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Gimeno-García AZ, Sacramento-Luis D, Cámara-Suárez M, Díaz-Beunza M, Delgado-Martín R, Cubas-Cubas AT, Gámez-Chávez MS, Pinzón L, Hernández-Negrín D, Jiménez A, González-Alayón C, de la Barreda R, Hernández-Guerra M, Nicolás-Pérez D. Comparative Study of Predictive Models for the Detection of Patients at High Risk of Inadequate Colonic Cleansing. J Pers Med 2024; 14:102. [PMID: 38248803 PMCID: PMC10820399 DOI: 10.3390/jpm14010102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 01/03/2024] [Accepted: 01/16/2024] [Indexed: 01/23/2024] Open
Abstract
Background: Various predictive models have been published to identify outpatients with inadequate colonic cleansing who may benefit from intensified preparations to improve colonoscopy quality. The main objective of this study was to compare the accuracy of three predictive models for identifying poor bowel preparation in outpatients undergoing colonoscopy. Methods: This cross-sectional study included patients scheduled for outpatient colonoscopy over a 3-month period. We evaluated and compared three predictive models (Models 1-3). The quality of colonic cleansing was assessed using the Boston Bowel Preparation Scale. We calculated the area under the curve (AUC) and the corresponding 95% confidence interval for each model. Additionally, we performed simple and multiple logistic regression analyses to identify variables associated with inadequate colonic cleansing and developed a new model. Results: A total of 649 consecutive patients were included in the study, of whom 84.3% had adequate colonic cleansing quality. The AUCs of Model 1 (AUC = 0.67, 95% CI [0.63-0.70]) and Model 2 (AUC = 0.62, 95% CI [0.58-0.66]) were significantly higher than that of Model 3 (AUC = 0.54, 95% CI [0.50-0.58]; p < 0.001). Moreover, Model 1 outperformed Model 2 (p = 0.013). However, the new model did not demonstrate improved accuracy compared to the older models (AUC = 0.671). Conclusions: Among the three compared models, Model 1 showed the highest accuracy for predicting poor bowel preparation in outpatients undergoing colonoscopy and could be useful in clinical practice to decrease the percentage of inadequately prepared patients.
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Affiliation(s)
- Antonio Z. Gimeno-García
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Davinia Sacramento-Luis
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Marta Cámara-Suárez
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - María Díaz-Beunza
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Rosa Delgado-Martín
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Ana T. Cubas-Cubas
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - María S. Gámez-Chávez
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Lucía Pinzón
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Domingo Hernández-Negrín
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Alejandro Jiménez
- Research Unit, Hospital Universitario de Canarias, 38320 Tenerife, Spain;
| | - Carlos González-Alayón
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Raquel de la Barreda
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - Manuel Hernández-Guerra
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
| | - David Nicolás-Pérez
- Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), 38320 Santa Cruz de Tenerife, Spain; (D.S.-L.); (M.C.-S.); (M.D.-B.); (R.D.-M.); (A.T.C.-C.); (M.S.G.-C.); (L.P.); (D.H.-N.); (C.G.-A.); (R.d.l.B.); (M.H.-G.); (D.N.-P.)
- Internal Medicine Department, Universidad de La Laguna, 38320 Santa Cruz de Tenerife, Spain
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