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Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis

Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web...

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Main Authors: Zhang, Yuanyuan, Wang, Lining, Wu, Wenbi, Zhang, Shi, Zhang, Min, She, Wenjing, Cheng, Qianqian, Chen, Nana, Fan, Pengxia, Du, Yuxin, Song, Haiyan, Hu, Xianyu, Zhang, Jiajie, Ding, Caiyan
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Published: Elsevier Ltd 2024
Online Access:http://psasir.upm.edu.my/id/eprint/105799/
https://www.sciencedirect.com/science/article/pii/S0020748923001967
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spelling my.upm.eprints.1057992024-04-02T09:00:39Z http://psasir.upm.edu.my/id/eprint/105799/ Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis Zhang, Yuanyuan Wang, Lining Wu, Wenbi Zhang, Shi Zhang, Min She, Wenjing Cheng, Qianqian Chen, Nana Fan, Pengxia Du, Yuxin Song, Haiyan Hu, Xianyu Zhang, Jiajie Ding, Caiyan Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were searched from their inception to February 2023. Cohort and cross-sectional studies exploring the risk factors for inadequate bowel preparation were included in this systematic review. Odds ratio (OR) values from individual studies were pooled using fixed-effects and random-effects models. In addition, a sensitivity analysis and assessment of publication bias were performed. Results: This meta-analysis included six studies (n = 1553) on previous abdominal surgery, six studies (n = 1494) on constipation, seven studies (n = 1505) on diabetes, eight studies (n = 2093) on non-compliance with the diet regimen, seven studies (n = 1350) on incomplete intake of laxative, and nine studies (n = 2163) on inadequate exercise during preparation. The pooled analysis showed that history of abdominal surgery (OR = 2.72; 95 confidence interval, CI: 2.07 to 3.56), constipation (OR = 3.56, 95 CI: 2.41 to 5.25), diabetes (OR = 2.54, 95 CI: 1.81 to 3.57), non-compliance with the diet regimen (OR = 2.51, 95 CI: 1.96 to 3.21), incomplete intake of laxative (OR = 2.43, 95 CI: 1.60 to 3.67), and inadequate exercise during preparation (OR = 3.13, 95 CI: 2.39 to 4.11) were independent risk factors for inadequate bowel preparation in older patients undergoing colonoscopy. Conclusions: Three comorbid factors and three behavioral factors were significantly associated with inadequate bowel preparation in older adults. This meta-analysis provides valuable information for developing predictive models of poor bowel preparation. Elsevier Ltd 2024 Article PeerReviewed Zhang, Yuanyuan and Wang, Lining and Wu, Wenbi and Zhang, Shi and Zhang, Min and She, Wenjing and Cheng, Qianqian and Chen, Nana and Fan, Pengxia and Du, Yuxin and Song, Haiyan and Hu, Xianyu and Zhang, Jiajie and Ding, Caiyan (2024) Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis. International Journal of Nursing Studies, 149. art. no. 104631. pp. 1-9. ISSN 0020-7489; ISSN: 1873-491X https://www.sciencedirect.com/science/article/pii/S0020748923001967 10.1016/j.ijnurstu.2023.104631
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were searched from their inception to February 2023. Cohort and cross-sectional studies exploring the risk factors for inadequate bowel preparation were included in this systematic review. Odds ratio (OR) values from individual studies were pooled using fixed-effects and random-effects models. In addition, a sensitivity analysis and assessment of publication bias were performed. Results: This meta-analysis included six studies (n = 1553) on previous abdominal surgery, six studies (n = 1494) on constipation, seven studies (n = 1505) on diabetes, eight studies (n = 2093) on non-compliance with the diet regimen, seven studies (n = 1350) on incomplete intake of laxative, and nine studies (n = 2163) on inadequate exercise during preparation. The pooled analysis showed that history of abdominal surgery (OR = 2.72; 95 confidence interval, CI: 2.07 to 3.56), constipation (OR = 3.56, 95 CI: 2.41 to 5.25), diabetes (OR = 2.54, 95 CI: 1.81 to 3.57), non-compliance with the diet regimen (OR = 2.51, 95 CI: 1.96 to 3.21), incomplete intake of laxative (OR = 2.43, 95 CI: 1.60 to 3.67), and inadequate exercise during preparation (OR = 3.13, 95 CI: 2.39 to 4.11) were independent risk factors for inadequate bowel preparation in older patients undergoing colonoscopy. Conclusions: Three comorbid factors and three behavioral factors were significantly associated with inadequate bowel preparation in older adults. This meta-analysis provides valuable information for developing predictive models of poor bowel preparation.
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author Zhang, Yuanyuan
Wang, Lining
Wu, Wenbi
Zhang, Shi
Zhang, Min
She, Wenjing
Cheng, Qianqian
Chen, Nana
Fan, Pengxia
Du, Yuxin
Song, Haiyan
Hu, Xianyu
Zhang, Jiajie
Ding, Caiyan
spellingShingle Zhang, Yuanyuan
Wang, Lining
Wu, Wenbi
Zhang, Shi
Zhang, Min
She, Wenjing
Cheng, Qianqian
Chen, Nana
Fan, Pengxia
Du, Yuxin
Song, Haiyan
Hu, Xianyu
Zhang, Jiajie
Ding, Caiyan
Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
author_facet Zhang, Yuanyuan
Wang, Lining
Wu, Wenbi
Zhang, Shi
Zhang, Min
She, Wenjing
Cheng, Qianqian
Chen, Nana
Fan, Pengxia
Du, Yuxin
Song, Haiyan
Hu, Xianyu
Zhang, Jiajie
Ding, Caiyan
author_sort Zhang, Yuanyuan
title Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
title_short Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
title_full Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
title_fullStr Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
title_full_unstemmed Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
title_sort predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
publisher Elsevier Ltd
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/105799/
https://www.sciencedirect.com/science/article/pii/S0020748923001967
_version_ 1797911365194612736
score 13.226497

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