A142 INTER-OBSERVER AGREEMENT AND THE ROLE OF EDUCATIONAL TRAINING ON THE ENDOSCOPIC SCORING OF CROHN’S DISEASE
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Notice bibliographique
Résumé
As the management of inflammatory bowel disease (IBD) focuses on the importance of mucosal healing, endoscopic scoring systems such as the Simple Endoscopic Score for Crohn’s Disease (SES-CD) are becoming important tools in the objective measurement of inflammation. Concern regarding inter-observer variability and feasibility has limited use of the SES-CD in the clinical setting. The study goal is to determine whether an educational program teaching endscopic scoring will improve performance and inter-observer agreement among trainees. Gastroenterology residents were provided with videos of seven ileocolonoscopies representative of a range of ileal and colonic Crohn’s disease severity. Participants individually scored the videos using the SES-CD. The residents then participated in a 1-hour educational session involving a didactic lecture with examples using the SES-CD led by a faculty member with expertise in IBD. Participants then re-scored the same videos. Five videos chosen randomly were also scored by IBD experts. Inter-observer agreement among gastroenterology trainees and expert scorers was calculated using the intra-class correlation coefficient (ICC) obtained from the total SES-CD scores. Six gastroenterology residents completed the pre-training SES-CD scoring, attended the training session, and completed the post-training re-scoring. Three IBD expert scorers completed the scoring. The table below shows the inter-observer agreement among the different groups for the pre- and post-training scenarios. There was no change in inter-observer agreement among trainees or all scorers after the educational session. Among gastroenterology trainees and between trainees and expert scorers, there was good inter-observer agreement for SES-CD scores. There was very good inter-observer agreement among expert scorers. A 1-hour training session on endoscopic scoring did not improve inter-observer agreement. This study supports routine use of the SES-CD in the clinical setting to improve reporting consistency and aid in clinical evaluation however, a more intensive educational program to improve endoscopic scoring accuracy among trainees should be developed. Intra-class correlation coefficients and inter-observer agreement among gastroenterology trainees and IBD experts using the SES-CD ICC: intra-class correlation coefficients University of Toronto Gastroenterology Training Program
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle