Case Control Study
Copyright ©The Author(s) 2015.
World J Gastroenterol. Apr 28, 2015; 21(16): 4903-4910
Published online Apr 28, 2015. doi: 10.3748/wjg.v21.i16.4903
Table 1 Baseline characteristics of the patients n (%)
OverallConventionalUPDP value
Patients260131129-
Female90 (34.6)48 (36.6)42 (32.6)0.726
Age (yr, mean ± SD)62.5 ± 4.862.5 ± 5.362.9 ± 6.50.455
Abdominal surgery20 (7.7)9 (6.9)11 (8.5)0.334
Examination by an expert colonoscopist166 (63.8)83 (63.4)83 (64.3)0.768
Antispasmodics use239 (91.9)120 (91.6)119 (92.2)0.849
Table 2 Results of colonoscopy n (%)
OverallConventionalUPDP value
Cecal intubation rate100%100%100%-
Cecal intubation time (min, mean ± SD)12.9 ± 4.313.2 ± 4.112.5 ± 2.30.455
Cecal intubation time (< 15 mn)182 (70.0)92 (70.2)90 (69.8)0.935
Straight insertion methods120 (46.1)58 (44.3)62 (48.1)0.540
Change of the colonoscopist6 (2.3)4 (3.1)2 (1.6)0,420
Absence of pain143 (55.0)64 (48.9)79 (61.2)0.045
Table 3 Univariate and multivariate analysis of the factors affecting visual analog scale pain scores for colonoscope insertion
FactorsPainUnivariate analysisMultivariate analysis
P valueP valueOR95%CI
Insertion methods (straight vs roping)No88/55< 0.001< 0.0014.12.3-7.3
Yes32/85
UPD vs ConventionalNo79/640.0450.0411.81.1-3.2
Yes50/67
Expert vs TraineeNo111/32< 0.001< 0.0014.22.3-7.6
Yes55/62
Abdominal surgery (+ vs -)No5/1380.0050.0064.71.5-15.0
Yes15/102
Gender (Male vs Female)No98/450.2380.2311.40.8-2.6
Yes72/45
Antispasmodic (+ vs -)No132/110.801
Yes107/10
Age (≥ 65 vs < 64)No72/710.774
Yes61/56
Table 4 Univariate and multivariate analysis of factors affecting visual analog scale pain scores for colonoscope insertion by trainees
FactorsPainUnivariate analysisMultivariate analysis
P valueP valueOR95%CI
Insertion methods (straight vs roping)No22/10< 0.001< 0.0016.82.6-18.2
Yes14/48
UPD vs conventionalNo21/110.0200.0432.71.1-7.2
Yes25/37
Abdominal surgery (+ vs - )No1/310.2520.4292.60.2-28.8
Yes6/56
Antispasmodic (+ vs -)No30/20.773
Yes59/3
Age (≥ 65 vs < 64 )No16/160.767
Yes33/29
Gender (Male vs Female)No21/110.961
Yes41/21
Table 5 Univariate and multivariate analysis of factors affecting visual analog scale pain scores for colonoscope insertion by experts
FactorsPainUnivariate analysisMultivariate analysis
P valueP valueOR95%CI
Insertion methods (straight vs roping)No66/450.0010.0023.01.5-5.9
Yes18/37
Gender (Male vs Female)No77/340.0980.4861.30.6-2.8
Yes31/24
UPD vs ConventionalNo58/530.410
Yes25/30
Abdominal surgery (+ vs -)No4/1070.422
Yes9/46
Antispasmodic (+ vs -)No102/90.343
Yes48/7
Age (≥ 65 vs < 64 )No84/270.958
Yes28/27