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. 2020 Dec 4;99(49):e23541. doi: 10.1097/MD.0000000000023541

Table 1.

Characteristics of selected studies.

Author Study Type Region No. Of Patients Demographics Definition of Adequate Bowel Preparation Diet During Bowel Preparation Phase Type Bowel Preparation Solution
Park et al 2009 RCT South Korea 214 Male: 120 (56.1%) Female: 94 (43.9%) Mean Age: 53.1–55.2 yr Ottawa Scale No reported cut off for adequate preparation Prepackaged low- residue diet all day vs Clear liquid diet all day 4L PEG with electrolytes on day of colonoscopy
Rapier et al 2006 RCT USA 75 Male: 44 (58.7%) Female: 31 (41.3%) Mean Age: 61.0 yr Aronchick Scale Adequate bowel preparation was excellent or good Prepackaged low- residue diet all day vs Clear liquid diet all day Magnesium citrate and bisacodyl (oral and rectal)
Scott et al 2004 RCT USA 185 Male: 82 (44.3%) Female: 103 (55.7%) Mean Age: 56.9–57.0 yr Aronchick Scale Adequate bowel preparation was excellent or good Regular breakfast then low-residue diet lunch, then clear liquids rest of day vs Light breakfast then clear liquid rest of day Sodium phosphates oral solutions split-dose
Sipe et al 2013 RCT USA 196 Male: 93 (47.4%) Female: 103 (52.6%) Mean Age: 56.9–57.8 yr Boston Bowel Preparation Scale No reported cut off for adequate preparation Low-residue diet for breakfast, lunch, snack, then clear liquids rest of day vs Clear liquid diet all day Oral sulfate solution split-dose
Soweid et al 2010 RCT Lebanon 200 Male: 105 (52.5%) Female: 95 (47.5%) Mean Age: 55.5–56.6 yr Aronchick Scale Adequate bowel preparation was excellent or good Low-residue diet for breakfast, lunch, dinner vs Clear liquid diet all day 4L PEG with electrolytes the evening prior
Melicharkova et al 2013 RCT Canada 213 Male: 109 (51.2%) Female: 104 (48.8%) Mean Age: 56.5–57.1 yr Ottawa and Aronchick Scales Adequate bowel preparation were excellent or good Low-residue diet for breakfast, then clear liquids the rest of day vs Clear liquid diet all day Sodium picosulfate + magnesium citrate + bisacodyl evening prior for morning procedures and day of for afternoon procedures
Stolpman et al 2014 RCT USA 201 Male: 114 (56.7%) Female: 87 (43.3%) Mean Age: 60 yr Boston Bowel Preparation Scale Adequate bowel preparation was score ≥ 6 Low-residue diet for breakfast and lunch, then clear liquids rest of day vs Clear liquid diet all day Oral sulfate solution split-dose
Butt et al 2016 RCT Australia 226 Male: 117 (51.8%) Female: 109 (48.2%) Mean Age: 52 yr Harefield Cleansing Scale Adequate bowel preparation was score of A or B Low-residue diet all day (white diet) vs Clear liquid diet all day 2L PEG + ascorbic acid evening prior for morning procedures and split-dose for afternoon procedures
Walter et al 2017 RCT USA 140 Male: 60 (42.9%) Female: 80 (57.1%) Mean Age: NA Boston Bowel Preparation Scale Adequate bowel preparation was score ≥ 6 Low-residue diet for breakfast and lunch, then clear liquids rest of day vs Clear liquid diet all day 2L PEG + ascorbic acid split-dose
Delegge et al 2005 RCT USA 506 Male: 184 (36.4%) Female: 322 (63.6%) Mean Age: 54.3 yr Custom standard, Adequate bowel preparation was excellent or good Prepackaged low-residue diet all day vs Clear liquid diet all day sodium phosphates (2 × 45-mL, split dose.) vs low volume dose of magnesium citrate and bisacodyl
Flemming et al 2015 RCT Canada 214 Male: 86 (40.2%) Female: 128 (63.6%) Mean Age: 62–65 yr Ottawa scale; Aronchick scale, Adequate bowel preparation was excellent or good Low-residue diet for breakfast, then clear liquids rest of day vs Clear liquid diet all day 4L PEG-ELS solution, split-dosing or traditional dosing depend on colonoscopy time
Dwyer et al 2017 RCT Australia 250 Male: 135 (54%) Female: 115 (46%) Mean Age: 54–54.5 yr Ottawa scale, Adequate bowel preparation was score ≤ 6 White Diet vs Light breakfast, then clear fluids only 1L PEG or split-dose Picosalax + SPMC
Thukral et al 2017 RCT USA 215 Male: 112 (52.3%) Female: 103 (47.7%) Mean Age: 55.8–57 yr Boston Scale, Adequate bowel preparation was score > 5 Specific instructions on acceptable foods for breakfast, lunch, and evening snacks vs Clear liquid diet all day Split dose magnesium citrate
Tikfu et al 2018 RCT Malaysia 97 Male: 51 (53%) Female: 46 (47%) Age: 16–73 years old The modified Aronchick bowel preparation quality scale. Low-residue, lactose-free semi-elemental enteral formula vs Clear liquid diet Sodium phosphate (PEG, 3 L in total instead if contraindicated)
Marco et al 2019 RCT Spain 276 Male: 144 (52%) Female: 132 (48%) Mean Age: 59.9 yr Boston bowel preparation scale Low-fiber diet vs Clear liquid diet 4 L of polyethylene glycol in a split-dose regimen
Elisa et al 2019 RCT Mexico 205 Male: 72 (35.1%) Female: 133 (64.9%) Mean Age: 55.6 yr Boston bowel preparation scale Low-residue diet vs Clear liquid diet 4-L preparation of single-dose PEG

RCT = randomized controlled trials.