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Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer

Background and study aims  We developed an e-learning program for endoscopic diagnosis of invasion depth of early gastric cancer (EGC) using a simple diagnostic criterion called non-extension sign, and the contribution of self-study quizzes to improvement of diagnostic accuracy was evaluated. Method...

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Autores principales: Kato, Minoru, Uedo, Noriya, Nagahama, Takashi, Yao, Kenshi, Doyama, Hisashi, Tsuji, Shigetsugu, Gotoda, Takuji, Kawamura, Takuji, Ebi, Masahide, Yamamoto, Katsumi, Akasaka, Tomofumi, Takatori, Hajime, Handa, Osamu, Akamatsu, Takuji, Nishikawa, Jun, Hikichi, Takuto, Yamashina, Takeshi, Imoto, Akira, Kitamura, Yoko, Mikami, Tatsuya, Koike, Tomoyuki, Ohara, Shuichi, Kitamura, Shinji, Yamaguchi, Tatsuya, Kinjo, Tetsu, Inoue, Taro, Suzuki, Sho, Kaneko, Akihiro, Hirasawa, Kingo, Tanaka, Kyosuke, Kotachi, Takahiro, Miwa, Kazuhiro, Toya, Yosuke, Kayaba, Shoichi, Ikehata, Atsushi, Minami, Shinya, Mizukami, Kazuhiro, Oya, Hirohisa, Ara, Nobuyuki, Fukumoto, Yasushi, Komura, Takuya, Yoshio, Toshiyuki, Morizono, Ryutaro, Yamazaki, Kenji, Shimodate, Yuichi, Yamanouchi, Kohei, Kawata, Noboru, Kumagai, Masayuki, Sato, Yoshinori, Umeki, Kiyotaka, Kawai, Daisuke, Tanuma, Tokuma, Kishino, Maiko, Konishi, Jun, Sumiyoshi, Tetsuya, Oka, Shohei, Kono, Mitsuhiro, Sakamoto, Takeshi, Horikawa, Yohei, Ohyauchi, Motoki, Hashiguchi, Keiichi, Waseda, Yohei, Kasai, Toyotaka, Aoyagi, Hiroyuki, Oyamada, Hirokazu, Shoji, Masakuni, Kiyotoki, Shu, Asonuma, Sho, Orikasa, Shunsuke, Akaishi, Chika, Nagami, Yasuaki, Nakata, Satoshi, Iida, Fumiyo, Nomura, Tatsuma, Tominaga, Kei, Oka, Kohei, Morita, Yoshinori, Suzuki, Haruhisa, Ozeki, Keiji, Kuribayashi, Shiko, Akazawa, Yoichi, Sasaki, Sho, Mikami, Tetsuhiko, Miki, Goro, Sano, Tatsushi, Satoh, Hiro, Nakamura, Munetaka, Iwai, Wataru, Tawa, Hideki, Wada, Masafumi, Yoshimura, Daisuke, Hisanaga, Yasuhiro, Shimokawa, Toshio, Ishikawa, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611729/
https://www.ncbi.nlm.nih.gov/pubmed/31286056
http://dx.doi.org/10.1055/a-0902-4467
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author Kato, Minoru
Uedo, Noriya
Nagahama, Takashi
Yao, Kenshi
Doyama, Hisashi
Tsuji, Shigetsugu
Gotoda, Takuji
Kawamura, Takuji
Ebi, Masahide
Yamamoto, Katsumi
Akasaka, Tomofumi
Takatori, Hajime
Handa, Osamu
Akamatsu, Takuji
Nishikawa, Jun
Hikichi, Takuto
Yamashina, Takeshi
Imoto, Akira
Kitamura, Yoko
Mikami, Tatsuya
Koike, Tomoyuki
Ohara, Shuichi
Kitamura, Shinji
Yamaguchi, Tatsuya
Kinjo, Tetsu
Inoue, Taro
Suzuki, Sho
Kaneko, Akihiro
Hirasawa, Kingo
Tanaka, Kyosuke
Kotachi, Takahiro
Miwa, Kazuhiro
Toya, Yosuke
Kayaba, Shoichi
Ikehata, Atsushi
Minami, Shinya
Mizukami, Kazuhiro
Oya, Hirohisa
Ara, Nobuyuki
Fukumoto, Yasushi
Komura, Takuya
Yoshio, Toshiyuki
Morizono, Ryutaro
Yamazaki, Kenji
Shimodate, Yuichi
Yamanouchi, Kohei
Kawata, Noboru
Kumagai, Masayuki
Sato, Yoshinori
Umeki, Kiyotaka
Kawai, Daisuke
Tanuma, Tokuma
Kishino, Maiko
Konishi, Jun
Sumiyoshi, Tetsuya
Oka, Shohei
Kono, Mitsuhiro
Sakamoto, Takeshi
Horikawa, Yohei
Ohyauchi, Motoki
Hashiguchi, Keiichi
Waseda, Yohei
Kasai, Toyotaka
Aoyagi, Hiroyuki
Oyamada, Hirokazu
Shoji, Masakuni
Kiyotoki, Shu
Asonuma, Sho
Orikasa, Shunsuke
Akaishi, Chika
Nagami, Yasuaki
Nakata, Satoshi
Iida, Fumiyo
Nomura, Tatsuma
Tominaga, Kei
Oka, Kohei
Morita, Yoshinori
Suzuki, Haruhisa
Ozeki, Keiji
Kuribayashi, Shiko
Akazawa, Yoichi
Sasaki, Sho
Mikami, Tetsuhiko
Miki, Goro
Sano, Tatsushi
Satoh, Hiro
Nakamura, Munetaka
Iwai, Wataru
Tawa, Hideki
Wada, Masafumi
Yoshimura, Daisuke
Hisanaga, Yasuhiro
Shimokawa, Toshio
Ishikawa, Hideki
author_facet Kato, Minoru
Uedo, Noriya
Nagahama, Takashi
Yao, Kenshi
Doyama, Hisashi
Tsuji, Shigetsugu
Gotoda, Takuji
Kawamura, Takuji
Ebi, Masahide
Yamamoto, Katsumi
Akasaka, Tomofumi
Takatori, Hajime
Handa, Osamu
Akamatsu, Takuji
Nishikawa, Jun
Hikichi, Takuto
Yamashina, Takeshi
Imoto, Akira
Kitamura, Yoko
Mikami, Tatsuya
Koike, Tomoyuki
Ohara, Shuichi
Kitamura, Shinji
Yamaguchi, Tatsuya
Kinjo, Tetsu
Inoue, Taro
Suzuki, Sho
Kaneko, Akihiro
Hirasawa, Kingo
Tanaka, Kyosuke
Kotachi, Takahiro
Miwa, Kazuhiro
Toya, Yosuke
Kayaba, Shoichi
Ikehata, Atsushi
Minami, Shinya
Mizukami, Kazuhiro
Oya, Hirohisa
Ara, Nobuyuki
Fukumoto, Yasushi
Komura, Takuya
Yoshio, Toshiyuki
Morizono, Ryutaro
Yamazaki, Kenji
Shimodate, Yuichi
Yamanouchi, Kohei
Kawata, Noboru
Kumagai, Masayuki
Sato, Yoshinori
Umeki, Kiyotaka
Kawai, Daisuke
Tanuma, Tokuma
Kishino, Maiko
Konishi, Jun
Sumiyoshi, Tetsuya
Oka, Shohei
Kono, Mitsuhiro
Sakamoto, Takeshi
Horikawa, Yohei
Ohyauchi, Motoki
Hashiguchi, Keiichi
Waseda, Yohei
Kasai, Toyotaka
Aoyagi, Hiroyuki
Oyamada, Hirokazu
Shoji, Masakuni
Kiyotoki, Shu
Asonuma, Sho
Orikasa, Shunsuke
Akaishi, Chika
Nagami, Yasuaki
Nakata, Satoshi
Iida, Fumiyo
Nomura, Tatsuma
Tominaga, Kei
Oka, Kohei
Morita, Yoshinori
Suzuki, Haruhisa
Ozeki, Keiji
Kuribayashi, Shiko
Akazawa, Yoichi
Sasaki, Sho
Mikami, Tetsuhiko
Miki, Goro
Sano, Tatsushi
Satoh, Hiro
Nakamura, Munetaka
Iwai, Wataru
Tawa, Hideki
Wada, Masafumi
Yoshimura, Daisuke
Hisanaga, Yasuhiro
Shimokawa, Toshio
Ishikawa, Hideki
author_sort Kato, Minoru
collection PubMed
description Background and study aims  We developed an e-learning program for endoscopic diagnosis of invasion depth of early gastric cancer (EGC) using a simple diagnostic criterion called non-extension sign, and the contribution of self-study quizzes to improvement of diagnostic accuracy was evaluated. Methods  We conducted a prospective randomized controlled study that recruited endoscopists throughout Japan. After completing a pretest, the participants watched video lectures and undertook post-test 1. The participants were then randomly allocated to either the self-study or non-self-study group, and participants in the first group completed the self-study program that comprised 100-case quizzes. Finally, participants in both groups undertook post-test 2. The primary endpoint was the difference in post-test 2 scores between the groups. The perfect score for the tests was set as 100 points. Results  A total of 423 endoscopists completed the pretest and were enrolled. Post-test 1 was completed by 415 endoscopists and 208 were allocated to the self-study group and 207 to the non-self-study group. Two hundred and four in the self-study group and 205 in the non-self-study group were included in the analysis. Video lectures improved the mean score of post-test 1 from 72 to 77 points. Participants who completed the self-study quizzes showed significantly better post-test 2 scores compared with the non-self-study group (80 vs. 76 points, respectively, P  < 0.0001). Conclusions  Our e-learning program showed that self-study quizzes consolidated knowledge of the non-extension sign and improved diagnostic ability of endoscopists for invasion depth of EGC.
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spelling pubmed-66117292019-07-08 Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer Kato, Minoru Uedo, Noriya Nagahama, Takashi Yao, Kenshi Doyama, Hisashi Tsuji, Shigetsugu Gotoda, Takuji Kawamura, Takuji Ebi, Masahide Yamamoto, Katsumi Akasaka, Tomofumi Takatori, Hajime Handa, Osamu Akamatsu, Takuji Nishikawa, Jun Hikichi, Takuto Yamashina, Takeshi Imoto, Akira Kitamura, Yoko Mikami, Tatsuya Koike, Tomoyuki Ohara, Shuichi Kitamura, Shinji Yamaguchi, Tatsuya Kinjo, Tetsu Inoue, Taro Suzuki, Sho Kaneko, Akihiro Hirasawa, Kingo Tanaka, Kyosuke Kotachi, Takahiro Miwa, Kazuhiro Toya, Yosuke Kayaba, Shoichi Ikehata, Atsushi Minami, Shinya Mizukami, Kazuhiro Oya, Hirohisa Ara, Nobuyuki Fukumoto, Yasushi Komura, Takuya Yoshio, Toshiyuki Morizono, Ryutaro Yamazaki, Kenji Shimodate, Yuichi Yamanouchi, Kohei Kawata, Noboru Kumagai, Masayuki Sato, Yoshinori Umeki, Kiyotaka Kawai, Daisuke Tanuma, Tokuma Kishino, Maiko Konishi, Jun Sumiyoshi, Tetsuya Oka, Shohei Kono, Mitsuhiro Sakamoto, Takeshi Horikawa, Yohei Ohyauchi, Motoki Hashiguchi, Keiichi Waseda, Yohei Kasai, Toyotaka Aoyagi, Hiroyuki Oyamada, Hirokazu Shoji, Masakuni Kiyotoki, Shu Asonuma, Sho Orikasa, Shunsuke Akaishi, Chika Nagami, Yasuaki Nakata, Satoshi Iida, Fumiyo Nomura, Tatsuma Tominaga, Kei Oka, Kohei Morita, Yoshinori Suzuki, Haruhisa Ozeki, Keiji Kuribayashi, Shiko Akazawa, Yoichi Sasaki, Sho Mikami, Tetsuhiko Miki, Goro Sano, Tatsushi Satoh, Hiro Nakamura, Munetaka Iwai, Wataru Tawa, Hideki Wada, Masafumi Yoshimura, Daisuke Hisanaga, Yasuhiro Shimokawa, Toshio Ishikawa, Hideki Endosc Int Open Background and study aims  We developed an e-learning program for endoscopic diagnosis of invasion depth of early gastric cancer (EGC) using a simple diagnostic criterion called non-extension sign, and the contribution of self-study quizzes to improvement of diagnostic accuracy was evaluated. Methods  We conducted a prospective randomized controlled study that recruited endoscopists throughout Japan. After completing a pretest, the participants watched video lectures and undertook post-test 1. The participants were then randomly allocated to either the self-study or non-self-study group, and participants in the first group completed the self-study program that comprised 100-case quizzes. Finally, participants in both groups undertook post-test 2. The primary endpoint was the difference in post-test 2 scores between the groups. The perfect score for the tests was set as 100 points. Results  A total of 423 endoscopists completed the pretest and were enrolled. Post-test 1 was completed by 415 endoscopists and 208 were allocated to the self-study group and 207 to the non-self-study group. Two hundred and four in the self-study group and 205 in the non-self-study group were included in the analysis. Video lectures improved the mean score of post-test 1 from 72 to 77 points. Participants who completed the self-study quizzes showed significantly better post-test 2 scores compared with the non-self-study group (80 vs. 76 points, respectively, P  < 0.0001). Conclusions  Our e-learning program showed that self-study quizzes consolidated knowledge of the non-extension sign and improved diagnostic ability of endoscopists for invasion depth of EGC. © Georg Thieme Verlag KG 2019-07 2019-07-03 /pmc/articles/PMC6611729/ /pubmed/31286056 http://dx.doi.org/10.1055/a-0902-4467 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Kato, Minoru
Uedo, Noriya
Nagahama, Takashi
Yao, Kenshi
Doyama, Hisashi
Tsuji, Shigetsugu
Gotoda, Takuji
Kawamura, Takuji
Ebi, Masahide
Yamamoto, Katsumi
Akasaka, Tomofumi
Takatori, Hajime
Handa, Osamu
Akamatsu, Takuji
Nishikawa, Jun
Hikichi, Takuto
Yamashina, Takeshi
Imoto, Akira
Kitamura, Yoko
Mikami, Tatsuya
Koike, Tomoyuki
Ohara, Shuichi
Kitamura, Shinji
Yamaguchi, Tatsuya
Kinjo, Tetsu
Inoue, Taro
Suzuki, Sho
Kaneko, Akihiro
Hirasawa, Kingo
Tanaka, Kyosuke
Kotachi, Takahiro
Miwa, Kazuhiro
Toya, Yosuke
Kayaba, Shoichi
Ikehata, Atsushi
Minami, Shinya
Mizukami, Kazuhiro
Oya, Hirohisa
Ara, Nobuyuki
Fukumoto, Yasushi
Komura, Takuya
Yoshio, Toshiyuki
Morizono, Ryutaro
Yamazaki, Kenji
Shimodate, Yuichi
Yamanouchi, Kohei
Kawata, Noboru
Kumagai, Masayuki
Sato, Yoshinori
Umeki, Kiyotaka
Kawai, Daisuke
Tanuma, Tokuma
Kishino, Maiko
Konishi, Jun
Sumiyoshi, Tetsuya
Oka, Shohei
Kono, Mitsuhiro
Sakamoto, Takeshi
Horikawa, Yohei
Ohyauchi, Motoki
Hashiguchi, Keiichi
Waseda, Yohei
Kasai, Toyotaka
Aoyagi, Hiroyuki
Oyamada, Hirokazu
Shoji, Masakuni
Kiyotoki, Shu
Asonuma, Sho
Orikasa, Shunsuke
Akaishi, Chika
Nagami, Yasuaki
Nakata, Satoshi
Iida, Fumiyo
Nomura, Tatsuma
Tominaga, Kei
Oka, Kohei
Morita, Yoshinori
Suzuki, Haruhisa
Ozeki, Keiji
Kuribayashi, Shiko
Akazawa, Yoichi
Sasaki, Sho
Mikami, Tetsuhiko
Miki, Goro
Sano, Tatsushi
Satoh, Hiro
Nakamura, Munetaka
Iwai, Wataru
Tawa, Hideki
Wada, Masafumi
Yoshimura, Daisuke
Hisanaga, Yasuhiro
Shimokawa, Toshio
Ishikawa, Hideki
Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title_full Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title_fullStr Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title_full_unstemmed Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title_short Self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
title_sort self-study of the non-extension sign in an e-learning program improves diagnostic accuracy of invasion depth of early gastric cancer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611729/
https://www.ncbi.nlm.nih.gov/pubmed/31286056
http://dx.doi.org/10.1055/a-0902-4467
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AT kuribayashishiko selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT akazawayoichi selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT sasakisho selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT mikamitetsuhiko selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
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AT sanotatsushi selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT satohhiro selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT nakamuramunetaka selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT iwaiwataru selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT tawahideki selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT wadamasafumi selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT yoshimuradaisuke selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT hisanagayasuhiro selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT shimokawatoshio selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer
AT ishikawahideki selfstudyofthenonextensionsigninanelearningprogramimprovesdiagnosticaccuracyofinvasiondepthofearlygastriccancer