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Factors Influencing the Adequacy of Bowel Preparation in Patients With Developmental Disabilities

Jose Mari Parungao1,2, Charina Reyes3,2, Nancy Jackson4

  • 1United Medical Center, Washington, DC 20032, USA.

Gastroenterology Research
|January 11, 2019
PubMed

Insights

Bowel preparation for colonoscopies is inadequate in over half of patients with developmental disabilities, more than double the general population rate. Outpatients had better preparation than inpatients.

Area of Science:

  • Gastroenterology
  • Public Health
  • Disability Studies

Background:

  • Inadequate bowel preparation for colonoscopy affects approximately 23% of the general population.
  • An increasing number of individuals with developmental disabilities are undergoing endoscopic procedures.
  • Limited data exist on bowel preparation adequacy in patients with developmental disabilities.

Purpose of the Study:

  • To evaluate the adequacy of bowel preparation in patients with developmental disabilities undergoing colonoscopy.
  • To identify factors influencing bowel preparation adequacy in this population.

Main Methods:

  • Retrospective analysis of 91 patients with developmental disabilities who underwent colonoscopy between 2006 and 2014.
  • Evaluation of bowel preparation adequacy, age, diagnoses, procedure type, indication, and setting.

Main Results:

  • Inadequate bowel preparation was observed in approximately 51% of cases.
  • Outpatients demonstrated significantly better bowel preparation compared to inpatients (OR 2.75, P=0.022).
  • No other factors significantly influenced preparation adequacy.

Conclusions:

  • Over half of patients with developmental disabilities had inadequate bowel preparation, a rate more than double that of the general population.
  • Outpatient status is associated with a 2.75-fold increased likelihood of adequate bowel preparation.
  • Further research is needed to enhance endoscopic practices for this demographic.
Abstract

Keywords:
Bowel preparationDevelopmental disabilityEndoscopy

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