PMID- 26735547
OWN - NLM
STAT- MEDLINE
DCOM- 20160512
LR  - 20240324
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 95
IP  - 1
DP  - 2016 Jan
TI  - Regime for Bowel Preparation in Patients Scheduled to Colonoscopy: Low-Residue 
      Diet or Clear Liquid Diet? Evidence From Systematic Review With Power Analysis.
PG  - e2432
LID - 10.1097/MD.0000000000002432 [doi]
LID - e2432
AB  - Clear liquid diet (CLD) is used to perform bowel preparation before colonoscopy 
      traditionally, but several clinical studies indicated that low-residue diet (LRD) 
      generates equal effects to CLD and a conclusive conclusion has not yet been 
      yielded. The systematic review was performed to address this conflict and 
      facilitate informed decision-making eventually. To capture randomized controlled 
      trials (RCTs) comparing LRD with CLD in terms of bowel preparation, a search was 
      performed in PubMed, EMBASE, Cochrane Central Register of Controlled Trials 
      (CENTRAL), Science Direct, recent conference abstracts, Google Scholar, and 
      Clinicaltrials.gov through May 2015. We performed all meta-analyses based on 
      fixed- or random-effects model, which is generated from clinical characteristics 
      and methodology. Moreover, the G*Power software was adopted to achieve 
      statistical power for each outcome. In total, we captured 109 potential citations 
      at initial search stage and 2 topic-related articles were included through other 
      sources. After critical appraisal, 7 RCTs were eligible for our inclusion 
      criteria. Meta-analyses generated similar effects in bowel preparation quality, 
      efficacy of colon cleansing, and compliance with recommended dietary regime when 
      LRD versus CLD regime, but patients who were prescribed to receive LRD have 
      slightly better tolerance (RR, 1.06; 95% CI, 1.02-1.11) and tended to repeat the 
      same preparation regime in future (RR, 1.17; 95% CI, 1.09-1.26) relative to 
      patients in CLD. Importantly, both regimes resulted in similar adverse events 
      (AEs). With the best available evidence, LRD could be recommended to be as 
      standard regime for bowel preparation prior to colonoscopy.
FAU - Song, Guo-Min
AU  - Song GM
AD  - From the Department of Nursing, Tianjin Hospital, Tianjin, China (G-MS); 
      Graduated College, Tianjin University of Traditional Chinese Medicine, Tianjin, 
      China (XT, LM, L-JY, TS, ZZ); and Center for Evidence-Based and Translational 
      Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China (XT, ZZ).
FAU - Tian, Xu
AU  - Tian X
FAU - Ma, Li
AU  - Ma L
FAU - Yi, Li-Juan
AU  - Yi LJ
FAU - Shuai, Ting
AU  - Shuai T
FAU - Zeng, Zi
AU  - Zeng Z
FAU - Zeng, Xian-Tao
AU  - Zeng XT
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Colonoscopy/*methods
MH  - Diet/*methods
MH  - Humans
MH  - Patient Compliance
MH  - Patient Preference
MH  - Randomized Controlled Trials as Topic
PMC - PMC4706267
COIS- The authors have no funding or conflicts of interest to disclose.
EDAT- 2016/01/07 06:00
MHDA- 2016/05/14 06:00
PMCR- 2016/01/08
CRDT- 2016/01/07 06:00
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/05/14 06:00 [medline]
PHST- 2016/01/08 00:00 [pmc-release]
AID - 00005792-201601050-00030 [pii]
AID - 10.1097/MD.0000000000002432 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2016 Jan;95(1):e2432. doi: 10.1097/MD.0000000000002432.