Previous studies have shown that practices supported by level I evidence may take up to 20 years before they are adopted.
Although mechanical bowel preparation has been a routine practice in colorectal surgery, there is strong evidence dating back to the early 1990s suggesting that in most patients MBP before elective colorectal surgery is not required.
Dr Cagla Eskicioglu and colleagues from Canada determined if surgical practices pertaining to bowel preparation could be altered using a tailored knowledge translation strategy.
|There was a 10% increase in compliance with diet recommendations|
A multi-faceted strategy including guideline development, consensus, education by opinion leaders, audit and feedback, and reminder cards was used in this before-after study.
The research team's primary outcome was compliance with the recommendations presented in the guideline regarding mechanical bowel preparation, normal diet on the day prior to surgery, and enemas.
The research team enrolled 282 patients in the study with 111 before the intervention, and 171 were enrolled after the intervention.
Demographic and clinical characteristics between the 2 groups were similar.
Overall, the team found an 8% increase in compliance with mechanical bowel preparation recommendations, a 10% increase in compliance with diet recommendations, and a 6% increase in compliance with enema recommendations.
Dr Eskicioglu's team commented, "The results of this study reveal that a tailored, multi-faceted knowledge translation strategy is effective in changing surgeon behavior."