Abstract
Su1557 Development of an E-Learning System for the Endoscopic Diagnosis of Early Gastric Cancer: an International Multicenter Randomized Controlled Trial
Gastrointestinal endoscopy, Vol.81(5 Supplement), pp.AB327-AB327
05/01/2015
DOI: 10.1016/j.gie.2015.03.1454
Abstract
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-e-learning groups was 1.24 (0.26) and. 1.00 (0.16), respectively (P<0.001, Student's t-test).
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).
Details
- Title: Subtitle
- Su1557 Development of an E-Learning System for the Endoscopic Diagnosis of Early Gastric Cancer: an International Multicenter Randomized Controlled Trial
- Creators
- Kenshi Yao - Fukuoka UniversityNoriya Uedo - Osaka International Cancer InstituteManabu Muto - Kyoto UniversityHideki Ishikawa - Kyoto Prefectural University of MedicineHector J. Cardona - Universidad Simón BolívarElio C. Castro Filho - Rio de Janeiro State University, Rio de Janeiro, BrazilRapat Pittayanon - King Chulalongkorn Memorial HospitalCarolina Olano - Universidad de la República de UruguayFang Yao - Chinese Academy of Medical Sciences & Peking Union Medical CollegeAdolfo Parra-Blanco - Pontificia Universidad Católica de ChileShiaw-Hooi Ho - University of MalayaGerardo Avendano Alvarado - Hospital Dr. R. A. Calderon Guardia. CCSS, San Jose, Costa RicaAlejandro Piscoya - Peruvian University of Applied SciencesEvgeny Fedorov - Russia National Medical University, Moscow University Hospital N31, Moscow, Russian FederationAndrzej P. Bialek - Pomeranian Medical UniversityAlexandr Mitrakov - Nizhny Novgorod Research Institute of Traumatology and OrthopedicsLuis E. Caro - Gastroenterología Diagnóstica TerapeúticaCan Gonen - Haydarpaşa Numune Eğitim ve Araştırma HastanesiSunil Dolwani - Cardiff UniversityAlberto Farca - Centro Médico ABCLiz F. Cuaresma - Universidad Andina del CuscoJuan J. Bonilla - i-gastro/Hospital de Fuerza Aerea del Peru, Lima, PeruWisit Kasetsermwiriya - Navamindradhiraj UniversityKrish Ragunath - Nottingham University Hospital, Nottingham, United KingdomSung Eun Kim - Kosin UniversityMario Marini - University of SienaHanhua Li - Sichuan Academy of Medical Sciences & Sichuan Provincial People's HospitalDaniel G. Cimmino - Hospital AlemánMaria M. Piskorz - Hospital de Clínicas "José de San Martín"Federico Iacopini - Ospedale San GiuseppeJimmy B. So - National University of SingaporeKendi Yamazaki - Universidade de São PauloGwang H.A. Kim - Pusan National UniversityTiing Leong Ang - Changi General HospitalDaniela M. Milhomem-Cardoso - General Hospital or Goiania, Goiania, Brazil
- Resource Type
- Abstract
- Publication Details
- Gastrointestinal endoscopy, Vol.81(5 Supplement), pp.AB327-AB327
- DOI
- 10.1016/j.gie.2015.03.1454
- ISSN
- 0016-5107
- eISSN
- 1097-6779
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 05/01/2015
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985223628702771
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