Original ResearchFull Report: Clinical—Alimentary TractAn Interactive Web-Based Educational Tool Improves Detection and Delineation of Barrett’s Esophagus–Related Neoplasia
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Section snippets
Setting and Design
For the BORN project, a subgroup of the IWGCO was formed consisting of the authors of this paper. Members of this subgroup convened several times a year between 2005 and 2015. The first step was the development of an endoscopic pullback imaging protocol tailored to the needs of this project during several meetings.
Endoscopic Videorecordings
High-quality videos containing BORN and non-dysplastic BE (NDBE) were then prospectively collected with the standardized endoscopic pullback procedure, which was illustrated by an
Assessment of the Phase 1 Draft Training Module
A total of 68 assessors from The Netherlands (n = 46), United Kingdom (n = 8), Germany (n = 10), and United States (n = 4) completed the draft training module in full. They were classed in 3 categories of endoscopic experience: trainees (fellows in training), junior general gastroenterologists (board certified ≤2 years of practice), and senior general gastroenterologists (≥5 years in practice) (Table 1).
Discussion
This paper first describes the demanding processes involved in the development of an educational module for the endoscopic diagnosis of early BORN. The module was designed for automated online delivery of high-definition videos, their scoring, and provision of feedback on the endoscopic judgments made by training participants. Second, we report on validation studies that led to refinement of the phase 1 draft training program to the final phase 2 condensed educational module. This module has
Acknowledgments
Author contribution: Study design: J. J. Bergman, O. Pech, K. Ragunath, D. Armstrong, L. Lundell, J. Dent, M. Vieth, G. N. Tytgat, P. Sharma. Patient recruitment and video collection: J. J. Bergman, O. Pech, P. Sharma. Video review: J. J. Bergman, O. Pech, K. Ragunath, G. Tytgat, P. Sharma. Video delineation: J. J. Bergman, O. Pech, K. Ragunath, P. Sharma. Data analysis and interpretation: J. J. Bergman, A.J. de Groof, N. Mostafavi. Writing of manuscript: J. J. Bergman, A.J. de Groof, N.
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Cited by (0)
Conflicts of interest This study was supported by unrestricted grants from AstraZeneca and Medtronic, and by an educational activity grant from the United European Gastroenterology, which had no involvement in the design, recruitment, data collection, analysis or interpretation or writing of the manuscript.
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Authors share first authorship.