The efficacy of variable-stiffness colonoscopes compared with standard adult colonoscopes | ||||||
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Patient or population: patients with performance of colonoscopy | ||||||
Settings: | ||||||
Intervention: variable-stiffness colonoscopes | ||||||
Comparison: standard adult colonoscopes | ||||||
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
Assumed risk | Corresponding risk | |||||
Standard adult colonoscopes | Variable-stiffness colonoscopes | |||||
The cecal intubation rate | Study population | RR 1.03 (1.01 to 1.06) | 1683 (9 studies) | ⊕ ⊕ ⊕⊝ moderate | ||
933 per 1000 | 961 per 1000 (942 to 989) | |||||
Moderate | ||||||
912 per 1000 | 939 per 1000 (921 to 967) | |||||
The cecal intubation time | The mean the cecal intubation time in the intervention groups was | 1583 (8 studies) | ⊕ ⊕ ⊕⊝ moderate | |||
0.54 lower (1.4 lower to 0.32 higher) | ||||||
Midazolam used | The mean midazolam used in the intervention groups was | 647 (4 studies) | ⊕ ⊕ ⊕⊝ moderate | |||
0.03 lower (0.15 lower to 0.08 higher) | ||||||
Manual pressure used | Study population | RR 0.92 (0.75 to 1.12) | 1533 (7 studies) | ⊕ ⊕ ⊕⊝ moderate | ||
411 per 1000 | 379 per 1000 (309 to 461) | |||||
Moderate | ||||||
417 per 1000 | 384 per 1000 (313 to 467) | |||||
Meperidine used | The mean meperidine used in the intervention groups was | 537 (3 studies) | ⊕ ⊕ ⊕⊝ moderate | |||
1.32 lower (3.64 lower to 1.01 higher) | ||||||
Position changes made | Study population | OR 0.65 (0.47 to 0.89) | 1066 (5 studies) | ⊕ ⊕ ⊕⊝ moderate | ||
375 per 1000 | 280 per 1000 (220 to 348) | |||||
Moderate | ||||||
333 per 1000 | 245 per 1000 (190 to 308) |