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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
© Georg Thieme Verlag KG
2019
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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. |
format | Online Article Text |
id | pubmed-6611729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | © Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
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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