Study of Photographs of Interest in Training to Obtain Good Reproducibility of the Diagnosis of Perianal Lesions of Crohn's Disease Inspection in Internal Gastroenterology (PhotoCrohn)
The diagnosis of LAP (lesions Ano-perineal) requires the inspection, palpation, anoscopy and possibly additional examinations including endoscopy and imaging; any of these steps of the diagnosis can only be replaced by another.
In the absence of data in the literature on the evaluation of specific LAP Crohn inspection, Clemence Horaist et al established definitions of these lesions inspection with the help of an expert group, then evaluated the diagnostic agreement LAP these definitions in the same group from a selection of photographs. Definitions ulceration, fistula, inflammatory external os, erythema and abscess had an acceptable agreement diagnosis (kappa> 0.70)
The LAP is a predictor of severe Crohn's disease, hepato any gastroenterologist it is appropriate that recognizes and adopts adequate care, this care has been a consensus in 2014. The interns Hepato gastroenterology must learn during their training to know the terminology of LAP Crohn inspection and to recognize so considered acceptable by experts.
研究概览
详细说明
Study Objectives:
In this context, the investigators work is to show that training giving the consensus definitions of Crohn's lesions on inspection and typical images of these lesions is effective to enable students to achieve a level of diagnosis of these lesions acceptable to experts (ideally not significantly different from that of the experts). Assuming alternates, we will identify difficult diagnosis of lesions for students to find the most appropriate teaching method
Inclusion criteria: all Gastroenterology Hepato-house of France (including overseas territories)
Methodology:
non-interventional multicentre prospective study
February 2015 to July 2015
Statistical analysis: Clinical Research Centre of the coordinating center. Quantitative variables are expressed by their mean, standard deviations, their minimum and maximum values as appropriate. The variables will be expressed in numbers and percentages.
Development of the study:
- A broad group of experts (19 proctology and a dermatologist) will be contacted to choose two typical images of LAP (superficial ulceration, deep ulceration ...) from a selection of photos and give their opinions about fistula definition proposal. (Photos used does not identify patients, they have just typical lesions of LAP)
Typical pictures chosen by the experts will be integrated into the training material issued after 1 internal questionnaire. This support will appear on one page and resume the definitions established by experts with or without the typical pictures.
- Internal Gastroenterology France (about 470 domestic total) will be contacted by email, their department heads have been told that work.
Internal will inform their characteristics:
- Internal details: name, email address
- Year boarding.
- boarding area.
- Validation IUD (inter-university degree) 1st / 2nd year of proctology.
- Conducting an internal internship in a proctology service?
- Participation in specific courses on the LAP?
- buddy Training on LAP?
- Sending a first questionnaire to internal Google Drive: description pictures of LAP (12 photos lesion initially selected by experts) using checkboxes. Eg ulceration: YES / NO / DO NOT KNOW (Figure 1). The Google Drive platform enables automatic input results in a Microsoft Excel database.
Draw (using a randomization list EXCEL based on the random function of EXCEL) of 2 groups:
- Group A (training with typical definitions established + photos)
- Group B (only definitions)
- Sending mail to the board of education, different depending on the group, the internal will have as long as they wish
- Sending a second questionnaire with pictures of different LAP those of the first questionnaire. Answers by checkboxes.
- Analysis: a schedule will each questionnaire with a weighting based on the primary / secondary diagnosis. A comparison of pre and post training scores will be performed. And this difference may be calculated between the two groups A and B. In addition, the difficult diagnosis of lesions will be identified.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Ile-de-France
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Paris、Ile-de-France、法国、75014
- Groupe hospitalier Paris saint Joseph
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Internal gastro enterology in France will be contacted by email, their department heads have been warned of this work
Exclusion Criteria:
- Internals who refuses the assessment
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
---|---|
training with typical definitions established + photos
A broad group of experts (19 proctology and a dermatologist) will be contacted to choose two typical images of LAP (superficial ulceration, deep ulceration ...).
12 photos lesion initially selected by experts.
|
A broad group of experts (19 proctology and a dermatologist) will be contacted to choose two typical images of LAP (superficial ulceration, deep ulceration ...).
12 photos lesion initially selected by experts.
|
Training only with definitions
Interns will receive typical definitions of LAP stages
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Assessment of the level (quality) of internal diagnosis of Perianal Lesions of Crohn's Disease Inspection
大体时间:within 1 week after training
|
Assessment the test scores after the training. The test conssite to evaluate whether training giving the consensus definitions of Crohn's lesions on inspection and typical images of these lesions is effective to enable students to achieve a good level of diagnosis of these lesions acceptable for experts (ideally not significantly different from that of the experts). |
within 1 week after training
|
合作者和调查者
调查人员
- 首席研究员:DE PARADES Vincent, MD、Groupe Hospitalier Paris Saint-Joseph (FRANCE)
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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