Research Article

Adherence to CRC Screening and Surveillance Guidelines when Using Split-Dose Bowel Preparation

Table 3

Distribution of bowel preparation-related variables by whether physician recommendation was guideline compliant or not ().

Bowel preparation characteristicsCompliant ()Noncompliant ()Total () valuea

BBPS total score
 BBPS ≥ 6374 (94.9)52 (83.9)426 (93.4)
 BBPS = 53 (0.76)7 (11.3)10 (2.1)
 BBPS < 517 (4.3)3 (4.8)20 (4.3)<0.001
BBPS segment score
 2 or greater for each segment371 (94.2)45 (72.6)416 (91.2)
 0/1 in any segment23 (5.8)17 (27.4)40 (8.8)<0.001
Aronchick scale
 Excellent/good prep quality333 (86.7)29 (49.2)362 (79.3)
 Fair prep quality35 (9.1)28 (47.5)63 (13.8)
 Inadequate/poor prep quality16 (4.2)2 (3.4)18 (3.9)<0.001
Noncompliance to split-dose preparation54 (13.7)17 (27.4)385 (84.4)0.006
Number of polyps
 0207 (52.5)28 (45.2)235 (51.5)
 195 (24.1)8 (12.9)103 (22.6)
 243 (10.9)6 (9.7)49 (10.8)
 319 (4.8)8 (12.9)27 (5.9)
 412 (3.1)5 (8.1)17 (3.7)
 ≥518 (4.6)7 (11.3)25 (5.5)0.004
Endoscopy suite
 Ambulatory surgery centers184 (46.7)24 (38.7)208 (45.6)
 Academic hospital unit210 (53.3)38 (61.3)248 (54.4)0.24
First colonoscopy250 (63.8)36 (58.1)286 (63.0)0.39
Had ≥2 previous colonoscopies29 (7.4)14 (22.6)43 (9.5)<0.001
Followed laxative instructions exactly264 (67.0)37 (60.0)301 (66.0)0.26
Bowel prep type
 PEG143 (36.5)24 (38.7)167 (36.8)
 MiraLAX®/Gatorade®226 (57.7)37 (59.7)263 (57.9)
 Otherb23 (5.9)1 (1.6)24 (5.3)0.38
Colonoscopy appointment was before 10:30 am.193 (49.0)22 (35.5)215 (47.2)0.05
>12 hours or never till clear BM139 (35.6)30 (49.2)169 (37.5)0.04

All values are N (% of split-dose compliant or % of split-dose noncompliant), unless otherwise specified. aPlease see footnote under Table 2. bIncludes sodium phosphate/Osmoprep, Half-Lytely, Moviprep, and 2-day prep.