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Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()

INTRODUCTION: The endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology. Relatively large amount of researches have proved high accuracy of narrow band imaging endoscopy in differentiating benign and malignant lesions within voc...

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Autores principales: Żurek, Michał, Rzepakowska, Anna, Osuch-Wójcikiewicz, Ewa, Niemczyk, Kazimierz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443050/
https://www.ncbi.nlm.nih.gov/pubmed/30126768
http://dx.doi.org/10.1016/j.bjorl.2018.07.003
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author Żurek, Michał
Rzepakowska, Anna
Osuch-Wójcikiewicz, Ewa
Niemczyk, Kazimierz
author_facet Żurek, Michał
Rzepakowska, Anna
Osuch-Wójcikiewicz, Ewa
Niemczyk, Kazimierz
author_sort Żurek, Michał
collection PubMed
description INTRODUCTION: The endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology. Relatively large amount of researches have proved high accuracy of narrow band imaging endoscopy in differentiating benign and malignant lesions within vocal folds. However, little is known about learning curve in narrow band imaging evaluation of laryngeal lesions. OBJECTIVE: The aim of this study was to determine the learning curve for the narrow band imaging evaluation of vocal folds pathologies depending on the duration of the procedure. METHODS: Records of 134 narrow band imaging that were analyzed in terms of the duration of the procedure and the accuracy of diagnosis confirmed by histopathological diagnosis were enrolled in the study. The narrow band imaging examinations were performed sequentially by one investigator over a period of 18 months. RESULTS: The average duration of narrow band imaging recordings was 127.82 s. All 134 studies were divided into subsequent series of several elements. An evident decrease in time of investigation was noticed between 13th and 14th series, when the examinations were divided into 5 elements series, which corresponds to the difference between 65th and 70th subsequent narrow band imaging examination. Parallel groups of 67 examinations were created. Group 1 included 1st to 67th subsequent narrow band imaging examination; Group 2 – 68th to 134th narrow band imaging examinations. The non-parametric U Mann–Whitney test confirmed statistically significant difference between the mean duration of narrow band imaging examination in both groups 160.5 s and 95.1 s, respectively (p < 10(−7)). Sensitivity and specificity of narrow band imaging examination in the first group were respectively: 83.7% and 76.7%. In the second group, these indicators amounted 98.1% and 80% respectively. CONCLUSIONS: A minimum of 65th–70th narrow band imaging examinations are required to reach a plateau phase of the learning process in assessment of glottis lesions. Analysis of learning curves is useful for the development of training programs and determination of a mastery level.
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spelling pubmed-94430502022-09-09 Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging() Żurek, Michał Rzepakowska, Anna Osuch-Wójcikiewicz, Ewa Niemczyk, Kazimierz Braz J Otorhinolaryngol Original Article INTRODUCTION: The endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology. Relatively large amount of researches have proved high accuracy of narrow band imaging endoscopy in differentiating benign and malignant lesions within vocal folds. However, little is known about learning curve in narrow band imaging evaluation of laryngeal lesions. OBJECTIVE: The aim of this study was to determine the learning curve for the narrow band imaging evaluation of vocal folds pathologies depending on the duration of the procedure. METHODS: Records of 134 narrow band imaging that were analyzed in terms of the duration of the procedure and the accuracy of diagnosis confirmed by histopathological diagnosis were enrolled in the study. The narrow band imaging examinations were performed sequentially by one investigator over a period of 18 months. RESULTS: The average duration of narrow band imaging recordings was 127.82 s. All 134 studies were divided into subsequent series of several elements. An evident decrease in time of investigation was noticed between 13th and 14th series, when the examinations were divided into 5 elements series, which corresponds to the difference between 65th and 70th subsequent narrow band imaging examination. Parallel groups of 67 examinations were created. Group 1 included 1st to 67th subsequent narrow band imaging examination; Group 2 – 68th to 134th narrow band imaging examinations. The non-parametric U Mann–Whitney test confirmed statistically significant difference between the mean duration of narrow band imaging examination in both groups 160.5 s and 95.1 s, respectively (p < 10(−7)). Sensitivity and specificity of narrow band imaging examination in the first group were respectively: 83.7% and 76.7%. In the second group, these indicators amounted 98.1% and 80% respectively. CONCLUSIONS: A minimum of 65th–70th narrow band imaging examinations are required to reach a plateau phase of the learning process in assessment of glottis lesions. Analysis of learning curves is useful for the development of training programs and determination of a mastery level. Elsevier 2018-08-04 /pmc/articles/PMC9443050/ /pubmed/30126768 http://dx.doi.org/10.1016/j.bjorl.2018.07.003 Text en © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Żurek, Michał
Rzepakowska, Anna
Osuch-Wójcikiewicz, Ewa
Niemczyk, Kazimierz
Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title_full Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title_fullStr Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title_full_unstemmed Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title_short Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
title_sort learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443050/
https://www.ncbi.nlm.nih.gov/pubmed/30126768
http://dx.doi.org/10.1016/j.bjorl.2018.07.003
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