Short educational video to improve the accuracy of colorectal polyp size estimation: Multicenter prospective study.

Abstract

Accurate polyp size estimation is necessary for appropriate management of colorectal polyps. Polyp size is often determined by subjective visual estimation in clinical situations; however, it is inaccurate, especially for beginner endoscopists. We aimed to clarify the usefulness of our short training video, available on the Internet, for accurate polyp size estimation. We conducted a multicenter prospective controlled study in Japan. After completing a pretest composed of near and far images of 30 polyps, participants received the educational video lecture (<10min long). The educational content included the knowledge of strategies based on polyp size and criteria for size estimation including the endoscopic equipment size and videos of polyps in vivo. After onemonth, the participants undertook a posttest. The primary outcome was a change in the accuracy of polyp size visual estimation between the pretest and posttest in beginners. Participants including 111 beginners, 52 intermediates, and 97 experts from 51 institutions completed both tests. Accuracy of polyp size estimation in the beginners showed a significant increase after the video lecture [54.1% (51.3-57.0%) to 59.0% (56.5-61.5%), P=0.003]. Multivariable logistic regression analysis showed that the category of beginners and a low score on pretest (P=0.020 and <0.001, respectively) were the factors that contributed to an increase of ≥10% in the accuracy. Our educational video led to an improvement in polyp size estimation in beginners. Furthermore, this video may be useful for non-beginners with insufficient polyp size estimation accuracy.