Online training on how to diagnose anoperineal lesions of Crohn's disease: Do pictures matter? A nationwide randomized study.
Clin Res Hepatol Gastroenterol
; 43(4): 483-496, 2019 08.
Article
in En
| MEDLINE
| ID: mdl-30935906
ABSTRACT
Any gastroenterologist must be trained to properly diagnose anoperineal lesions in patients with Crohn's disease (APLOC). The aim of this study was to establish whether adding pictures would improve teaching effectiveness of the diagnosis of APLOC to French gastroenterology trainees. METHOD:
Trainees were asked to answer a first web-based survey consisting of evaluating 12 pictures of APLOC with a closed answer questionnaire. They were then randomized in 2 groups. Group A received an online teaching with typical pictures and APLOC definitions and group B definitions only. Trainees were asked again seven days later to answer a second survey with 12 other pictures of APLOC and 14 experts also answered this survey. Diagnostic scores were expressed in %. The primary endpoint was the comparison of the score of survey 2 between the two groups of trainees. Secondary endpoints were to compare results of survey 2 between trainees of both groups and experts, and assess diagnosis of each lesion.RESULTS:
Two hundred fourty eight trainees among 465 answered survey 1, and 195 survey 2. The diagnostic score was 71.9% for groups A and B and 74.6% for experts (differences NS). After training diagnosis of ulceration was 72% for group A and 72.9% for group B, fistulae 85.2% versus 85.8%, erythema 44.1% vs. 55.6%, anoperineal scars 67.5% vs. 65.6%, and abscess 100% (differences NS).CONCLUSION:
There was no difference between the two teaching methods. Further research should be performed aiming at improving teaching material and quotation baremes.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anus Diseases
/
Photography
/
Crohn Disease
/
Education, Distance
/
Educational Measurement
/
Gastroenterology
Type of study:
Clinical_trials
/
Diagnostic_studies
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Clin Res Hepatol Gastroenterol
Year:
2019
Document type:
Article
Affiliation country:
France