{
  "abstract": "Colonoscopy is the gold-standard screening test for colorectal cancer, yet its diagnostic yield relies heavily on adequate bowel preparation. Despite standard protocols, 20%–30% of procedures still have inadequate cleansing, which lowers adenoma detection, prolongs procedures, increases repeat examinations, and wastes resources. Preparation quality is influenced by multiple interacting factors: patient characteristics (age, comorbidities, medication use, adherence), regimen features (purgative type, dose, split-dose scheduling), and healthcare delivery (education quality, appointment timing). Most previous studies have examined these factors in isolation, leaving a gap in integrated, evidence-based guidance. This narrative review synthesizes current knowledge on determinants of preparation quality, with emphasis on emerging strategies such as risk-stratified protocols, low-volume purgatives, digital health tools (mobile apps, SMS reminders), and AI-based real-time assessment. We aim to provide a practical framework for individualized preparation, thereby improving both the efficiency and quality of colonoscopy-based screening.",
  "abstract_shown": true,
  "affiliations": [
    "Sun Yat-sen University Cancer Center Gansu Hospital (Gansu Provincial Cancer Hospital), Lanzhou, China"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shanshan Ma"
    },
    {
      "affs": [
        0
      ],
      "name": "Xinyu Zhou"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dn8pw7apj4hyz.bib",
  "cited_by": 0,
  "doi": "10.3389/fsurg.2026.1969199",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13710821/",
  "id": "dn8pw7apj4hyz",
  "issns": [
    "2296-875X"
  ],
  "landing_url": "https://doi.org/10.3389/fsurg.2026.1969199",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Mini Review"
    ],
    [
      "openalex",
      "2730|Colorectal Cancer Screening and Detection"
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  "pdf_url": "https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1969199/pdf",
  "pmcid": "PMC13710821",
  "pmid": "42947941",
  "published": "2026-10-13",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/dn8pw7apj4hyz.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:42Z",
      "native_id": "PMC13710821",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fsurg.2026.1969199"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Colorectal Cancer Screening and Detection",
      "subfield": "oncology"
    }
  ],
  "title": "Risk factors for inadequate bowel preparation and quality improvement strategies in colonoscopy: a narrative review",
  "title_text": "Risk factors for inadequate bowel preparation and quality improvement strategies in colonoscopy: a narrative review",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:21:42Z",
  "url": "https://research.draconitic.com/paper/dn8pw7apj4hyz",
  "venue": "Frontiers in Surgery",
  "versions": []
}