Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios
Background and study aims The adherence to and knowledge of physicians about colorectal cancer (CRC) screening and surveillance guidelines is still suboptimal, threatening the effectiveness of CRC screening. This study assessed the usefulness of a mobile decision support system (MDSS) to improve phy...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2021-11-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1544-4773 |
| _version_ | 1831675822993309696 |
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| author | Lisandro Pereyra Leandro Steinberg Juan M. Criniti Pablo Luna Rafael Escobar Maximiliano Bun Martín Yantorno Sebastian Esteves Nicolas Gonzalez Pablo Hoffman Mariano Marcolongo Gastón Jury Javier Topor Félix Trelles Cristina Nazar Vitor N. Arantes |
| author_facet | Lisandro Pereyra Leandro Steinberg Juan M. Criniti Pablo Luna Rafael Escobar Maximiliano Bun Martín Yantorno Sebastian Esteves Nicolas Gonzalez Pablo Hoffman Mariano Marcolongo Gastón Jury Javier Topor Félix Trelles Cristina Nazar Vitor N. Arantes |
| author_sort | Lisandro Pereyra |
| collection | DOAJ |
| description | Background and study aims The adherence to and knowledge of physicians about colorectal cancer (CRC) screening and surveillance guidelines is still suboptimal, threatening the effectiveness of CRC screening. This study assessed the usefulness of a mobile decision support system (MDSS) to improve physician ability to recommend proper timing of and intervals for CRC screening and surveillance.
Patients and methods This was a binational, single-blinded, randomized clinical trial including gastroenterologists and colorectal surgeons from Argentina and Uruguay. The specialists were invited to respond to a questionnaire with 10 CRC screening and surveillance clinical scenarios, randomized into two groups, with and without access to a dedicated app (CaPtyVa). The main outcome measure was the proportion of physicians correctly solving at least 60 % of the clinical cases according to local guidelines.
Results A total of 213 physicians were included. The proportion of physicians responding correctly at least 60 % of the vignettes was higher in the app group as compared to the control group (90 % versus 56 %) (relative risk [RR] 1.6 95 % confidence interval [CI] 1.34–1.91). The performance was also higher in the app group for both vignette categories: CRC screening (93 % vs 75 % RR 1.24, 95 %CI 1.01–1.40) and surveillance (85 % vs 47 % RR 1.81 95 %CI 1.46–2.22), respectively. Physicians considered the app easy to use and of great utility in daily practice.
Conclusions A MDSS was shown to be a useful tool that improved specialist performance in solving CRC screening and surveillance clinical scenarios. Its implementation in daily practice may facilitate the adherence of physicians to CRC screening and surveillance guidelines. |
| first_indexed | 2024-12-20T04:11:02Z |
| format | Article |
| id | doaj.art-0409a70116d8444b82aa31a382fbdc7c |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-20T04:11:02Z |
| publishDate | 2021-11-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-0409a70116d8444b82aa31a382fbdc7c2022-12-21T19:53:55ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362021-11-010911E1640E164810.1055/a-1544-4773Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenariosLisandro Pereyra0Leandro Steinberg1Juan M. Criniti2Pablo Luna3Rafael Escobar4Maximiliano Bun5Martín Yantorno6Sebastian Esteves7Nicolas Gonzalez8Pablo Hoffman9Mariano Marcolongo10Gastón Jury11Javier Topor12Félix Trelles13Cristina Nazar14Vitor N. Arantes15Endoscopy Unit, Hospital Alemán, Buenos Aires, Argentina Gastroenterology Department, Fundación Favaloro, Buenos Aires, ArgentinaInternal Medicine Department, Hospital Alemán, Buenos Aires, ArgentinaEndoscopy Unit, Hospital Alemán, Buenos Aires, Argentina Gastroenterology Department, Sanatorio Mendez, Buenos Aires, ArgentinaEndoscopy Unit, Hospital Alemán, Buenos Aires, Argentina Gastroenterology Department, General San Martín, La Plata, ArgentinaGastroenterology and Endoscopy Department, Clínica Cmic, Neuquén, ArgentinaGastroenterology Department, Hospital Británico Montevideo, UruguayGastroenterology Unit, Gedyt, Buenos Aires, ArgentinaGastroenterology and Endoscopy Department, Hospital Italiano, Buenos Aires ArgentinaGastroenterology Unit, Centro de Estudios Digestivos, Mar Del Plata, ArgentinaGastroenterology Department, Sanatorio Mater Dei, Buenos Aires, ArgentinaGastroenterology Department, Hospital Durand, Buenos Aires, ArgentinaGastroenterology Department, Hospital Bonorino Udaondo, Buenos Aires, ArgentinaEndoscopy Unit, Clinics Hospital, Federal University of Minas Gerais, BrasilBackground and study aims The adherence to and knowledge of physicians about colorectal cancer (CRC) screening and surveillance guidelines is still suboptimal, threatening the effectiveness of CRC screening. This study assessed the usefulness of a mobile decision support system (MDSS) to improve physician ability to recommend proper timing of and intervals for CRC screening and surveillance. Patients and methods This was a binational, single-blinded, randomized clinical trial including gastroenterologists and colorectal surgeons from Argentina and Uruguay. The specialists were invited to respond to a questionnaire with 10 CRC screening and surveillance clinical scenarios, randomized into two groups, with and without access to a dedicated app (CaPtyVa). The main outcome measure was the proportion of physicians correctly solving at least 60 % of the clinical cases according to local guidelines. Results A total of 213 physicians were included. The proportion of physicians responding correctly at least 60 % of the vignettes was higher in the app group as compared to the control group (90 % versus 56 %) (relative risk [RR] 1.6 95 % confidence interval [CI] 1.34–1.91). The performance was also higher in the app group for both vignette categories: CRC screening (93 % vs 75 % RR 1.24, 95 %CI 1.01–1.40) and surveillance (85 % vs 47 % RR 1.81 95 %CI 1.46–2.22), respectively. Physicians considered the app easy to use and of great utility in daily practice. Conclusions A MDSS was shown to be a useful tool that improved specialist performance in solving CRC screening and surveillance clinical scenarios. Its implementation in daily practice may facilitate the adherence of physicians to CRC screening and surveillance guidelines.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1544-4773 |
| spellingShingle | Lisandro Pereyra Leandro Steinberg Juan M. Criniti Pablo Luna Rafael Escobar Maximiliano Bun Martín Yantorno Sebastian Esteves Nicolas Gonzalez Pablo Hoffman Mariano Marcolongo Gastón Jury Javier Topor Félix Trelles Cristina Nazar Vitor N. Arantes Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios Endoscopy International Open |
| title | Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios |
| title_full | Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios |
| title_fullStr | Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios |
| title_full_unstemmed | Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios |
| title_short | Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios |
| title_sort | usefulness of a mobile app to improve performance of specialists in responding correctly to crc screening and surveillance clinical scenarios |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1544-4773 |
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