BACKGROUND: Data about strategies for improving the diagnostic ability of capsule endoscopy readers are lacking. AIM: (1) To evaluate the detection rate and the interobserver agreement among readers with different experience; (2) to verify the impact of a specific training (hands-on training plus expert tutorial) on these parameters. METHODS: 17 readers reviewed 12 videos twice; between the two readings they underwent the training. The identified small bowel findings were described by a simplified version of Structured Terminology and classifies as clinically significant/non-significant. Findings identified by the readers were compared with those identified by three experts (Reference Standard). RESULTS: The Reference Standard identified 26 clinically significant findings. The mean detection rate of overall readers for significant findings was low (about 50%) and did not change after the training (46.2% and 46.4%, respectively). There was no difference in the detection rate among readers with different experience. The interobserver agreement with the Reference Standard in describing significant findings was moderate (k = 0.44; CI95%: 0.39-0.50) and did not change after the training (k = 0.44; CI95%: 0.38-0.49) or stratifying readers according to their experience. CONCLUSIONS: Both the interobserver agreement and the detection rate of significant findings are low, regardless of the readers' experience. Our training did not significantly increase the performance of readers with different experience.
BACKGROUND: Data about strategies for improving the diagnostic ability of capsule endoscopy readers are lacking. AIM: (1) To evaluate the detection rate and the interobserver agreement among readers with different experience; (2) to verify the impact of a specific training (hands-on training plus expert tutorial) on these parameters. METHODS: 17 readers reviewed 12 videos twice; between the two readings they underwent the training. The identified small bowel findings were described by a simplified version of Structured Terminology and classifies as clinically significant/non-significant. Findings identified by the readers were compared with those identified by three experts (Reference Standard). RESULTS: The Reference Standard identified 26 clinically significant findings. The mean detection rate of overall readers for significant findings was low (about 50%) and did not change after the training (46.2% and 46.4%, respectively). There was no difference in the detection rate among readers with different experience. The interobserver agreement with the Reference Standard in describing significant findings was moderate (k = 0.44; CI95%: 0.39-0.50) and did not change after the training (k = 0.44; CI95%: 0.38-0.49) or stratifying readers according to their experience. CONCLUSIONS: Both the interobserver agreement and the detection rate of significant findings are low, regardless of the readers' experience. Our training did not significantly increase the performance of readers with different experience.
Authors: Romain Leenhardt; Anthony Buisson; Arnaud Bourreille; Philippe Marteau; Anastasios Koulaouzidis; Cynthia Li; Martin Keuchel; Emmanuele Rondonotti; Ervin Toth; John N Plevris; Rami Eliakim; Bruno Rosa; Konstantinos Triantafyllou; Luca Elli; Gabriele Wurm Johansson; Simon Panter; Pierre Ellul; Enrique Pérez-Cuadrado Robles; Deirdre McNamara; Hanneke Beaumont; Cristiano Spada; Flaminia Cavallaro; Franck Cholet; Ignacio Fernandez-Urien Sainz; Uri Kopylov; Mark E McAlindon; Artur Németh; Gian Eugenio Tontini; Diana E Yung; Yaron Niv; Gabriel Rahmi; Jean-Christophe Saurin; Xavier Dray Journal: United European Gastroenterol J Date: 2019-12-23 Impact factor: 4.623
Authors: Diana E Yung; Ignacio Fernandez-Urien; Sarah Douglas; John N Plevris; Reena Sidhu; Mark E McAlindon; Simon Panter; Anastasios Koulaouzidis Journal: United European Gastroenterol J Date: 2017-01-11 Impact factor: 4.623
Authors: Foong Way D Tai; Pierre Ellul; Alfonso Elosua; Ignacio Fernandez-Urien; Gian E Tontini; Luca Elli; Rami Eliakim; Uri Kopylov; Sara Koo; Clare Parker; Simon Panter; Reena Sidhu; Mark McAlindon Journal: United European Gastroenterol J Date: 2021-03-19 Impact factor: 4.623
Authors: J G Albert; O Humbla; M E McAlindon; C Davison; U Seitz; C Fraser; F Hagenmüller; E Noetzel; C Spada; M E Riccioni; J Barnert; N Filmann; M Keuchel Journal: Medicine (Baltimore) Date: 2015-10 Impact factor: 1.817