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- W2979204483 abstract "Purpose: To investigate any differences in colonoscopy completion rates in the morning versus the afternoon, and to identify any factors that may lead to a discrepancy. Methods: The Clinical Outcomes Research Initiative (CORI) database was searched for colonoscopy completion rates in the morning versus afternoon in outpatients undergoing exams intended to reach the cecum. Additional information regarding quality of bowel preparation was obtained for each procedure. All bowel preparations were initiated on the evening prior to the exam. The CORI database requires assignment of prep quality among various categories: “excellent,”“good,”“fair, adequate exam,”“fair, exam compromised” and “poor,” and these were recorded for each group. The Chi Sqaure statistic was used to compare rates of completion as well as prep quality. Results: 6078 exams were included over a 12 months period from January 2004–January 2005. Of these exams, 3730 were performed in the morning and 2348 were performed in the afternoon. 3549 (95.2%) of the morning procedures were completed to the cecum while 2201 (93.7%) of the afternoon exams were completed (p = 0.02) A significant difference in bowel preparation qualilty was observed between the morning and afternoon groups. The afternoon group bowel preparations were of lower quality and were more likely to be rated as “fair, adequate exam” (p < 0.001) “fair, exam compromised” (p < 0.001) or “poor” (p = 0.002) while the morning group bowel preparations were of higher quality and were more frequently recorded as “excellent” (p < 0.001) or “good” (p < 0.001). Conclusions: Colonoscopy completion rates were lower in the afternoon compared to the morning in outpatients undergoing colonoscopies. Lower quality in colon prep appears to be one of the factors contributing to this lower rate. The impact of several other variables is also being investigated, the results of which are pending at this time." @default.
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- W2979204483 date "2005-09-01" @default.
- W2979204483 modified "2023-09-26" @default.
- W2979204483 title "The Early Bird Gets the… Cecum? Higher Colonoscopy Completion Rates in the Morning Versus Afternoon" @default.
- W2979204483 doi "https://doi.org/10.14309/00000434-200509001-00981" @default.
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