Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

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

doi:10.1055/a-1544-4773

Endoscopy International Open, Table of Contents

CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(11): E1640-E1648
DOI: 10.1055/a-1544-4773

Original article

Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

Lisandro Pereyra

¹Endoscopy Unit, Hospital Alemán, Buenos Aires, Argentina

,

Leandro Steinberg

²Gastroenterology Department, Fundación Favaloro, Buenos Aires, Argentina

,

Juan M. Criniti

³Internal Medicine Department, Hospital Alemán, Buenos Aires, Argentina

,

Pablo Luna

¹Endoscopy Unit, Hospital Alemán, Buenos Aires, Argentina

,

Rafael Escobar

⁴Gastroenterology Department, Sanatorio Mendez, Buenos Aires, Argentina

,

Maximiliano Bun

¹Endoscopy Unit, Hospital Alemán, Buenos Aires, Argentina

,

Martín Yantorno

⁵Gastroenterology Department, General San Martín, La Plata, Argentina

,

Sebastian Esteves

⁶Gastroenterology and Endoscopy Department, Clínica Cmic, Neuquén, Argentina

,

Nicolas Gonzalez

⁷Gastroenterology Department, Hospital Británico Montevideo, Uruguay

,

Pablo Hoffman

⁸Gastroenterology Unit, Gedyt, Buenos Aires, Argentina

,

Mariano Marcolongo

⁹Gastroenterology and Endoscopy Department, Hospital Italiano, Buenos Aires Argentina

,

Gastón Jury

¹⁰Gastroenterology Unit, Centro de Estudios Digestivos, Mar Del Plata, Argentina

,

Javier Topor

¹¹Gastroenterology Department, Sanatorio Mater Dei, Buenos Aires, Argentina

,

Félix Trelles

¹²Gastroenterology Department, Hospital Durand, Buenos Aires, Argentina

,

Cristina Nazar

¹³Gastroenterology Department, Hospital Bonorino Udaondo, Buenos Aires, Argentina

,

Vitor N. Arantes

¹⁴Endoscopy Unit, Clinics Hospital, Federal University of Minas Gerais, Brasil

› Author Affiliations

Abstract

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.

Full Text

References

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