一个新的光学诊断培训模块的验证,以改善炎症性肠道疾病中的失生症特征:一项多中心国际研究
Marietta Iacucci1, Stefanos Bonovas2, Alina Bazarova3
1University of Birmingham, Institute of Immunology and Immunotherapy, Birmingham, United Kingdom; College of Medicine and Health, University College Cork, Cork, Ireland; APC Microbiome Ireland, Cork, Ireland; Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, Canada.
一个在线培训平台改善了炎症性肠病 (IBD) 患者癌前病变的检测. OPTIC-IBD工具提高了胃肠病学家的诊断准确度和信心,特别是那些经验较少的胃肠病学家.
科学领域:
- 胃肠病学 胃肠病学
- 内镜成像检查 内镜成像检查
- 医学教育 医学教育
背景情况:
- 炎症性肠道疾病 (IBD) 增加了发育不良成形和结直肠癌的风险.
- 先进的内镜技术对于检测和表征IBD相关的失生性病变至关重要.
- 对于这些先进技术的专业培训并不是广泛可用的.
研究的目的:
- 开发和验证一个在线培训平台,OPTIC-IBD (光学诊断培训,以改善炎症性肠道疾病中的发育不良特征).
- 提高胃肠病学家在检测和描述IBD患者结肠病变时的准确性和信心.
主要方法:
- 设计了一个基于网络的学习模块,涵盖了使用视频的监视原则,光学诊断和病变分类.
- 来自加拿大,意大利和英国的胃肠道学家参加了这次会议,他们审查了教育视频并预测了组织学.
- 参与者的诊断准确性和信心在训练前和训练后被评估,60天后进行后续评估.
主要成果:
- 在训练后,发育不良的诊断准确性从70.8%显著提高到75.0% (P = .002).
- 在经验较少的内镜医生中观察到的最实质性的改善.
- 对表征病变的信心显著增加 (P < .001),改善在2个月内持续.
结论:
- OPTIC-IBD在线平台有效提高了IBD患者光学发育不良症诊断的准确性和信心.
- 这种可访问的培训解决方案有可能增强IBD患者的内镜护理.
- 这项研究的注册号为NCT04924543.
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