Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis
Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
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Elsevier Ltd
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/105799/ |
| _version_ | 1848864611100524544 |
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| author | Zhang, Yuanyuan Wang, Lining Wu, Wenbi Zhang, Shi Zhang, Min She, Wenjing Cheng, Qianqian Chen, Nana Fan, Pengxia Du, Yuxin Song, Haiyan Hu, Xianyu Zhang, Jiajie Ding, Caiyan |
| author_facet | Zhang, Yuanyuan Wang, Lining Wu, Wenbi Zhang, Shi Zhang, Min She, Wenjing Cheng, Qianqian Chen, Nana Fan, Pengxia Du, Yuxin Song, Haiyan Hu, Xianyu Zhang, Jiajie Ding, Caiyan |
| author_sort | Zhang, Yuanyuan |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were searched from their inception to February 2023. Cohort and cross-sectional studies exploring the risk factors for inadequate bowel preparation were included in this systematic review. Odds ratio (OR) values from individual studies were pooled using fixed-effects and random-effects models. In addition, a sensitivity analysis and assessment of publication bias were performed. Results: This meta-analysis included six studies (n = 1553) on previous abdominal surgery, six studies (n = 1494) on constipation, seven studies (n = 1505) on diabetes, eight studies (n = 2093) on non-compliance with the diet regimen, seven studies (n = 1350) on incomplete intake of laxative, and nine studies (n = 2163) on inadequate exercise during preparation. The pooled analysis showed that history of abdominal surgery (OR = 2.72; 95 confidence interval, CI: 2.07 to 3.56), constipation (OR = 3.56, 95 CI: 2.41 to 5.25), diabetes (OR = 2.54, 95 CI: 1.81 to 3.57), non-compliance with the diet regimen (OR = 2.51, 95 CI: 1.96 to 3.21), incomplete intake of laxative (OR = 2.43, 95 CI: 1.60 to 3.67), and inadequate exercise during preparation (OR = 3.13, 95 CI: 2.39 to 4.11) were independent risk factors for inadequate bowel preparation in older patients undergoing colonoscopy. Conclusions: Three comorbid factors and three behavioral factors were significantly associated with inadequate bowel preparation in older adults. This meta-analysis provides valuable information for developing predictive models of poor bowel preparation. |
| first_indexed | 2025-11-15T13:51:34Z |
| format | Article |
| id | upm-105799 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T13:51:34Z |
| publishDate | 2024 |
| publisher | Elsevier Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1057992024-04-02T09:00:39Z http://psasir.upm.edu.my/id/eprint/105799/ Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis Zhang, Yuanyuan Wang, Lining Wu, Wenbi Zhang, Shi Zhang, Min She, Wenjing Cheng, Qianqian Chen, Nana Fan, Pengxia Du, Yuxin Song, Haiyan Hu, Xianyu Zhang, Jiajie Ding, Caiyan Background: Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations. Objective: This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients. Methods: PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were searched from their inception to February 2023. Cohort and cross-sectional studies exploring the risk factors for inadequate bowel preparation were included in this systematic review. Odds ratio (OR) values from individual studies were pooled using fixed-effects and random-effects models. In addition, a sensitivity analysis and assessment of publication bias were performed. Results: This meta-analysis included six studies (n = 1553) on previous abdominal surgery, six studies (n = 1494) on constipation, seven studies (n = 1505) on diabetes, eight studies (n = 2093) on non-compliance with the diet regimen, seven studies (n = 1350) on incomplete intake of laxative, and nine studies (n = 2163) on inadequate exercise during preparation. The pooled analysis showed that history of abdominal surgery (OR = 2.72; 95 confidence interval, CI: 2.07 to 3.56), constipation (OR = 3.56, 95 CI: 2.41 to 5.25), diabetes (OR = 2.54, 95 CI: 1.81 to 3.57), non-compliance with the diet regimen (OR = 2.51, 95 CI: 1.96 to 3.21), incomplete intake of laxative (OR = 2.43, 95 CI: 1.60 to 3.67), and inadequate exercise during preparation (OR = 3.13, 95 CI: 2.39 to 4.11) were independent risk factors for inadequate bowel preparation in older patients undergoing colonoscopy. Conclusions: Three comorbid factors and three behavioral factors were significantly associated with inadequate bowel preparation in older adults. This meta-analysis provides valuable information for developing predictive models of poor bowel preparation. Elsevier Ltd 2024 Article PeerReviewed Zhang, Yuanyuan and Wang, Lining and Wu, Wenbi and Zhang, Shi and Zhang, Min and She, Wenjing and Cheng, Qianqian and Chen, Nana and Fan, Pengxia and Du, Yuxin and Song, Haiyan and Hu, Xianyu and Zhang, Jiajie and Ding, Caiyan (2024) Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis. International Journal of Nursing Studies, 149. art. no. 104631. pp. 1-9. ISSN 0020-7489; ISSN: 1873-491X https://www.sciencedirect.com/science/article/pii/S0020748923001967 10.1016/j.ijnurstu.2023.104631 |
| spellingShingle | Zhang, Yuanyuan Wang, Lining Wu, Wenbi Zhang, Shi Zhang, Min She, Wenjing Cheng, Qianqian Chen, Nana Fan, Pengxia Du, Yuxin Song, Haiyan Hu, Xianyu Zhang, Jiajie Ding, Caiyan Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title | Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title_full | Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title_fullStr | Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title_full_unstemmed | Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title_short | Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| title_sort | predictors of inadequate bowel preparation in older patients undergoing colonoscopy: a systematic review and meta-analysis |
| url | http://psasir.upm.edu.my/id/eprint/105799/ http://psasir.upm.edu.my/id/eprint/105799/ http://psasir.upm.edu.my/id/eprint/105799/ |