Navigation Links
New educational booklet helps patients prepare for a colonoscopy
Date:4/12/2011

UCLA and Veterans Affairs researchers have developed an educational booklet that can help patients better prepare for a colonoscopy, potentially saving their lives. One out of every 16 Americans will be diagnosed with colon cancer, the leading non-smokingrelated cancer killer in the U.S.

Most patients survive colon cancer if the cancer is found early, and a colonoscopy is the only test that can identify and remove polyps from the entire colon. However, the effectiveness of the procedure depends as much on what happens in the hours before the patient comes in for the exam as it does on the skill of the health care team.

Patients scheduled to undergo the test receive instructions on how to empty their colon by using purgative medications and following rigid dietary restrictions. Good preparation helps the doctors clearly see the colon walls during the procedure and improves their ability to identify polyps. But up to a quarter of patients still undergo the exam with inadequate bowel preparation, which can limit the effectiveness of the procedure and lead to missed polyps and incomplete or aborted procedures.

"For the technicians performing a colonoscopy, a clean colon is like driving along a country road with a clear sky and the sun shining," said Dr. Brennan M.R. Spiegel, study author and director of the UCLAVA Center for Outcomes Research and Education. "A dirty colon is like driving through a snow storm with very limited visibility. Good preparation before a colonoscopy is key to a successful procedure."

Reporting in the April 12 online edition of the American Journal of Gastroenterology, the UCLAVA team addressed these concerns by first asking patients what information would help them better prepare for a colonoscopy. Based on these findings, the team developed a user-friendly booklet that was then tested with patients.

"Unlike every other screening test in medicine, the ability of the colonoscopy to reduce the risk for cancer is associated with the physical preparation by the patients themselves," said Spiegel, an associate professor of medicine in the division of digestive diseases at the VA Greater Los Angeles Healthcare System and the David Geffen School of Medicine at UCLA. "The worse the prep is, the fewer polyps we can identify and remove."

In preparing the booklet, the team first met with patients to glean knowledge, attitudes and beliefs that might drive inadequate colonoscopy preparation. Researchers then created the educational booklet using high-quality visual elements, such as pictures of what patients can and cannot eat during colonoscopy preparation. The booklet also included a section on frequently asked questions and a checklist and calendar for when to take purgatory medications to cleanse and clear the bowel. Researchers ran the draft booklet by another group of patients before finalizing it.

Next, the team tested the effectiveness of the booklet by sending it to a group of 216 patients at a single VA hospital a week ahead of their scheduled colonoscopy procedures. A control group of 220 patients received the normal preparation instructions.

Researchers found that patients given the booklet were far more likely to arrive for their colonoscopy with a "good" preparation than patients who had received the usual preparation instructions (68 percent vs. 46 percent).

For every 3.3 booklets that were sent out, researchers found that there was one additional "good" or better preparation, compared with the control group. Booklet use increased the odds of good colonoscopy preparation by 3.7 times.

The next step in the research is to study the impact of the booklet on outcomes such as polyp yield, as well as the overall cost of care.

According to Spiegel, poor colonoscopy preparation can lead to the canceling of procedures and rescheduling and repeating tests, which not only costs money but also inconveniences the patient. The booklet might save resources and lower the burden on patients by minimizing the need for them to come back a second time.

"The booklet is inexpensive, easy to hand out and can be used for anyone preparing for a colonoscopy," Spiegel said. "Since a successful colonoscopy is so dependent upon proper bowel prep, we hope that the booklet may ultimately help improve polyp detection and reduce cancer incidence."


'/>"/>

Contact: Rachel Champeau
rchampeau@mednet.ucla.edu
310-794-2270
University of California - Los Angeles Health Sciences
Source:Eurekalert

Related medicine news :

1. Educational development stunted by teenage fatherhood
2. Bone societies from Australia, Colombia and Poland win grants for educational projects
3. New educational DVD improves female pelvic exam instruction
4. UCLA develops combat casualty care educational program for US armed forces
5. Elsevier partners with ASRT to provide multimedia educational modules through Mosbys Imaging Suite
6. Educational Program Urges Parents to Immunize Kids
7. Two Hand Therapy Organizations Collaborate on Jam-Packed Educational Weekend
8. Utica College's Online MS in Health Care Administration Meets Educational Requirements For Nursing Home Administration Licensure
9. Ingrid Prueher, Founder of Savvy Mom on Call Launches Savvy Mom TV, An Educational, Live, Free and Interactive Online Show
10. BMI of Texas Offers Free Educational Seminars in San Antonio for People Considering Weight Loss Surgery
11. Educational Toy Franchise Expects Continued Growth Throughout Colorado in 2010
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... people are unfamiliar with. The article goes on to state that individuals are now ... of these less common operations such as calf and cheek reduction. The Los Angeles ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World ... with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Dr. Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile ... orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, ... minimum wage raise to $12 an hour by 2020 and then adjusting it yearly to ... value of the minimum wage, assure the wage floor does not erode again, and make ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , , , WHEN: ... , , , , LOCATION: , , , Online, with ... , EXPERT PANELISTS:  , , , Frost & Sullivan,s Global Vice ... Senior Industry Analyst, Divyaa Ravishankar and Unmesh Lal, Program Manager , ... industry is witnessing an exceptional era. Several new demand spaces, such ...
(Date:6/23/2016)... , June 23, 2016 ... Oticon , industry leaders in advanced ... launch of Oticon Opn ™, the world,s first ... of possibilities for IoT devices.      (Photo: ... Oticon introduces a number of ,world firsts,: ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Volumes: Global Analysis (United States, China, Japan, Brazil, United ... to their offering. ... healthcare business planners, provides surgical procedure volume data in ... with an in-depth analysis of growth drivers and inhibitors, ...
Breaking Medicine Technology: