Efficacy of international web-based educational intervention in the detection of high-risk flat and depressed colorectal lesions higher (CATCH project) with a video : Randomized trial
© 2022 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society..
OBJECTIVES: Three subcategories of high-risk flat and depressed lesions (FDLs), laterally spreading tumors non-granular type (LST-NG), depressed lesions, and large sessile serrated lesions (SSLs), are highly attributable to post-colonoscopy colorectal cancer (CRC). Efficient and organized educational programs on detecting high-risk FDLs are lacking. We aimed to explore whether a web-based educational intervention with training on FIND clues (fold deformation, intensive stool/mucus attachment, no vessel visibility, and demarcated reddish area) may improve the ability to detect high-risk FDLs.
METHODS: This was an international web-based randomized control trial that enrolled non-expert endoscopists in 13 Asian countries. The participants were randomized into either education or non-education group. All participants took the pre-test and post-test to read 60 endoscopic images (40 high-risk FDLs, five polypoid, 15 no lesions) and answered whether there was a lesion. Only the education group received a self-education program (video and training questions and answers) between the tests. The primary outcome was a detection rate of high-risk FDLs.
RESULTS: In total, 284 participants were randomized. After excluding non-responders, the final data analyses were based on 139 participants in the education group and 130 in the non-education group. The detection rate of high-risk FDLs in the education group significantly improved by 14.7% (66.6-81.3%) compared with -0.8% (70.8-70.0%) in the non-education group. Similarly, the detection rate of LST-NG, depressed lesions, and large SSLs significantly increased only in the education group by 12.7%, 12.0%, and 21.6%, respectively.
CONCLUSION: Short self-education focusing on detecting high-risk FDLs was effective for Asian non-expert endoscopists. (UMIN000042348).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
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| Enthalten in: |
Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society - 34(2022), 6 vom: 15. Sept., Seite 1166-1175 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Iwatate, Mineo [VerfasserIn] |
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| Links: |
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| Themen: |
Colonoscopy |
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| Anmerkungen: |
Date Completed 07.09.2022 Date Revised 15.10.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/den.14244 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM336548583 |
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| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Iwatate, Mineo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Efficacy of international web-based educational intervention in the detection of high-risk flat and depressed colorectal lesions higher (CATCH project) with a video |b Randomized trial |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 07.09.2022 | ||
| 500 | |a Date Revised 15.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. | ||
| 520 | |a OBJECTIVES: Three subcategories of high-risk flat and depressed lesions (FDLs), laterally spreading tumors non-granular type (LST-NG), depressed lesions, and large sessile serrated lesions (SSLs), are highly attributable to post-colonoscopy colorectal cancer (CRC). Efficient and organized educational programs on detecting high-risk FDLs are lacking. We aimed to explore whether a web-based educational intervention with training on FIND clues (fold deformation, intensive stool/mucus attachment, no vessel visibility, and demarcated reddish area) may improve the ability to detect high-risk FDLs | ||
| 520 | |a METHODS: This was an international web-based randomized control trial that enrolled non-expert endoscopists in 13 Asian countries. The participants were randomized into either education or non-education group. All participants took the pre-test and post-test to read 60 endoscopic images (40 high-risk FDLs, five polypoid, 15 no lesions) and answered whether there was a lesion. Only the education group received a self-education program (video and training questions and answers) between the tests. The primary outcome was a detection rate of high-risk FDLs | ||
| 520 | |a RESULTS: In total, 284 participants were randomized. After excluding non-responders, the final data analyses were based on 139 participants in the education group and 130 in the non-education group. The detection rate of high-risk FDLs in the education group significantly improved by 14.7% (66.6-81.3%) compared with -0.8% (70.8-70.0%) in the non-education group. Similarly, the detection rate of LST-NG, depressed lesions, and large SSLs significantly increased only in the education group by 12.7%, 12.0%, and 21.6%, respectively | ||
| 520 | |a CONCLUSION: Short self-education focusing on detecting high-risk FDLs was effective for Asian non-expert endoscopists. (UMIN000042348) | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a colonoscopy | |
| 650 | 4 | |a detection | |
| 650 | 4 | |a education | |
| 650 | 4 | |a flat and depressed lesions | |
| 650 | 4 | |a randomized trial | |
| 700 | 1 | |a Hirata, Daizen |e verfasserin |4 aut | |
| 700 | 1 | |a Francisco, Carlos Paolo D |e verfasserin |4 aut | |
| 700 | 1 | |a Co, Jonard Tan |e verfasserin |4 aut | |
| 700 | 1 | |a Byeon, Jeong-Sik |e verfasserin |4 aut | |
| 700 | 1 | |a Joshi, Neeraj |e verfasserin |4 aut | |
| 700 | 1 | |a Banerjee, Rupa |e verfasserin |4 aut | |
| 700 | 1 | |a Quach, Duc Trong |e verfasserin |4 aut | |
| 700 | 1 | |a Aye, Than Than |e verfasserin |4 aut | |
| 700 | 1 | |a Chiu, Han-Mo |e verfasserin |4 aut | |
| 700 | 1 | |a Lau, Louis H S |e verfasserin |4 aut | |
| 700 | 1 | |a Ng, Siew C |e verfasserin |4 aut | |
| 700 | 1 | |a Ang, Tiing Leong |e verfasserin |4 aut | |
| 700 | 1 | |a Khomvilai, Supakij |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Xiao-Bo |e verfasserin |4 aut | |
| 700 | 1 | |a Ho, Shiaw-Hooi |e verfasserin |4 aut | |
| 700 | 1 | |a Sano, Wataru |e verfasserin |4 aut | |
| 700 | 1 | |a Hattori, Santa |e verfasserin |4 aut | |
| 700 | 1 | |a Fujita, Mikio |e verfasserin |4 aut | |
| 700 | 1 | |a Murakami, Yoshitaka |e verfasserin |4 aut | |
| 700 | 1 | |a Shimatani, Masaaki |e verfasserin |4 aut | |
| 700 | 1 | |a Kodama, Yuzo |e verfasserin |4 aut | |
| 700 | 1 | |a Sano, Yasushi |e verfasserin |4 aut | |
| 700 | 0 | |a CATCH project team |e verfasserin |4 aut | |
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