KMID : 0931320160160010026
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´ëÇÑ»óºÎÀ§Àå°ü.Ç︮ÄÚ¹ÚÅÍÇÐȸÁö 2016 Volume.16 No. 1 p.26 ~ p.30
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Effect of 15 Minutes Brief Education for Medical Personnel in Diagnosing Barrett¡¯s Esophagus
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¼±¤ÀÏ:Seo Kwang-Il
¹Ú¹«ÀÎ:Park Moo-In/¹Ú¼±ÀÚ:Park Seun-Ja/¹®¿ø:Moon Won/±è¼ºÀº:Kim Sung-Eun/ÇÑÀ¯Áø:Han You-Jin
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Abstract
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Background/Aims: The higher prevalence of gastroesophageal reflux disease has preceded the increase of Barrett¡¯s esophagus and esophageal adenocarcinoma in Western countries. An increase of Barrett¡¯s esophagus and esophageal adenocarcinoma can also be predicted due to the increase of gastroesophageal reflux disease in Asia. Therefore, the ability of endoscopists to detect Barrett¡¯s esophagus can be important in the future. The aim of this study was to examine whether a short education program could improve the ability of gastrointestinal endoscopists and nurses to detect Barrett¡¯s esophagus.
Materials and Methods: Endoscopists and nurses of Gastrointestinal Endoscopic Center in Kosin Uinversity Gospel Hospital were enrolled in this study. Endoscopic images of biopsy proven Barrett¡¯s esophagus and normal gastroesophageal junction were obtained with conventional endoscopy. Thirty-seven still images of conventional endoscopy were used for slide test before and after 15 minutes education on Barrett¡¯s esophagus.
Results: Diagnostic ability of the doctor group after education did not changed (pre-education 79.6% vs. post-education 79.3%, P=0.906). Nurse group showed improved diagnostic ability for Barrett¡¯s esophagus after education (pre-education 68.7% vs. post-education 75.5%, P=0.008). After a short education program, inter-observer agreement of endoscopic diagnosis of Barrett¡¯s esophagus was improved in both doctor and nurse groups (doctor inter-observer correlation coefficient [ICC], 0.684¡æ0.879; nurse ICC, 0.524¡æ 0.862).
Conclusions: Even a short education program can improve the diagnostic ability, especially inter-observer agreement of endoscopic diagnosis for Barrett¡¯s esophagus. Further studies are needed to establish a role of education to improve diagnostic ability of Barrett¡¯s esophagus.
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KEYWORD
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Barrett esophagus, Education, Endoscopy, Observer variability
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