Gastroenterologists' patient instructions for oral sodium phosphate solution for colonoscopy preparation: A survey among gastroenterologists in the state of Indiana

Veronika Gagovic, Douglas Rex

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: Oral sodium phosphate solution (OSPS) has been associated with acute renal failure when used as a bowel preparation for colonoscopy. AIM: To determine whether gastroenterologists in Indiana follow recent recommendations for safe and effective use of colonoscopy. METHODS: A survey of gastroenterologists in Indiana performed in mid-2006. Written instruction to patients were obtained and reviewed. RESULTS: We received responses from 97.5% of Indiana gastroenterologists, of whom 80% reported using OSPS. All using OSPS forwarded their written instructions. None exceeded the recommended two 45 mL doses in their written instructions. Although separation of the two 45 mL doses by at least 6 to 12 hours is recommended, 35% of physicians prescribed the 2 doses at intervals less than 6 hours. Only 9.7% gave specific instructions for volumes of fluid to be taken before the first dose. Fluid prescriptions during the preparation were often suboptimal according to current recommendations. Less than 25% of physicians followed the recommendation to use carbohydrate- electrolyte solutions for hydration. CONCLUSIONS: Gastroenterologists in Indiana in mid-2006 uniformly followed recommendations for maximum doses of OSPS, but recommended intervals for the doses and gave hydration instructions that often did not follow current recommendations.

Original languageEnglish
Pages (from-to)1070-1073
Number of pages4
JournalJournal of Clinical Gastroenterology
Volume42
Issue number10
DOIs
StatePublished - Nov 2008

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Colonoscopy
Physicians
Acute Kidney Injury
Electrolytes
Prescriptions
Carbohydrates
Gastroenterologists
Surveys and Questionnaires
sodium phosphate

Keywords

  • Bowel preparation
  • Colonoscopy
  • Sodium phosphate

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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title = "Gastroenterologists' patient instructions for oral sodium phosphate solution for colonoscopy preparation: A survey among gastroenterologists in the state of Indiana",
abstract = "BACKGROUND: Oral sodium phosphate solution (OSPS) has been associated with acute renal failure when used as a bowel preparation for colonoscopy. AIM: To determine whether gastroenterologists in Indiana follow recent recommendations for safe and effective use of colonoscopy. METHODS: A survey of gastroenterologists in Indiana performed in mid-2006. Written instruction to patients were obtained and reviewed. RESULTS: We received responses from 97.5{\%} of Indiana gastroenterologists, of whom 80{\%} reported using OSPS. All using OSPS forwarded their written instructions. None exceeded the recommended two 45 mL doses in their written instructions. Although separation of the two 45 mL doses by at least 6 to 12 hours is recommended, 35{\%} of physicians prescribed the 2 doses at intervals less than 6 hours. Only 9.7{\%} gave specific instructions for volumes of fluid to be taken before the first dose. Fluid prescriptions during the preparation were often suboptimal according to current recommendations. Less than 25{\%} of physicians followed the recommendation to use carbohydrate- electrolyte solutions for hydration. CONCLUSIONS: Gastroenterologists in Indiana in mid-2006 uniformly followed recommendations for maximum doses of OSPS, but recommended intervals for the doses and gave hydration instructions that often did not follow current recommendations.",
keywords = "Bowel preparation, Colonoscopy, Sodium phosphate",
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AU - Rex, Douglas

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N2 - BACKGROUND: Oral sodium phosphate solution (OSPS) has been associated with acute renal failure when used as a bowel preparation for colonoscopy. AIM: To determine whether gastroenterologists in Indiana follow recent recommendations for safe and effective use of colonoscopy. METHODS: A survey of gastroenterologists in Indiana performed in mid-2006. Written instruction to patients were obtained and reviewed. RESULTS: We received responses from 97.5% of Indiana gastroenterologists, of whom 80% reported using OSPS. All using OSPS forwarded their written instructions. None exceeded the recommended two 45 mL doses in their written instructions. Although separation of the two 45 mL doses by at least 6 to 12 hours is recommended, 35% of physicians prescribed the 2 doses at intervals less than 6 hours. Only 9.7% gave specific instructions for volumes of fluid to be taken before the first dose. Fluid prescriptions during the preparation were often suboptimal according to current recommendations. Less than 25% of physicians followed the recommendation to use carbohydrate- electrolyte solutions for hydration. CONCLUSIONS: Gastroenterologists in Indiana in mid-2006 uniformly followed recommendations for maximum doses of OSPS, but recommended intervals for the doses and gave hydration instructions that often did not follow current recommendations.

AB - BACKGROUND: Oral sodium phosphate solution (OSPS) has been associated with acute renal failure when used as a bowel preparation for colonoscopy. AIM: To determine whether gastroenterologists in Indiana follow recent recommendations for safe and effective use of colonoscopy. METHODS: A survey of gastroenterologists in Indiana performed in mid-2006. Written instruction to patients were obtained and reviewed. RESULTS: We received responses from 97.5% of Indiana gastroenterologists, of whom 80% reported using OSPS. All using OSPS forwarded their written instructions. None exceeded the recommended two 45 mL doses in their written instructions. Although separation of the two 45 mL doses by at least 6 to 12 hours is recommended, 35% of physicians prescribed the 2 doses at intervals less than 6 hours. Only 9.7% gave specific instructions for volumes of fluid to be taken before the first dose. Fluid prescriptions during the preparation were often suboptimal according to current recommendations. Less than 25% of physicians followed the recommendation to use carbohydrate- electrolyte solutions for hydration. CONCLUSIONS: Gastroenterologists in Indiana in mid-2006 uniformly followed recommendations for maximum doses of OSPS, but recommended intervals for the doses and gave hydration instructions that often did not follow current recommendations.

KW - Bowel preparation

KW - Colonoscopy

KW - Sodium phosphate

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