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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 5/2010

01-05-2010 | Original Article

An endoscopic training model to improve accuracy of colonic polyp size measurement

Authors: Chi-Yang Chang, Han-Mo Chiu, Hsiu-Po Wang, Ching-Tai Lee, John Jen Tai, Chia-Hung Tu, Chi-Ming Tai, Tsung-Hsien Chiang, Jason Kunming Huang, Dun-Cheng Chang, Jaw-Town Lin

Published in: International Journal of Colorectal Disease | Issue 5/2010

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Abstract

Purpose

Most studies of colonic polyps rely on visual estimation when regarding polyp size; however, the reliability of a visual estimate is questionable. Our study aims to develop a training model to improve the accuracy of size estimation of colonic polyps in vivo.

Methods

Colon polyps were recorded on 160 video clips during colonoscopy. The size of each polyp was estimated by visual inspection and subsequently measured with a flexible linear measuring probe. The study included a pretest, an intervention, and a posttest. The pretest included 160 video clips, which comprised the visual-estimation portion of the study. The intervention was an educational model consisting of 30 video clips which included a visual-estimation section and a linear-measuring-probe section, designed to help the endoscopists to compare their visual estimate of size with the measured size of the polyps. The posttest included the 160 video clips used in the pretest, presented in random order. Intraobserver agreement and diagnostic accuracy were compared before and after the training session.

Results

Eight beginners and four experienced colonoscopists were enrolled. The overall kappa (κ) values of intraobserver agreement for pretest and posttest were 0.74 and 0.85 for beginner group as well as 0.83 and 0.88 for experienced group, respectively. The overall diagnostic accuracy improved from 0.52 to 0.78 for beginner group and 0.71 to 0.87 for experienced group (P < 0.05) after education with the training model.

Conclusions

This training model could help endoscopists improve the accuracy of measurement of polyps on colonoscopy in a short period. The durability of learning effect needs further investigation.
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Metadata
Title
An endoscopic training model to improve accuracy of colonic polyp size measurement
Authors
Chi-Yang Chang
Han-Mo Chiu
Hsiu-Po Wang
Ching-Tai Lee
John Jen Tai
Chia-Hung Tu
Chi-Ming Tai
Tsung-Hsien Chiang
Jason Kunming Huang
Dun-Cheng Chang
Jaw-Town Lin
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 5/2010
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-010-0878-9

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