MENU ▼
Read by QxMD icon Read
search
OPEN IN READ APP
JOURNAL ARTICLE

A randomized controlled study of the prediction of diminutive/small colorectal polyp histology using didactic vs. computer based self-learning module in gastroenterology trainees

Samuel C L Smith, John Saltzman, Uday N Shivaji, Brendan C Lethebe, Rosanna Cannatelli, Subrata Ghosh, Marietta Iacucci
Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society 2019 March 7
30844114

BACKGROUND AND AIM: The aim of this randomised trial was to evaluate the performance of self-training vs. didactic training, to increase the diagnostic accuracy of diminutive/small colonic polyp histological prediction by trainees.

METHODS: Sixteen trainees reviewed 78 videos (48 iSCAN-OE and 30 NBI) of diminutive/small polyps in a pre-training assessment. Trainees were randomised to receive computer-based self-learning (n=8) or didactic training (n=8) using identical teaching materials and videos. The same 78 videos, in a different randomised order, were assessed. The NICE (NBI International Colorectal Endoscopic) and SIMPLE (Simplified Identification Method for Polyp Labeling during Endoscopy) classification systems were used to classify diminutive/small polyps.

RESULTS: A higher proportion of high confidence predictions of polyps were made by the self-training vs. didactic group both using the SIMPLE classification 77.1% [95% CI 73.4-80.3] vs. 69.9% [95% CI 66.1-73.5%] (p<0.005) and the NICE classification 77% [73.2%-80.4%] vs. 69.8% [95% CI 66-73.4%] (p=0.006). When using NICE, the sensitivity of the self-training group compared with the didactic group was 72% vs. 83% (p<0.0005), and the accuracy was 66.1% vs. 69.1%. The training improved the participants' confidence and SIMPLE was preferred over NICE.

CONCLUSION: Self-learning for the prediction of diminutive/small polyp histology is a method of training that can achieve results similar to didactic training. The availability of adequate self-learning teaching modules could enable more widespread implementation of optical diagnosis in clinical practice. This article is protected by copyright. All rights reserved.

Comments

You need to log in or sign up for an account to be able to comment.

No comments yet, be the first to post one!

Trending on Read

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
30844114
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"