Title |
Current practice patterns of preoperative bowel preparation in colorectal surgery: a nation-wide survey by the Chinese Society of Colorectal Cancer
|
---|---|
Published in |
World Journal of Surgical Oncology, July 2018
|
DOI | 10.1186/s12957-018-1440-4 |
Pubmed ID | |
Authors |
Zheng Liu, Ming Yang, Zhi-xun Zhao, Xu Guan, Zheng Jiang, Hai-peng Chen, Song Wang, Ji-chuan Quan, Run-kun Yang, Xi-shan Wang |
Abstract |
The optimal preoperative bowel preparation for colorectal surgery remains controversial. However, recent studies have established that bowel preparation varies significantly among countries and even surgeons at the same institution. This survey aimed to obtain information on the current practice patterns of bowel preparation for colorectal surgery in China. A paper-based survey was circulated to the members of the Chinese Society of Colorectal Cancer (CSCC). The survey responses were collected and analyzed. Statistical analysis was performed for all the categorical variables according to the responses to individual questions. Three hundred forty-one members completed the questionnaire. Regarding surgical practice, 203 (59.5%) performed > 50% of the colorectal operations laparoscopically or robotically; the use of mechanical bowel preparation (MBP) alone was significantly higher (63.5 vs 31.9%; P < 0.001). The respondents who performed > 200 colonic or rectal resections provided significantly more MBP alone (79.6 vs 39.1%, P < 0.001; 76.6 vs 43.2%, P < 0.001; respectively). Among hospitals with fewer than 500 beds, 52.4% of the respondents used MBP + oral antibiotics preparation (OAP) + enema, a significantly higher percentage than the respondents of hospitals with more than 500 beds (P < 0.001). Nearly 40% of the respondents prescribed OAP in regimens; meanwhile, 74.8% prescribed preoperative intravenous antibiotics. The study demonstrates considerable variation among members from the CSCC. These findings should be considered when developing multicenter trials and to provide more definitive answers. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
China | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 6 | 23% |
Student > Bachelor | 5 | 19% |
Student > Master | 2 | 8% |
Student > Ph. D. Student | 2 | 8% |
Lecturer > Senior Lecturer | 1 | 4% |
Other | 3 | 12% |
Unknown | 7 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 27% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 12% |
Nursing and Health Professions | 3 | 12% |
Unspecified | 1 | 4% |
Business, Management and Accounting | 1 | 4% |
Other | 2 | 8% |
Unknown | 9 | 35% |