Author/Authors :
Garg, Shashank Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Girotra, Mohit Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Chandra, Lakshya Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Verma, Vipin Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Kaur, Sumanjit Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Allawy, Allawy Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Secco, Alessandra Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA , Anand, Rohit Johns Hopkins University-Sinai Program in Internal Medicine - Baltimore, USA , Dutta, Sudhir K Department of Medicine - Sinai Hospital of Baltimore - Baltimore, USA
Abstract :
Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study
was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate.
Methods. This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening
or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group
(𝑛 = 48) and control group (𝑛 = 46). The MME group received comprehensive multimedia education including an audio-visual
program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results.
MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16–6.09) and on the right side of
the colon (OR 2.74, 95% CI 1.12–6.71) as compared to control group (𝑝 < 0.05). Large polyps (>1 cm) were found more frequently
in the MME group (11/31, 35.5% versus 0/13; 𝑝 < 0.05). More polyps and adenomas were detected in MME group (57 versus 39 and
31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion. MME can lead to significant improvement
in the quality of bowel preparation and large adenoma detection in a predominantly African-American population.
Keywords :
Predominantly , African-American , CRC , MME
