Patients presenting for colonoscopy at one of the participating centers will be asked to participate in the present study after careful evaluation of inclusion and exclusion criteria. Before inclusion, all patients have to sign the written informed consent. All participating patients will receive PLENVU, a well-known and approved bowel preparation agent. Patients are randomly assigned in two groups. Patients in group 1 are informed in traditional way on how to use the bowel preparation agent. This way includes discussion with the physician and nurse on how to use the bowel preparation agent and a written documentation, highlighting the individual steps again. Patients in group 2 will receive in addition a QR-code referring to an App, available for free in all App stores, explaining to the patient in detail when and how to use the bowel preparation agent. The patient is receiving the same questionnaire (please see attached) in both groups and asked to bring the filled form on the day of the examination. Endoscopy is performed in standard way and effectiveness of the bowel preparation is specifically highlighted by the physician on the documentation report. Finally, data is analyzed regarding effectiveness of the QR code regarding patient satisfaction, acceptability and quality of the bowel preparation.
Patient education is of paramount importance for high acceptance and an adequate bowel preparation. Using the QR code directly referring to the App for bowel preparation with PLENVU might accelerate the discussion between the medical doctor and the patient and might also improve the acceptance rate of the patients for the bowel preparation finally leading to a more enhanced and effective bowel-preparation. Patients undergoing screening or surveillance endoscopy will be prospectively included and randomly assigned to one of the following groups: Group 1: App; Group 2: no-App Study end points addressed below are prospectively assessed and evaluated for any significant changes.
Study Type
OBSERVATIONAL
Enrollment
404
Patients will receive Plenvu for preparation of endoscopy
Dr. Helmut Neumann
Bad Salzuflen, Northrine-Westfalia, Germany
RECRUITINGBoston Bowel Preparation Standard (BBPS)
Bowel preparation according to international Standard, 1 is bad, 9 is very good, how many patients can Achieve BBPS with 9?
Time frame: 1 day
Adenoma detection rate (ADR)
How many adenomas will be detected during endoscopy
Time frame: 1 day
Polyp detection rate (PDR)
How many polyps will be detected during endoscopy
Time frame: 1 day
time exposure to explain bowel preparation
How much time will patients Need for preparation and how much time for discussing with the doctors
Time frame: 1 day
Number of patients who are satisfied with preparation
How will doctors and patients like preparation with Plenvu and QR Code
Time frame: up to 1 month
Number of patients who Accept to repeat the examination (surveillance)
How many patients will come back for another endoscopy
Time frame: up to 1 month
cecal intubation rate
How many endoscopies will reach the ceacum
Time frame: 1 day
procedure time
How Long will endoscopy take compared to Standard technique
Time frame: 3 hours
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