Yao, K; Uedo, N; Muto, M; Ishikawa, H; Cardona, H J; Filho, E C Castro; Pittayanon, R; Olano, C; Yao, F; Parra-Blanco, A; Ho, S H; Avendano, A G; Piscoya, A; Fedorov, E; Bialek, A P; Mitrakov, A; Caro, L; Gonen, C; Dolwani, S; Farca, A; Cuaresma, L F; Bonilla, J J; Kasetsermwiriya, W; Ragunath, K; Kim, S E; Marini, M; Li, H; Cimmino, D G; Piskorz, M M; Iacopini, F; So, J B; Yamazaki, K; Kim, G H; Ang, T L; Milhomem-Cardoso, D M; Waldbaum, C A; Carvajal, W A Piedra; Hayward, C M; Singh, R; Banerjee, R; Anagnostopoulos, G K; Takahashi, Y
EBioMedicine
2016Jul ; 9 ( 10 ) :140-7.
PMID : 27333048
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Yao, K -
Uedo, N -
Muto, M -
Ishikawa, H -
Cardona, H J -
Filho, E C Castro -
Pittayanon, R -
Olano, C -
Yao, F -
Parra-Blanco, A -
Ho, S H -
Avendano, A G -
Piscoya, A -
Fedorov, E -
Bialek, A P -
Mitrakov, A -
Caro, L -
Gonen, C -
Dolwani, S -
Farca, A -
Cuaresma, L F -
Bonilla, J J -
Kasetsermwiriya, W -
Ragunath, K -
Kim, S E -
Marini, M -
Li, H -
Cimmino, D G -
Piskorz, M M -
Iacopini, F -
So, J B -
Yamazaki, K -
Kim, G H -
Ang, T L -
Milhomem-Cardoso, D M -
Waldbaum, C A -
Carvajal, W A Piedra -
Hayward, C M -
Singh, R -
Banerjee, R -
Anagnostopoulos, G K -
Takahashi, Y -
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). CI - Copyright ??2016 The Authors. Published by Elsevier B.V. All rights reserved.
E-learning; Endoscopic diagnosis; Gastric cancer; International multicenter randomized controlled trial
MESH
Early Detection of Cancer, Gastroenterologists/*education/psychology, Gastroscopy, Humans, Internet, Learning, *Program Development, Program Evaluation, Stomach Neoplasms/*diagnosis
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