优化后续结肠镜检查的时间:一个试点集群对知识翻译工具的随机试验
Seth R Shaffer1, Pascal Lambert2, Claire Unruh1
1Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
The American journal of gastroenterology
|October 3, 2023
概括
一个新的数字工具改善了内镜师对结肠镜监测间隔的建议,特别是那些最初不太遵守指南的人. 该应用程序显示了增强对结肠镜检查后续指南的遵守的前景.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 临床试验方法论 临床试验方法论
背景情况:
- 内镜检查员表现出对推的结肠镜监测间隔的低于最佳的坚持.
- 进行了一项试点试验,以评估一款旨在计算指南推的随访间隔的新型数字工具.
研究的目的:
- 评估数字应用程序在改善内镜师遵守结肠镜监测指南方面的有效性.
- 确定访问数字工具是否会影响后续建议与既定指南的一致性.
主要方法:
- 一个集群随机的,单盲试验试验,涉及加拿大温尼伯的29名内镜医生.
- 内镜患者被随机分配到干预组 (访问数字工具) 或控制组 (无访问).
- 使用通用估计方程模型,分析了结肠镜建议的前和后随机化.
主要成果:
- 干预组显示了干预后增加准则遵守的趋势 (OR:1.50,95% CI 0.82-2.74).
- 干预组中基线遵守率较低的内镜患者在指导方针一致的建议中表现出显著的改善.
- 对照组在遵守指南方面没有显著变化.
结论:
- 用于结肠镜监测间隔的数字工具可以提高内镜师之间的指导方针一致性.
- 这种工具似乎对内镜医生特别有益,因为他们对干预前指导方针的遵守程度较低.
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