Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios
| Autor: | Martín Yantorno, Félix Trelles, Pablo Luna, Leandro Steinberg, Lisandro Pereyra, Pablo Hoffman, Gastón Jury, Sebastian Esteves, Javier Topor, Vitor Arantes, Nicolas Gonzalez, Juan Martín Criniti, Maximiliano Bun, Cristina Nazar, Mariano Marcolongo, Rafael Escobar |
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| Rok vydání: | 2021 |
| Předmět: |
Original article
medicine.medical_specialty business.industry Crc screening Colorectal cancer Outcome measures Mobile apps RC799-869 Diseases of the digestive system. Gastroenterology medicine.disease Confidence interval law.invention Randomized controlled trial Vignette law Relative risk Emergency medicine medicine Pharmacology (medical) business |
| Zdroj: | Endoscopy International Open, Vol 09, Iss 11, Pp E1640-E1648 (2021) Endoscopy International Open |
| ISSN: | 2196-9736 2364-3722 |
| DOI: | 10.1055/a-1544-4773 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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