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Competency assessment for gastric endoscopic submucosal dissection using an endoscopic part-task training box

机译:使用内窥镜部分任务训练盒的胃内镜粘膜粘膜粘膜粘膜疗效评估

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BackgroundObjective assessment of endoscopist competency is important. Recently, the endoscopic part-task training box (Thompson Endoscopic Skills Trainer [TEST]) was developed to assess endoscopist competency. We aimed to evaluate the ability of the TEST to assess competency during endoscopic procedures, especially endoscopic submucosal dissection (ESD).MethodsTwenty-three physicians were included in this study. Correlations between TEST scores and the following factors were evaluated: years of endoscopic experience, number of esophagogastroduodenoscopies (EGDs) performed, number of colonoscopies (CSs) performed, cecal intubation rate, number of gastric ESDs performed, gastric ESD procedure time/lesion size (min/mm(2)), and gastric ESD self-completion rate. Also, correlation coefficients between the number of gastric ESDs performed and each of gastric ESD procedure time/lesion size and gastric ESD self-completion rate were calculated.ResultsTEST scores showed strong correlations to different factors: years of experience in endoscopy: 0.957 (p = 90% were >380, while the scores of physicians with a gastric ESD self-completion rate >= 90% were >700.ConclusionsTEST score correlates with both basic and advanced endoscopic procedures. TEST is therefore a promising option for assessing endoscopist competency, and might be useful for providing threshold scores as competency markers for specific endoscopic procedures such as gastric ESD.
机译:背景性的内窥镜竞争力评估很重要。最近,开发了内窥镜部分任务训练盒(汤普森内窥镜技能培训师[测试])以评估内窥镜师能力。我们旨在评估测试在内镜手术期间评估能力,特别是内镜粘膜清除(ESD)。在本研究中包含过内镜粘膜粘膜释放物(ESD)。评估试验评分和以下因素之间的相关性:多年的内窥镜经验,进行食管胃部(EGDs)的数量,进行结肠镜(CSS)的数量,脑膜插管率,胃ESD的数量,胃ESD过程时间/病变尺寸(最小/ mm(2))和胃部eSD自行率。此外,计算胃ESD的数量与胃ESD过程时间/病变尺寸和胃肠E自完全率的各种相关系数。培养得分与不同因素有强相关性:内窥镜检查多年的经验:0.957(P = 90%的> 380,而胃部eSD自完全率> = 90%的医生分数> 700。结论最大的得分与基本和先进的内窥镜手术相关。因此,测试是评估内窥镜竞争力的有希望的选择,以及对于提供阈值分数,可能是作为特定内窥镜手术等胃肠的能力标记的阈值分数。

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