Randomized Clinical Trial
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Oct 21, 2014; 20(39): 14488-14494
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14488
Table 1 Patient characteristics
CharacteristicsWhole-dose same-morningSplit-doseP
n = 152n = 143
Age, yr61.3 ± 14.962.8 ± 13.90.378
Male51.3%49.0%0.685
Race
Chinese56.6%60.1%0.434
Malay21.7%18.9%
Indian21.7%19.6%
Others0%1.4%
Education level
None or primary28.9%23.8%0.314
Secondary or higher71.1%76.2%
Appointment waiting time
Less than 16 wk52.6%48.3%0.452
16 wk or longer47.4%51.7%
Medical condition
Diabetes mellitus23.7%19.6%0.393
Chronic constipation7.9%8.4%0.876
Neurological condition2.0%2.8%0.716
Others52.6%55.2%0.514
Previous abdominal surgery39.5%38.5%0.859
Previous colonic resection21.1%13.3%0.078
Indication
Surveillance30.3%32.9%0.263
Screening16.4%27.3%
Altered bowel habit13.8%14.0%
Per rectal bleeding12.5%9.8%
Abdominal pain11.2%6.3%
Anemia5.3%3.5%
Chronic diarrhoea3.9%1.4%
Chronic constipation3.3%3.5%
Others3.3%1.4%
Diagnosis
Normal colonoscopy53.0%46.5%0.233
Colonic polyp23.2%26.8%
Diverticular disease9.3%11.3%
Colorectal carcinoma4.0%0.7%
Others10.6%14.8%
Seniority of endoscopist
Senior34.2%39.9%0.315
Trainee65.8%60.1%
Table 2 Comparison of technical performance of colonoscopy, quality of bowel preparation and patient tolerability between groups
Technical performanceWhole-dose same-morningSplit-doseP
n = 152n = 143
Completed colonoscopy98.7%98.6%1.000
Cecal intubation time, s600 (432-900)657 (480-980)0.510
Withdrawal time, s298 (180-418)244 (180-348)0.235
Total colonoscopy time, s960 (660-1320)960 (720-1304)0.888
Adenoma detection rate31.6%30.1%0.779
Number of adenoma detected1 (1-2)2 (1-3)0.010
Boston bowel preparation scale
Right2 (2-2)2 (2-3)0.060
Transverse2 (2-3)2 (2-3)0.119
Left2 (2-3)2 (2-3)0.176
Total6 (6-7)6 (6-8)0.038
Overall grading of quality of bowel preparation
Good or intermediate92.1%97.2%0.071
Poor7.9%2.8%
Completed bowel preparation94.1%99.3%0.020
Difficult to complete bowel preparation61.2%29.4%< 0.001
Will try another preparation78.9%53.8%< 0.001
Refuse the same preparation13.8%6.3%0.033
Barely tolerable or unacceptable taste7.9%5.6%0.432
Nausea37.5%25.2%0.023
Vomiting16.4%8.4%0.037
Abdominal pain19.7%13.3%0.137
Bloating32.2%30.1%0.688
Chest pain3.9%5.6%0.506
Dizziness10.5%9.8%0.834
Level of comfort during bowel preparation
Unfavourable response28.3%18.9%0.058
Favourable response71.7%81.1%