Boston Bowel Preparation Scale scores provide a standardized definition of adequate for describing bowel cleanliness.
Boston Bowel Preparation Scale scores provide a standardized definition of adequate for describing bowel cleanliness.
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波士顿肠制备量表得分提供了足以描述肠清洁度的标准化定义。
DOI：
10.1016/j.gie.2014.01.031
复制
发表时间：
2014-08
影响因子：
7.7
通讯作者：
Jacobson BC
中科院分区：
文献类型：
--
作者：
Calderwood AH;Schroy PC 3rd;Lieberman DA;Logan JR;Zurfluh M;Jacobson BC
建立一个肠道清洁度的阈值是很重要的，低于这个阈值的结肠镜检查应该以加速的间隔重复进行，但是对于“充分”的准备还没有标准化的定义。确定波士顿肠道准备量表（BBPS）评分是否可作为充分性的标准定义。对来自36例成人胃肠镜检查实践的结肠镜检查数据进行横断面观察分析;前瞻性调查显示4个标准化结肠镜检查视频，肠道清洁度不同。临床结果研究计划。接受结肠镜检查的平均风险患者。按BBPS评分分层的正常、平均风险筛查结肠镜检查的推荐随访间隔。我们评估了2516正常筛选结肠镜检查74内镜医师进行。如果所有三个节段的BBPS评分≥2（N=2295），则建议90%的病例在10年内进行随访。BBPS总分为3-5分的检查（N= 167）有不同的建议。BBPS总评分为0-2的检查中，96%（N=26）建议在1年内随访。在一项预先确定BBPS评分的视频调查中，167名参与者也得到了类似的结果。回顾性研究。BBPS评分与内镜医师关于结肠镜随访间隔的行为相关。BBPS总分≥ 6和/或所有节段评分≥ 2提供了“足以进行10年随访”的标准化定义，而总分≤2表示应在1年内重复手术。今后的工作应侧重于就总分为3至5分的考试的管理达成共识。
Establishing a threshold of bowel cleanliness below which colonoscopies should be repeated at accelerated intervals is important, yet there are no standardized definitions for an “adequate” preparation. To determine if Boston Bowel Preparation Scale (BBPS) scores could serve as a standard definition of adequacy. Cross-sectional observational analysis of colonoscopy data from 36 adult gastrointestinal endoscopy practices; prospective survey showing 4 standardized colonoscopy videos with varying degrees of bowel cleanliness. The Clinical Outcomes Research Initiative. Average risk patients attending screening colonoscopy. Recommended follow-up intervals among normal, average risk screening colonoscopies stratified by BBPS scores. We evaluated 2516 normal screening colonoscopies performed by 74 endoscopists. If the BBPS score was ≥2 in all three segments (N=2295), follow-up was recommended in 10 years in 90% of cases. Examinations with total BBPS scores of 3–5 (N= 167) had variable recommendations. 96% of examinations with total BBPS scores of 0–2 (N=26) had recommended follow-up within 1 year. Similar results were noted among 167 participants in a video survey with pre-established BBPS scores. Retrospective study. BBPS scores correlate with endoscopist behavior regarding follow-up intervals for colonoscopy. A total BBPS score ≥ 6 and/or all segment scores ≥ 2 provides a standardized definition of “adequate for 10-year follow-up” whereas total scores ≤2 indicate that a procedure should be repeated within 1 year. Future work should focus on finding consensus for management of examinations with total scores of 3 to 5.
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