A simplified table using validated diagnostic criteria is effective to improve characterization of colorectal polyps: the CONECCT teaching program - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Endoscopy International Open Année : 2019

A simplified table using validated diagnostic criteria is effective to improve characterization of colorectal polyps: the CONECCT teaching program

Martin Fabritius
  • Fonction : Auteur
Jean-Michel Gonzalez
  • Fonction : Auteur
Aymeric Becq
  • Fonction : Auteur
Xavier Dray
  • Fonction : Auteur
Emmanuel Coron
  • Fonction : Auteur
Lucie Brenet-Defour
  • Fonction : Auteur
Julien Branche
  • Fonction : Auteur
Romain Gerard
  • Fonction : Auteur
Côme Lepage
  • Fonction : Auteur
Laurent Poincloux
  • Fonction : Auteur
Isabelle Lienhart
  • Fonction : Auteur
Paul Bonniaud
  • Fonction : Auteur
Mohamed Tayeb Bounnah
  • Fonction : Auteur
Jérôme Rivory
  • Fonction : Auteur
Vincent Lépilliez
  • Fonction : Auteur
Jean-Christophe Saurin
  • Fonction : Auteur
Thierry Ponchon
  • Fonction : Auteur
Jérémie Jacques
  • Fonction : Auteur
Mathieu Pioche
  • Fonction : Auteur
  • PersonId : 778056
  • IdRef : 161569447

Résumé

Introduction and study aims Accurate real-time endoscopic characterization of colorectal polyps is key to choosing the most appropriate treatment. Mastering the currently available classifications is challenging. We used validated criteria for these classifications to create a single table, named CONECCT, and evaluated the impact of a teaching program based on this tool. Methods A prospective multicenter study involving GI fellows and attending physicians was conducted. During the first session, each trainee completed a pretest consisting in histological prediction and choice of treatment of 20 colorectal polyps still frames. This was followed by a 30-minute course on the CONECCT table, before taking a post-test using the same still frames reshuffled. During a second session at 3 – 6 months, a last test (T3 M) was performed, including these same still frames and 20 new ones. Results A total 419 participants followed the teaching program between April 2017 and April 2018. The mean proportion of correctly predicted/treated lesions improved significantly from pretest to post-test and to T3 M, from 51.0 % to 74.0 % and to 66.6 % respectively (P < 0.001). Between pretest and post-test, 343 (86.6 %) trainees improved, and 153 (75.4 %) at T3 M. Significant improvement occurred for each subtype of polyp for fellows and attending physicians. Between the two sessions, trainees continued to progress in the histology prediction and treatment choice of polyps CONECCT IIA. Over-treatment decreased significantly from 30.1 % to 15.5 % at post-test and to 18.5 % at T3 M (P < 0.001). Conclusion The CONECCT teaching program is effective to improve the histology prediction and the treatment choice by gastroenterologists, for each subtype of colorectal polyp.
Fichier principal
Vignette du fichier
a-0962-9737.pdf (1.12 Mo) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-03195505 , version 1 (17-04-2021)

Identifiants

Citer

Martin Fabritius, Jean-Michel Gonzalez, Aymeric Becq, Xavier Dray, Emmanuel Coron, et al.. A simplified table using validated diagnostic criteria is effective to improve characterization of colorectal polyps: the CONECCT teaching program. Endoscopy International Open, 2019, 07 (10), pp.E1197-E1206. ⟨10.1055/a-0962-9737⟩. ⟨hal-03195505⟩
54 Consultations
59 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More