In a preoperative anesthesia setting with integrated neuropsychology for individuals >64 years of age, we completed a pilot study examining the association between neurocognitive disorders with frequency of missed colonoscopies and quality of bowel preparation (prep). Gastroenterologists completed the Boston Bowel Preparation Scale (BBPS) for each patient. Of 47 older adults seen in our service, 68% met criteria for neurocognitive disorders. All individuals failing to attend the colonoscopy procedure had met criteria for major neurocognitive disorder. Poor bowel prep was also identified in 100% of individuals with major neurocognitive disorder and 28% of individuals with mild neurocognitive disorder. Our pilot data suggest that, in high-risk individuals, the presence of neurocognitive disorders is risk factors for missed appointments and inadequate bowel prep. These pilot data provide reference statistics for future intervention protocols.
From the *Pain Research and Intervention Center of Excellence, College of Dentistry, University of Florida, Gainesville, Florida
†Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
‡Division of Gastroenterology, Hepatology, and Nutrition, College of Medicine, University of Florida, Gainesville, Florida
§Department of Anesthesiology, University of Florida, Gainesville, Florida.
Published ahead of print 18 March 2019.
Accepted for publication March 18, 2019.
Funding: This work was supported by the National Institutes of Aging (grant no. T32-AG04963, F.A.) and the National Institute of Health (grant No. R01 AG055337, C.C.P./P.T.).
The authors declare no conflicts of interest.
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Aging or the National Institutes of Health.
Reprints will not be available from the authors.
Address correspondence to Franchesca Arias, PhD, Pain Research and Intervention Center of Excellence and Department of Clinical and Health Psychology, University of Florida, PO Box 100165, Gainesville, FL 32605. Address e-mail to Farias2@phhp.ufl.edu
Catherine C. Price, PhD, ABBP-CN, Department of Clinical and Health Psychology and Department of Anesthesiology, University of Florida, PO Box 100165, Gainesville, FL 32605. Address e-mail to firstname.lastname@example.org.