adenoma
    Resum: Objectives Although oral sulfate solution (OSS) has been revealed to be not only safe and efficacious but also noninferior to polyethylene glycol with ascorbic acid (PEG + ASC), it is unclear whether OSS can ultimately increase the polyp detection rate (PDR) and adenoma detection rate (ADR). We performed this meta-analysis to estimate the effect of OSS on PDR and ADR during colonoscopy. Methods We searched PubMed, EMBASE, and the Cochrane Library to identify relevant randomized controlled trials (RCTs) investigating the comparative effect of OSS versus PEG + ASC on the PDR and ADR during colonoscopy. Cecal intubation time (CIT), cecal intubation rate (CIR), and bowel preparation score were also evaluated. Review Manager (RevMan) version 5.3.0 was used to perform statistical analysis. Results Eight RCTs involving 2059 patients fulfilled the selection criteria. Meta-analysis suggested that OSS significantly increased the PDR (47.34% vs. 40.14%, risk ratio [RR] 1.13, 95% confidence interval [CI] 1.03-1.24, P = 0.01) and ADR (44.60% vs. 38.14%, RR 1.17, 95% CI 1.03-1.33, P = 0.01) during colonoscopy. Subgroup analysis showed that the beneficial effects of OSS on PDR and ADR were consistent among patients with mean age >55 years and with body mass index <25 kg/m(2) receiving outpatient colonoscopy, morning colonoscopy, and the 2-L bowel preparation protocol. Meanwhile, patients receiving OSS had a beneficial bowel preparation score. Conclusion Compared with polyethylene glycol-based regimens, the OSS bowel preparation regimen significantly increased the PDR and ADR in patients undergoing colonoscopy.
    Àrees temàtiques: Surgery Saúde coletiva Radiology, nuclear medicine and imaging Medicina iii Medicina ii Medicina i Gastroenterology & hepatology Gastroenterology Ciências biológicas ii
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: xu.tian@estudiants.urv.cat
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://onlinelibrary.wiley.com/doi/10.1111/den.14299
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Digestive Endoscopy.
    Referència de l'ítem segons les normes APA: Chen C; Shi M; Liao Z; Chen W; Wu Y; Tian X (2022). Oral sulfate solution benefits polyp and adenoma detection during colonoscopy: Meta-analysis of randomized controlled trials. Digestive Endoscopy, (), -. DOI: 10.1111/den.14299
    DOI de l'article: 10.1111/den.14299
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2022
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Gastroenterology,Gastroenterology & Hepatology,Radiology, Nuclear Medicine and Imaging,Surgery
    Task-force
    Suboptimal bowel preparation
    Standard peg
    Split method
    Solution oss
    Reduced-volume
    Polyethylene-glycol
    Oral sulfate solution
    Impact
    Colorectal-cancer
    Colorectal cancer
    Colonoscopy
    Bowel preparation
    Ascorbic-acid
    Adenoma
    Surgery
    Saúde coletiva
    Radiology, nuclear medicine and imaging
    Medicina iii
    Medicina ii
    Medicina i
    Gastroenterology & hepatology
    Gastroenterology
    Ciências biológicas ii
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