Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy

IntroductionAdequate bowel preparation is essential for optimal colonoscopy diagnosis and/or intervention. However, suboptimal bowel preparation occurs in as many as 1 in 3 pediatric colonoscopies, leading to missed diagnoses, procedural complications, wasted resources, and increased costs. We aimed...

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Main Authors: Lauren Dankner, Jose Antonio Quiros, Diana Volpert, Ashish Atreja
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1271222/full
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author Lauren Dankner
Jose Antonio Quiros
Diana Volpert
Ashish Atreja
author_facet Lauren Dankner
Jose Antonio Quiros
Diana Volpert
Ashish Atreja
author_sort Lauren Dankner
collection DOAJ
description IntroductionAdequate bowel preparation is essential for optimal colonoscopy diagnosis and/or intervention. However, suboptimal bowel preparation occurs in as many as 1 in 3 pediatric colonoscopies, leading to missed diagnoses, procedural complications, wasted resources, and increased costs. We aimed to evaluate the effect of an automated Pediatric Colonoscopy Digital Navigation Program (PC-DNP) on the quality of colonoscopy preparation among pediatric patients.MethodsThe PC-DNP sent patients timely weight-based bowel preparation instructions, video and text-based educational modules, logistical information, and appointment reminders prior to their scheduled diagnostic and/or therapeutic colonoscopies. Physician reported bowel preparation quality among patients/caregivers who were prescribed the PC-DNP were compared to bowel preparation quality of a historical sample of patients/caregivers who received standard care instructions.ResultsWe found that the PC-DNP group had significantly higher bowel preparation quality than the standard care group.ConclusionsThese results demonstrated that automated DNPs may be easily implemented into the pediatric gastroenterologists' practice and may help streamline and improve bowel preparation in pediatric patients.
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spelling doaj.art-7df938b7dbd647c28c1919cbb396c7752023-10-09T10:32:29ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-10-011110.3389/fped.2023.12712221271222Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopyLauren Dankner0Jose Antonio Quiros1Diana Volpert2Ashish Atreja3Division of Pediatric Gastroenterology, Valley Hospital, Ridgewood, NJ, United StatesDivision of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDivision of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesChief Information and Digital Health Officer, UC Davis Medical Center, Sacramento, CA, United StatesIntroductionAdequate bowel preparation is essential for optimal colonoscopy diagnosis and/or intervention. However, suboptimal bowel preparation occurs in as many as 1 in 3 pediatric colonoscopies, leading to missed diagnoses, procedural complications, wasted resources, and increased costs. We aimed to evaluate the effect of an automated Pediatric Colonoscopy Digital Navigation Program (PC-DNP) on the quality of colonoscopy preparation among pediatric patients.MethodsThe PC-DNP sent patients timely weight-based bowel preparation instructions, video and text-based educational modules, logistical information, and appointment reminders prior to their scheduled diagnostic and/or therapeutic colonoscopies. Physician reported bowel preparation quality among patients/caregivers who were prescribed the PC-DNP were compared to bowel preparation quality of a historical sample of patients/caregivers who received standard care instructions.ResultsWe found that the PC-DNP group had significantly higher bowel preparation quality than the standard care group.ConclusionsThese results demonstrated that automated DNPs may be easily implemented into the pediatric gastroenterologists' practice and may help streamline and improve bowel preparation in pediatric patients.https://www.frontiersin.org/articles/10.3389/fped.2023.1271222/fullpediatric endoscopyendoscopydigital healthbowel preparationgastroenterology
spellingShingle Lauren Dankner
Jose Antonio Quiros
Diana Volpert
Ashish Atreja
Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
Frontiers in Pediatrics
pediatric endoscopy
endoscopy
digital health
bowel preparation
gastroenterology
title Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
title_full Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
title_fullStr Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
title_full_unstemmed Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
title_short Evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
title_sort evaluating the use of a customized digital navigation program to optimize bowel preparation in pediatric colonsocopy
topic pediatric endoscopy
endoscopy
digital health
bowel preparation
gastroenterology
url https://www.frontiersin.org/articles/10.3389/fped.2023.1271222/full
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