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Intensive Systematic "Train-the-Trainer" Course as an Effective Strategy to Improve Detection of Early Gastric
Xiaobei Luo1,2, Kenshi Yao3, Xin Lin1
1Department of Gastroenterology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou North Avenue, Guangzhou, 510515, China.
Summary
A train-the-trainer course significantly improved early gastric cancer (EGC) detection rates among endoscopists. This educational strategy shows promise in reducing gastrointestinal cancer mortality.
Area of Science:
- Gastroenterology
- Medical Education
- Oncology
Background:
- Early diagnosis of gastric cancer is crucial for improving patient outcomes.
- A train-the-trainer (TTT) course was developed to enhance early gastric cancer (EGC) detection skills.
Purpose of the Study:
- To evaluate the effectiveness of a TTT course in improving the detection rate of early gastric cancer (EGC).
Main Methods:
- A multi-center, retrospective study analyzed clinical records from before, during, and after TTT courses.
- Data from 123,416 esophagogastroduodenoscopies and 65,570 colonoscopies were collected over one year.
- The primary endpoint was the change in EGC detection rate post-training.
Main Results:
- The early gastric cancer detection rate (EDR) significantly increased from 0.101% in 2016 to 0.338% in 2018 (p=0.015).
- The early gastric cancer ratio (ECR) rose from 8.440% to 19.778% by 2018 (p=0.006).
- No significant changes were observed in advanced gastric cancer detection rates or in esophageal/colorectal cancer detection rates.
Conclusions:
- Systematic training courses, like the TTT program, can effectively enhance EGC detection.
- This educational approach may serve as a valuable strategy for reducing gastrointestinal cancer mortality.
