| Validation of the Prague C & M criteria for the endoscopic grading of Barrett's esophagus by gastroenterology trainees: a multicenter study. | |
| | |
MedLine Citation:
|
PMID: 22248595 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: The Prague C & M criteria, developed for the endoscopic grading of Barrett's esophagus (BE), (C = circumferential length, M = maximal length) were previously validated among a panel of 29 expert endoscopists with a special interest in BE. Its performance among gastroenterology trainees is unknown. OBJECTIVE: To test interobserver agreement among gastroenterology trainees for the Prague C & M criteria, identification of the gastroesophageal junction (GEJ) and the diaphragmatic hiatus. DESIGN: A prospective study. SETTING: Two tertiary referral centers. PATIENTS AND INTERVENTIONS: Standardized endoscopic videos were used. MAIN OUTCOME MEASUREMENTS: Interobserver agreement. RESULTS: Eighteen high-quality videos (normal esophagus, short and long lengths of BE, equally distributed) were independently evaluated by 18 gastroenterology trainees (year 1, n = 5; year 2, n = 6; year 3, n = 7) after administration of a formal teaching module by an expert endoscopist. Overall intraclass correlation coefficients for assessment of the C and M extent of the endoscopic BE segment above the GEJ were 0.94 (95% CI, 0.89-0.98) and 0.96 (95% CI, 0.94-0.98), respectively. The overall intraclass correlation coefficients for GEJ and diaphragmatic hiatus location recognition were 0.92 (0.86-0.96) and 0.90 (0.82-0.95), respectively. The year of training did not affect interobserver agreement. LIMITATIONS: The use of videos for endoscopic evaluation. CONCLUSION: After standardized teaching, the Prague C & M criteria have high overall validity among gastroenterology trainees irrespective of the level of training for endoscopic evaluation of visualized BE lengths as well as key endoscopic landmarks. |
| | |
Authors:
|
Babac Vahabzadeh; Anil B Seetharam; Michael B Cook; Sachin Wani; Amit Rastogi; Ajay Bansal; Dayna S Early; Prateek Sharma |
Related Documents
:
|
18192625 - Symptoms of adhd and academic concerns in college students with and without adhd diagno... 1890965 - An assessment of academic performance and personality. 17178535 - Students with mild disabilities in regular classrooms: the development and utility of t... 18940075 - Self-regulated profiles and academic achievement. 10412625 - The effect of training in a strengths model of case management on client outcomes in a ... 17282115 - Investigation on biomedical engineering education of the universities in us and uk. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Gastrointestinal endoscopy Volume: 75 ISSN: 1097-6779 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-01-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
|
Languages: eng Pagination: 236-41 Citation Subset: IM |
Copyright Information:
|
Copyright © 2012 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Veterans Affairs Medical Center, Kansas City, Missouri, USA; University of Kansas Medical Center, Kansas City, Kansas, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Enhancement of the enantioselectivity of carboxylesterase A by structure-based mutagenesis.
Next Document: Endoscopic intrapyloric injection of botulinum toxin A in the treatment of children with gastropares...