Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging

Michał Żurek,Anna Rzepakowska,Ewa Osuch-Wójcikiewicz,Kazimierz Niemczyk

doi:10.1016/j.bjorl.2018.07.003

Michał Żurek, Anna Rzepakowska + Show 2 more

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https://doi.org/10.1016/j.bjorl.2018.07.003

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Abstract

IntroductionThe endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology. Relatively large amount of researches have proved high accuracy of narrow band imaging endoscopy in differentiating benign and malignant lesions within vocal folds. However, little is known about learning curve in narrow band imaging evaluation of laryngeal lesions. ObjectiveThe aim of this study was to determine the learning curve for the narrow band imaging evaluation of vocal folds pathologies depending on the duration of the procedure. MethodsRecords of 134 narrow band imaging that were analyzed in terms of the duration of the procedure and the accuracy of diagnosis confirmed by histopathological diagnosis were enrolled in the study. The narrow band imaging examinations were performed sequentially by one investigator over a period of 18 months. ResultsThe average duration of narrow band imaging recordings was 127.82s. All 134 studies were divided into subsequent series of several elements. An evident decrease in time of investigation was noticed between 13th and 14th series, when the examinations were divided into 5 elements series, which corresponds to the difference between 65th and 70th subsequent narrow band imaging examination. Parallel groups of 67 examinations were created. Group 1 included 1st to 67th subsequent narrow band imaging examination; Group 2 – 68th to 134th narrow band imaging examinations. The non-parametric U Mann–Whitney test confirmed statistically significant difference between the mean duration of narrow band imaging examination in both groups 160.5s and 95.1s, respectively (p<10−7). Sensitivity and specificity of narrow band imaging examination in the first group were respectively: 83.7% and 76.7%. In the second group, these indicators amounted 98.1% and 80% respectively. ConclusionsA minimum of 65th–70th narrow band imaging examinations are required to reach a plateau phase of the learning process in assessment of glottis lesions. Analysis of learning curves is useful for the development of training programs and determination of a mastery level.

Highlights

The endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology
The endoscopic methods are progressing in many medical fields and becoming more common in routine clinical diagnosis in otorhinolaryngology; for nasal cavity, nasopharynx and larynx assessment
The learning curves are usually used for determination of the Learning curve for narrow band imaging number of procedures for physicians to obtain the right qualifications

Summary

Introduction

The endoscopic methods are progressing and becoming more common in routine clinical diagnosis in the field of otorhinolaryngology. The relationship between efficiency (vertical axis) and experience (horizontal axis) is not a linear dependence It takes a sigmoidal shape, which means that the learning speed changes depending on the level of the examined person, e.g. physician.[2,5] The beginning of the curve is different from zero, because it is assumed that each learner starts with a certain amount of knowledge (at least theoretical). This basic level is the reference point, to which further efficiencies are referred. The efficiency increase slows down eventually, reaching the last ‘‘plateau’’ phase.[2]

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