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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Randomized clinical trial of two colonoscopy preparation methods for elderly patients
B A Lashner1, C S Winans, M O Blackstone
1Section of Gastroenterology, University of Chicago Medical Center, IL 60637.
Journal of Clinical Gastroenterology
|August 1, 1990
Summary
For elderly patients undergoing colonoscopy, enema preparation was better tolerated than Golytely. Adequacy of preparation showed no significant differences between the two methods in this age group.
Area of Science:
- Gastroenterology
- Geriatric Medicine
Background:
- Colonic lavage is essential for colonoscopy.
- Golytely previously showed advantages in preparation adequacy and patient tolerance over enemas.
Purpose of the Study:
- To evaluate Golytely versus enema preparation in elderly patients (≥75 years).
- To determine if Golytely's known advantages extend to the geriatric population.
Main Methods:
- Randomized clinical trial of 124 patients aged ≥75 years.
- Comparison of Golytely versus enema preparation for colonoscopy.
- Assessment of preparation adequacy and patient tolerance.
Main Results:
- No statistically significant difference in preparation adequacy between Golytely and enemas.
- Enema preparation was superior in outpatients; Golytely was superior in inpatients.
- Patients tolerated enema preparation better than Golytely, regardless of inpatient or outpatient status.
Conclusions:
- Golytely does not offer a significant advantage in elderly patients (≥75 years).
- Enema preparation may be better tolerated in this age group with comparable preparation adequacy.
- Findings contrast with previous studies in younger populations.
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