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Updated: Jun 14, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Patient Compliance With Bowel Preparation for Elective Colorectal Surgery.
Debora Kim1, Johnny Wang1, Abhinav Gupta2
1USC Keck School of Medicine, Los Angeles, California.
The Journal of Surgical Research
|August 30, 2024
Summary
Nearly 90% of patients completed mechanical bowel preparation (MBP) and oral antibiotics (OAs) for colorectal surgery. Compliance with OAs was lower at academic hospitals, while safety net hospitals improved MBP adherence.
Area of Science:
- Colorectal Surgery
- Surgical Preparation
- Patient Compliance
Background:
- Mechanical bowel preparation (MBP) plus oral antibiotics (OAs) reduce postoperative complications in elective colorectal surgery.
- Limited data exists on patient adherence to bowel preparation (BP) protocols.
Purpose of the Study:
- To assess patient compliance with MBP and OAs in elective colorectal surgery.
- To compare BP compliance between a tertiary care academic hospital (TCAH) and a safety net hospital (SNH).
Main Methods:
- A BP compliance survey was administered to patients undergoing elective colorectal surgery between April 2020 and March 2022.
- Statistical analysis (t-tests, Fisher's exact tests) compared patient compliance based on hospital setting and BP completeness.
Main Results:
- Overall, 88.6% of 105 patients completed MBP, with 86.7% taking all OAs.
- Safety net hospital (SNH) patients showed higher adherence to OAs (96% vs. 78.2%) and were more likely to complete BP (P=0.024).
- Adverse symptoms with BP were reported by 45.7% of patients.
Conclusions:
- High overall compliance (approx. 90%) with MBP and OAs was observed.
- Lower OA compliance at TCAH suggests institutional factors influence adherence.
- SNH setting was associated with better BP completion, indicating patient and institutional factors impact compliance.
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