EBioMedicine (Jul 2016)
Development of an E-learning System for the Endoscopic Diagnosis of Early Gastric Cancer: An International Multicenter Randomized Controlled Trial
- K. Yao,
- N. Uedo,
- M. Muto,
- H. Ishikawa,
- H.J. Cardona,
- E.C. Castro Filho,
- R. Pittayanon,
- C. Olano,
- F. Yao,
- A. Parra-Blanco,
- S.H. Ho,
- A.G. Avendano,
- A. Piscoya,
- E. Fedorov,
- A.P. Bialek,
- A. Mitrakov,
- L. Caro,
- C. Gonen,
- S. Dolwani,
- A. Farca,
- L.F. Cuaresma,
- J.J. Bonilla,
- W. Kasetsermwiriya,
- K. Ragunath,
- S.E. Kim,
- M. Marini,
- H. Li,
- D.G. Cimmino,
- M.M. Piskorz,
- F. Iacopini,
- J.B. So,
- K. Yamazaki,
- G.H. Kim,
- T.L. Ang,
- D.M. Milhomem-Cardoso,
- C.A. Waldbaum,
- W.A. Piedra Carvajal,
- C.M. Hayward,
- R. Singh,
- R. Banerjee,
- G.K. Anagnostopoulos,
- Y. Takahashi
Affiliations
- K. Yao
- Fukuoka University Chikushi Hospital, Chikushino, Japan
- N. Uedo
- Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
- M. Muto
- Kyoto University, Kyoto, Japan
- H. Ishikawa
- Kyoto Prefectural University of Medicine, Kyoto, Japan
- H.J. Cardona
- Simon Bolivar Hospital, Bogota, Colombia
- E.C. Castro Filho
- Rio de Janeiro State University, Rio de Janeiro, Brazil
- R. Pittayanon
- King Chulalongkorn Memorial Hospital, The Thai Red Cross and Chulalongkorn University, Bangkok, Thailand
- C. Olano
- Universidad de la República, Montevideo, Uruguay
- F. Yao
- Peking Union Medical College Hospital, Beijing, China
- A. Parra-Blanco
- School of Medicine, Pontificia Universidad Catolica De Chile, Santiago, Chile
- S.H. Ho
- University of Malaya, Kuala Lumpur, Malaysia
- A.G. Avendano
- Hospital Rafael Angel Calderon Guardia, CCSS, San Jose, Costa Rica
- A. Piscoya
- Universidad Peruana de Ciencias Aplicadas, Lima, Peru
- E. Fedorov
- Russia National Medical University, Moscow University Hospital, N31, Moscow, Russian Federation
- A.P. Bialek
- Pomeranian Medical University, Szczecin, Poland
- A. Mitrakov
- Nizhniy Novgorod Cancer Hospital, Nizhniy Novgorod, Russian Federation
- L. Caro
- GEDyt Gastroenterologia diagnostica y tratamiento Inst afiliafa a la UBA Buenos Aires, Argentina
- C. Gonen
- Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
- S. Dolwani
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
- A. Farca
- The American British Cowdray Medical Center. Mexico City, Mexico
- L.F. Cuaresma
- Hospital Nacional Adolfo Guevara Velasco, Cusco, Peru
- J.J. Bonilla
- i-gastro/Hospital Central de la Fuerza Aerea del Peru, Lima, Peru
- W. Kasetsermwiriya
- Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
- K. Ragunath
- NIHR Nottingham Digestive Disease Biomedical Research Unit, Queens Medical Centre, Nottingham University Hospital, Nottingham, United Kingdom
- S.E. Kim
- Kosin University College of Medicine, Busan, Republic of Korea
- M. Marini
- Gastroenterology and Operative Endoscopy Unit, Siena University Hospital, Siena, Italy
- H. Li
- Sichuan Provincial People's Hospital, Sichuan, Academy of Medical Sciences, Chengdu, China
- D.G. Cimmino
- Hospital Aleman, Buenos Aires, Argentina
- M.M. Piskorz
- Hospital de Clinicas Jose de San Martin, Buenos Aires, Argentina
- F. Iacopini
- Ospedale S. Giuseppe, ASL Roma 6, Albano L, Rome, Italy
- J.B. So
- National University of Singapore, Singapore, Singapore
- K. Yamazaki
- University of Sao Paulo, Sao Paulo, Brazil
- G.H. Kim
- Pusan National University School of Medicine, Busan, Republic of Korea
- T.L. Ang
- Changi General Hospital, Singapore, Singapore
- D.M. Milhomem-Cardoso
- General Hospital of Goiania, Goiania, Brazil
- C.A. Waldbaum
- Hospital de Clinicas Jose de San Martin, Buenos Aires, Argentina
- W.A. Piedra Carvajal
- Hospital Mexico, San Jose, Costa Rica
- C.M. Hayward
- Derriford Hospital, Plymouth, United Kingdom
- R. Singh
- Lyell McEwin Hospital & University of Adelaide, Adelaide, Australia
- R. Banerjee
- Asian Institute of Gastroenterology, Hyderabad, India
- G.K. Anagnostopoulos
- Mitera General Hospital, Athens, Greece
- Y. Takahashi
- FAST Inc., Tokyo, Japan
- DOI
- https://doi.org/10.1016/j.ebiom.2016.05.016
- Journal volume & issue
-
Vol. 9,
no. C
pp. 140 – 147
Abstract
Background: In many countries, gastric cancer is not diagnosed until an advanced stage. An Internet-based e-learning system to improve the ability of endoscopists to diagnose gastric cancer at an early stage was developed and was evaluated for its effectiveness. Methods: The study was designed as a randomized controlled trial. After receiving a pre-test, participants were randomly allocated to either an e-learning or non-e-learning group. Only those in the e-learning group gained access to the e-learning system. Two months after the pre-test, both groups received a post-test. The primary endpoint was the difference between the two groups regarding the rate of improvement of their test results. Findings: 515 endoscopists from 35 countries were assessed for eligibility, and 332 were enrolled in the study, with 166 allocated to each group. Of these, 151 participants in the e-learning group and 144 in the non-e-learning group were included in the analysis. The mean improvement rate (standard deviation) in the e-learning and non-e-learning groups was 1·24 (0·26) and 1·00 (0·16), respectively (P < 0·001). Interpretation: This global study clearly demonstrated the efficacy of an e-learning system to expand knowledge and provide invaluable experience regarding the endoscopic detection of early gastric cancer (R000012039).
Keywords
- Endoscopic diagnosis
- Gastric cancer
- E-learning
- International multicenter randomized controlled trial
