Development of an E-Learning System for the Endoscopic Diagnosis of Early Gastric Cancer: an International Multicenter Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10757/550921
Title:
Development of an E-Learning System for the Endoscopic Diagnosis of Early Gastric Cancer: an International Multicenter Randomized Controlled Trial
Authors:
Yao, Kenshi; Uedo, Noriya; Muto, Manabu; Ishikawa, Hideki; Cardona, Hector J.; Castro Filho, Elio C.; Pittayanon, Rapat; Olano, Carolina; Yao, Fang; Parra Blanco, Adolfo; Shiaw Hooi, Ho; Avendano Alvarado, Gerardo; Piscoya, Alejandro ( 0000-0002-4420-2419 ) ; Fedorov, Evgeny; Bialek, Andrzej P.; Mitrakov, Alexandr; Caro, Luis E.; Gonen, Can; Dolwani, Sunil; Farca, Alberto; Cuaresma, Liz F.; Bonilla, Juan J.; Kasetsermwiriya, Wisit; Ragunath, Krish; Eun Kim, Sung; Marini, Mario; Li, Hanhua; Cimmino, Daniel G.; Piskorz, Maria M.; Lacopini, Federico; So, Jimmy B.; Yamazaki, Kendi; Kim, Gwang H.A; Leong Ang, Tiing; Milhomem Cardoso, Daniela M.
Publisher:
Elsevier B.V.
Journal:
Gastrointestinal Endoscopy
Issue Date:
28-Apr-2015
URI:
http://hdl.handle.net/10757/550921
DOI:
10.1016/j.gie.2015.03.1454
Additional Links:
http://www.sciencedirect.com/science/article/pii/S0016510715016776?np=y
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Description:
Background: Gastric cancer is the second highest cause of cancer deaths worldwide. Apart from Japan and Korea where screening programs are implemented, most gastric cancer patients worldwide are diagnosed at an advanced stage because of limited knowledge and experience of endoscopists. An internet-based e-learning system to teach detection of early gastric cancer using standard endoscopy has been developed and this study evaluated its effectiveness. Methods: The study was designed as a randomized controlled trial. Participants worldwide signed a consent form before first undertaking a pre-test via the internet, after which they were randomly allocated to the e-learning and non-e-learning groups. Pre-adjustment strata were the pre-test score, experience of endoscopy, being a nurse endoscopist or a medical practitioner, and medical institution and country. Only the participants in the e-learning group were allowed to access the e-learning system, which consisted of video lectures on basic knowledge and self-exercise tests to accumulate experience. A post-test in both groups was conducted 2 months after the pre-test. The pre-determined primary endpoint was the difference in the rate of improvement of the test result (post-test score/pre-test score) between groups. After completion of the post-test, the e-learning system was opened for all participants. Results: Among the 515 endoscopists from 35 countries assessed for eligibility, 322 participants who met the study’s inclusion criteria completed the pre-test and were enrolled: 166 were allocated to the e-learning group and 166 to the non-e-learning. Of these, 151 participants in the e-learning group and 144 in the non-e-learning group completed the post-test, and were included in the analysis. The mean rate of improvement (standard deviation) of the test result in the e-learning and non-elearning groups was 1.24 (0.26) and. 1.00 (0.16), respectively (P!0.001, Student’s ttest). Conclusion: This global study clearly demonstrated the efficacy of an e-learning system to improve knowledge and experience on endoscopic detection of early gastric cancer. Its effectiveness will be further evaluated in a study of improvements in the rate of early gastric cancer detection by all participants in actual clinical practice (UMIN: R000012039).; Trabajo presentado en el DDW2015 Digestive Disease Week (DDW 2015), desarrolado del 16 al 19 de Mayo, 2015 en la ciudad de Washington DC, EE.UU
ISSN:
0016-5107

Full metadata record

DC FieldValue Language
dc.contributor.authorYao, Kenshies_PE
dc.contributor.authorUedo, Noriyaes_PE
dc.contributor.authorMuto, Manabues_PE
dc.contributor.authorIshikawa, Hidekies_PE
dc.contributor.authorCardona, Hector J.es_PE
dc.contributor.authorCastro Filho, Elio C.es_PE
dc.contributor.authorPittayanon, Rapates_PE
dc.contributor.authorOlano, Carolinaes_PE
dc.contributor.authorYao, Fanges_PE
dc.contributor.authorParra Blanco, Adolfoes_PE
dc.contributor.authorShiaw Hooi, Hoes_PE
dc.contributor.authorAvendano Alvarado, Gerardoes_PE
dc.contributor.authorPiscoya, Alejandroes_PE
dc.contributor.authorFedorov, Evgenyes_PE
dc.contributor.authorBialek, Andrzej P.es_PE
dc.contributor.authorMitrakov, Alexandres_PE
dc.contributor.authorCaro, Luis E.es_PE
dc.contributor.authorGonen, Canes_PE
dc.contributor.authorDolwani, Suniles_PE
dc.contributor.authorFarca, Albertoes_PE
dc.contributor.authorCuaresma, Liz F.es_PE
dc.contributor.authorBonilla, Juan J.es_PE
dc.contributor.authorKasetsermwiriya, Wisites_PE
dc.contributor.authorRagunath, Krishes_PE
dc.contributor.authorEun Kim, Sunges_PE
dc.contributor.authorMarini, Marioes_PE
dc.contributor.authorLi, Hanhuaes_PE
dc.contributor.authorCimmino, Daniel G.es_PE
dc.contributor.authorPiskorz, Maria M.es_PE
dc.contributor.authorLacopini, Federicoes_PE
dc.contributor.authorSo, Jimmy B.es_PE
dc.contributor.authorYamazaki, Kendies_PE
dc.contributor.authorKim, Gwang H.Aes_PE
dc.contributor.authorLeong Ang, Tiinges_PE
dc.contributor.authorMilhomem Cardoso, Daniela M.es_PE
dc.creatorUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.date.accessioned2015-04-29T16:30:26Zes_PE
dc.date.available2015-04-29T16:30:26Zes_PE
dc.date.issued2015-04-28es_PE
dc.identifier.issn0016-5107es_PE
dc.identifier.doi10.1016/j.gie.2015.03.1454es_PE
dc.identifier.urihttp://hdl.handle.net/10757/550921es_PE
dc.descriptionBackground: Gastric cancer is the second highest cause of cancer deaths worldwide. Apart from Japan and Korea where screening programs are implemented, most gastric cancer patients worldwide are diagnosed at an advanced stage because of limited knowledge and experience of endoscopists. An internet-based e-learning system to teach detection of early gastric cancer using standard endoscopy has been developed and this study evaluated its effectiveness. Methods: The study was designed as a randomized controlled trial. Participants worldwide signed a consent form before first undertaking a pre-test via the internet, after which they were randomly allocated to the e-learning and non-e-learning groups. Pre-adjustment strata were the pre-test score, experience of endoscopy, being a nurse endoscopist or a medical practitioner, and medical institution and country. Only the participants in the e-learning group were allowed to access the e-learning system, which consisted of video lectures on basic knowledge and self-exercise tests to accumulate experience. A post-test in both groups was conducted 2 months after the pre-test. The pre-determined primary endpoint was the difference in the rate of improvement of the test result (post-test score/pre-test score) between groups. After completion of the post-test, the e-learning system was opened for all participants. Results: Among the 515 endoscopists from 35 countries assessed for eligibility, 322 participants who met the study’s inclusion criteria completed the pre-test and were enrolled: 166 were allocated to the e-learning group and 166 to the non-e-learning. Of these, 151 participants in the e-learning group and 144 in the non-e-learning group completed the post-test, and were included in the analysis. The mean rate of improvement (standard deviation) of the test result in the e-learning and non-elearning groups was 1.24 (0.26) and. 1.00 (0.16), respectively (P!0.001, Student’s ttest). Conclusion: This global study clearly demonstrated the efficacy of an e-learning system to improve knowledge and experience on endoscopic detection of early gastric cancer. Its effectiveness will be further evaluated in a study of improvements in the rate of early gastric cancer detection by all participants in actual clinical practice (UMIN: R000012039).es_PE
dc.descriptionTrabajo presentado en el DDW2015 Digestive Disease Week (DDW 2015), desarrolado del 16 al 19 de Mayo, 2015 en la ciudad de Washington DC, EE.UUeng
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherElsevier B.V.es_PE
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0016510715016776?np=yes_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.titleDevelopment of an E-Learning System for the Endoscopic Diagnosis of Early Gastric Cancer: an International Multicenter Randomized Controlled Triales_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.journalGastrointestinal Endoscopyes_PE
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