在外科医生,胃肠科医生,实习生和专家中对结肠直肠病变的巴黎分类进行观察者间协议:基于视频的研究
Roupen Djinbachian1,2, Abla Alj1,3, Edgard Medawar1
1Montreal University Hospital Research Center, Montreal, QC, Canada.
Digestive diseases and sciences
|July 24, 2025
概括
使用巴黎分类对结肠片的内镜学家的一致性很低. 关于损伤特征的培训,特别是在东方国家,与更高的协议率相关.
科学领域:
- 胃肠病学 胃肠病学
- 内镜成像系统的成像
- 医学诊断 医学诊断 医学诊断
背景情况:
- 巴黎分类是描述结肠多形态的标准.
- 准确的息肉描述对于内镜师之间的有效沟通至关重要.
- 之前的研究没有为巴黎分类建立观察者间的协议.
研究的目的:
- 用巴黎分类来评估内镜师之间的观察者间协议,以评估结肠多形态学.
- 确定影响协议的因素,如内镜师的专业和培训背景.
主要方法:
- 进行了一项基于视频的前性研究.
- 一个由11名内镜医生 (外科医生,胃肠科医生,专家,实习生) 组成的国际小组评估了120个结肠.
- 使用Light's Kappa统计数据测量了观察者间的一致性.
主要成果:
- 巴黎分类的观察者间的总体一致性很低 (Light's Kappa = 0.19).
- 在不同专业和经验水平上,一致性一直很低.
- 在亚洲受过损伤评估培训的内镜医生与西方受过培训的内镜医生 (Kappa = 0.26) 相比,表现出更高的一致性 (Kappa = 0.50).
结论:
- 巴黎分类显示,国际内镜学家的多元化群体之间观察者间的一致性很低.
- 正如东方医学教育所看到的,培训强调病变特征,可能会提高诊断的一致性.
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