Pilot validation of the Boston Bowel Preparation Scale in China

Feb 2, 2013Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society

Testing the Boston Bowel Preparation Scale for use in China

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Abstract

The inter-observer reliability of the Boston Bowel Preparation Scale (BBPS) scores was 0.987.

  • The BBPS demonstrated high inter-observer reliability, indicating consistent scoring among different observers.
  • Intra-observer reliability was assessed with a weighted Kappa value of 0.671, suggesting moderate agreement over time.
  • The mean BBPS score for 1012 screening colonoscopies was 6.9 ± 1.8.
  • BBPS scores of 5 or higher were linked to a higher polyp-detection rate of 35%, compared to 18% for scores below 5.
  • The BBPS remains a valid and reliable measure of bowel preparation quality for Chinese physicians trained through video.

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