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Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease
Background and Aim Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patie...
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| Published in: | Digestive diseases and sciences 2022-07, Vol.67 (7), p.3158-3165 |
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| container_end_page | 3165 |
| container_issue | 7 |
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| container_title | Digestive diseases and sciences |
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| creator | Goong, Hyeon Jeong Ko, Bong Min Lee, Moon Sung |
| description | Background and Aim
Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patients with ESRD who underwent peritoneal dialysis (PD) or hemodialysis (HD).
Methods
We retrospectively reviewed 538 patients with ESRD who underwent colonoscopy between 2010 and 2020. We compared the incidence of adverse events (AEs) between the ESRD group and a propensity score-matched control group of healthy adults. Cardiovascular/pulmonary and procedure-related AEs were analyzed. We also compared the rates of AEs between patients who underwent PD or HD.
Results
The overall rate of AEs was 5.7% in patients with ESRD, which was significantly higher than that in healthy adults (0.6%,
P
|
| doi_str_mv | 10.1007/s10620-021-07137-5 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2560830209</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A708482493</galeid><sourcerecordid>A708482493</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-2b33b9b7bc13b08958d987a94a1f01ae3ba7f91c09447c444adcb8c76953aff23</originalsourceid><addsrcrecordid>eNp9kVFrFDEQx4MoeFa_gE8BX3zZdpLsbpLH47yqULDU9smHkM3Onil7yZnkKv32Te8KRRHJw4Th9xuG-RPynsEpA5BnmUHPoQHOGpBMyKZ7QRask6LhXa9ekgWwvv4Z61-TNznfAoCWrF-QH8vxDlNGur7DUDJd5hydtwVH-tuXn_Qq7osPSFdxjiFmF3f31Ad6aYs_8AdoHcbme7EbpFcY7Ew_-Yw241vyarJzxndP9YTcnK-vV1-ai2-fv66WF40TEkrDByEGPcjBMTGA0p0atZJWt5ZNwCyKwcpJMwe6baVr29aOblBO9roTdpq4OCEfj3N3Kf7aYy5m67PDebYB4z6begJQAjjoin74C72N-1R3rlSvGFdC9vyZ2tgZjQ9TLMm6x6FmKUG1irdaVOr0H1R9I269iwEnX_t_CPwouBRzTjiZXfJbm-4NA_MYoznGaGqM5hCj6aokjlKucNhget74P9YDm-KdpQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2681283762</pqid></control><display><type>article</type><title>Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease</title><source>Springer Nature</source><creator>Goong, Hyeon Jeong ; Ko, Bong Min ; Lee, Moon Sung</creator><creatorcontrib>Goong, Hyeon Jeong ; Ko, Bong Min ; Lee, Moon Sung</creatorcontrib><description>Background and Aim
Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patients with ESRD who underwent peritoneal dialysis (PD) or hemodialysis (HD).
Methods
We retrospectively reviewed 538 patients with ESRD who underwent colonoscopy between 2010 and 2020. We compared the incidence of adverse events (AEs) between the ESRD group and a propensity score-matched control group of healthy adults. Cardiovascular/pulmonary and procedure-related AEs were analyzed. We also compared the rates of AEs between patients who underwent PD or HD.
Results
The overall rate of AEs was 5.7% in patients with ESRD, which was significantly higher than that in healthy adults (0.6%,
P
< 0.001). All AEs were cardiovascular/pulmonary in nature, but no perforation or bleeding occurred. Most AEs were not severe and resolved with medical treatment. The incidence of AEs was higher in the HD group than in the PD group, but the difference was not significant (6.1% vs. 3.5%, respectively,
P
= 0.451). In the HD group, patients with AEs were significantly older than those without AEs (
P
= 0.009).
Conclusions
The rate of colonoscopy-related AEs in patients with ESRD on dialysis was higher than that in healthy adults, but most AEs were not severe. Routine colonoscopy may be safely performed in patients with ESRD regardless of the method of dialysis, but more carefully in older patients on HD.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-021-07137-5</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Care and treatment ; Chronic kidney failure ; Colonoscopy ; Comparative analysis ; Gastroenterology ; Hemodialysis ; Hepatology ; Kidney diseases ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Oncology ; Original Article ; Peritoneal dialysis ; Transplant Surgery</subject><ispartof>Digestive diseases and sciences, 2022-07, Vol.67 (7), p.3158-3165</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-2b33b9b7bc13b08958d987a94a1f01ae3ba7f91c09447c444adcb8c76953aff23</cites><orcidid>0000-0002-0635-4454</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Goong, Hyeon Jeong</creatorcontrib><creatorcontrib>Ko, Bong Min</creatorcontrib><creatorcontrib>Lee, Moon Sung</creatorcontrib><title>Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><description>Background and Aim
Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patients with ESRD who underwent peritoneal dialysis (PD) or hemodialysis (HD).
Methods
We retrospectively reviewed 538 patients with ESRD who underwent colonoscopy between 2010 and 2020. We compared the incidence of adverse events (AEs) between the ESRD group and a propensity score-matched control group of healthy adults. Cardiovascular/pulmonary and procedure-related AEs were analyzed. We also compared the rates of AEs between patients who underwent PD or HD.
Results
The overall rate of AEs was 5.7% in patients with ESRD, which was significantly higher than that in healthy adults (0.6%,
P
< 0.001). All AEs were cardiovascular/pulmonary in nature, but no perforation or bleeding occurred. Most AEs were not severe and resolved with medical treatment. The incidence of AEs was higher in the HD group than in the PD group, but the difference was not significant (6.1% vs. 3.5%, respectively,
P
= 0.451). In the HD group, patients with AEs were significantly older than those without AEs (
P
= 0.009).
Conclusions
The rate of colonoscopy-related AEs in patients with ESRD on dialysis was higher than that in healthy adults, but most AEs were not severe. Routine colonoscopy may be safely performed in patients with ESRD regardless of the method of dialysis, but more carefully in older patients on HD.</description><subject>Biochemistry</subject><subject>Care and treatment</subject><subject>Chronic kidney failure</subject><subject>Colonoscopy</subject><subject>Comparative analysis</subject><subject>Gastroenterology</subject><subject>Hemodialysis</subject><subject>Hepatology</subject><subject>Kidney diseases</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Peritoneal dialysis</subject><subject>Transplant Surgery</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kVFrFDEQx4MoeFa_gE8BX3zZdpLsbpLH47yqULDU9smHkM3Onil7yZnkKv32Te8KRRHJw4Th9xuG-RPynsEpA5BnmUHPoQHOGpBMyKZ7QRask6LhXa9ekgWwvv4Z61-TNznfAoCWrF-QH8vxDlNGur7DUDJd5hydtwVH-tuXn_Qq7osPSFdxjiFmF3f31Ad6aYs_8AdoHcbme7EbpFcY7Ew_-Yw241vyarJzxndP9YTcnK-vV1-ai2-fv66WF40TEkrDByEGPcjBMTGA0p0atZJWt5ZNwCyKwcpJMwe6baVr29aOblBO9roTdpq4OCEfj3N3Kf7aYy5m67PDebYB4z6begJQAjjoin74C72N-1R3rlSvGFdC9vyZ2tgZjQ9TLMm6x6FmKUG1irdaVOr0H1R9I269iwEnX_t_CPwouBRzTjiZXfJbm-4NA_MYoznGaGqM5hCj6aokjlKucNhget74P9YDm-KdpQ</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Goong, Hyeon Jeong</creator><creator>Ko, Bong Min</creator><creator>Lee, Moon Sung</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0635-4454</orcidid></search><sort><creationdate>20220701</creationdate><title>Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease</title><author>Goong, Hyeon Jeong ; Ko, Bong Min ; Lee, Moon Sung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-2b33b9b7bc13b08958d987a94a1f01ae3ba7f91c09447c444adcb8c76953aff23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Biochemistry</topic><topic>Care and treatment</topic><topic>Chronic kidney failure</topic><topic>Colonoscopy</topic><topic>Comparative analysis</topic><topic>Gastroenterology</topic><topic>Hemodialysis</topic><topic>Hepatology</topic><topic>Kidney diseases</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Peritoneal dialysis</topic><topic>Transplant Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goong, Hyeon Jeong</creatorcontrib><creatorcontrib>Ko, Bong Min</creatorcontrib><creatorcontrib>Lee, Moon Sung</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goong, Hyeon Jeong</au><au>Ko, Bong Min</au><au>Lee, Moon Sung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><date>2022-07-01</date><risdate>2022</risdate><volume>67</volume><issue>7</issue><spage>3158</spage><epage>3165</epage><pages>3158-3165</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><abstract>Background and Aim
Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patients with ESRD who underwent peritoneal dialysis (PD) or hemodialysis (HD).
Methods
We retrospectively reviewed 538 patients with ESRD who underwent colonoscopy between 2010 and 2020. We compared the incidence of adverse events (AEs) between the ESRD group and a propensity score-matched control group of healthy adults. Cardiovascular/pulmonary and procedure-related AEs were analyzed. We also compared the rates of AEs between patients who underwent PD or HD.
Results
The overall rate of AEs was 5.7% in patients with ESRD, which was significantly higher than that in healthy adults (0.6%,
P
< 0.001). All AEs were cardiovascular/pulmonary in nature, but no perforation or bleeding occurred. Most AEs were not severe and resolved with medical treatment. The incidence of AEs was higher in the HD group than in the PD group, but the difference was not significant (6.1% vs. 3.5%, respectively,
P
= 0.451). In the HD group, patients with AEs were significantly older than those without AEs (
P
= 0.009).
Conclusions
The rate of colonoscopy-related AEs in patients with ESRD on dialysis was higher than that in healthy adults, but most AEs were not severe. Routine colonoscopy may be safely performed in patients with ESRD regardless of the method of dialysis, but more carefully in older patients on HD.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10620-021-07137-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0635-4454</orcidid></addata></record> |
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| source | Springer Nature |
| subjects | Biochemistry Care and treatment Chronic kidney failure Colonoscopy Comparative analysis Gastroenterology Hemodialysis Hepatology Kidney diseases Medical research Medicine Medicine & Public Health Medicine, Experimental Oncology Original Article Peritoneal dialysis Transplant Surgery |
| title | Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease |
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