Endoscopy 2021; 53(S 01): S89
DOI: 10.1055/s-0041-1724479
Abstracts | ESGE Days
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Improving Diagnostic Accuracy In Endoscopic Classification System: Role Of Advanced Training Course

M Sbrancia
1   Forlì-Cesena Hospitals, Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, AUSL Romagna, Italy
,
G Gibiino
1   Forlì-Cesena Hospitals, Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, AUSL Romagna, Italy
,
L Frazzoni
2   S. Orsola-Malpighi Hospital, Gastroenterology Unit, Department of Medical and Surgical Sciences, Bologna, Italy
,
P Fusaroli
3   Hospital of Imola (BO), University of Bologna, Gastroenterology Unit, Bologna, Italy
,
C Spada
4   Fondazione Poliambulanza, Digestive Endoscopy Unit, Brescia, Brescia, Italy
,
A Calì
3   Hospital of Imola (BO), University of Bologna, Gastroenterology Unit, Bologna, Italy
,
C Binda
1   Forlì-Cesena Hospitals, Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, AUSL Romagna, Italy
,
L Petruzziello
5   Fondazione IRCCS Policlinico A. Gemelli, Digestive Endoscopy Unit, Department of Gastroenterological, Endocrino-metabolic and Nephro-urological Sciences, Roma, Italy
,
G Gizzi
6   MF Toniolo Hospital, Bologna, Italy
,
C Fabbri
1   Forlì-Cesena Hospitals, Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, AUSL Romagna, Italy
,
L Fuccio
2   S. Orsola-Malpighi Hospital, Gastroenterology Unit, Department of Medical and Surgical Sciences, Bologna, Italy
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    Aims Inverse association is reported between ADR (Adenoma Detection Rate) and interval colorectal cancer risk. Insufficient awareness and recognition of non-polypoid lesions contributes especially to the development of right-sided interval carcinomas. Interactive training programs can improve the diagnostic ability of endoscopists in colorectal lesions detection and classification.

    We aimed to assess the improvement of the diagnostic accuracy on current polyp classifications among endoscopists before and after the attendance to an advanced training course.

    Methods A survey was conducted among endoscopists attending a 2-day masterclass in colonoscopy held in Bologna, Italy, in November 2019. An image-based questionnaire containing 11 items on NICE, Paris, Kudo and LST classification, as well as 5 items on serrated lesions detection was administered at the beginning of the course. Moreover, 5 questions on serrated lesions detection and 7 on Paris classification for depressed lesions were assessed before and after the masterclass.

    Results Forty-five endoscopists with 5-year median experience (interquartile range, IQR 2-10) participated to the study. Median age was 40 (IQR 36-44), 81 % worked in endoscopy services performing >1,000 colonoscopies/year. At baseline, endoscopists had suboptimal performance for NICE, Paris, Kudo and LST classification (77 %, 30 %, 56 % and 63 % correct answer rate, respectively). The masterclass markedly improved the detection of serrated lesions and Paris classification for depressed lesions (63 % vs. 78 % and 42 vs. 43 % before and after the masterclass, respectively).

    Conclusions According to our study, the diagnostic accuracy for colorectal lesions classification among endoscopists is still suboptimal. Focused training courses seem beneficial in this respect.

    Citation: Sbrancia M, Gibiino G, Frazzoni L et al. OP215 IMPROVING DIAGNOSTIC ACCURACY IN ENDOSCOPIC CLASSIFICATION SYSTEM: ROLE OF ADVANCED TRAINING COURSE. Endoscopy 2021; 53: S89.


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    Publikationsverlauf

    Artikel online veröffentlicht:
    19. März 2021

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