结肠镜检查期间内镜师能力的计算机辅助质量评估:系统性审查
Kristoffer Mazanti Cold1, Anishan Vamadevan2, Andreas Slot Vilmann3
1Copenhagen Academy for Medical Education and Simulation (CAMES), Center for HR & Education, the Capital Region of Denmark, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Gastrointestinal endoscopy
|April 5, 2024
概括
结肠镜的计算机辅助质量评估 (CAQ) 系统在改善腺瘤检测率 (ADR) 方面显示出不同的结果. 需要进一步的研究来验证它们在现实世界临床实践中的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 医疗信息学 医疗信息学
背景情况:
- 内镜师的能力各不相同,影响腺瘤检测率 (ADR).
- 计算机辅助质量评估 (CAQ) 在结肠镜检查期间提供自动化绩效评估.
- 现有的结肠镜CAQ系统需要识别和描述.
研究的目的:
- 识别和描述各种计算机辅助质量评估 (CAQ) 系统,用于结肠镜检查.
- 审查关于CAQ系统的文献及其对结肠镜质量评估的影响.
主要方法:
- 使用MEDLINE,EMBASE和Scopus进行系统的文献审查.
- 包括标准:结肠镜检查,能力评估,自动评估.
- 使用MERSQI评估方法质量; 2名审稿人选了文章.
主要成果:
- 包括25项研究,最终分析了13项.
- 确定了五个CAQ类别:吸收速度计,内镜运动分析,有效吸收时间,折叠检查质量,视觉凝视模式.
- 戒断速度计是唯一测试ADR改善的系统,结果不一.
结论:
- 13项研究开发或测试了CAQ系统,通常与ADR相关.
- 只有5项研究实施了CAQ反,限制了元分析.
- 不同质的研究设计需要对大肠镜的CAQ系统进行进一步的研究.
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