Aims:
Use of classifications to describe endoscopic findings in a standardised fashion is
recommended. Their use is advocated for both upper and lower endoscopy. Incorporating
them into routine practice is advised but requires education and initiative.
The aim was to establish if Irish trainees are including standardised classifications
and scoring systems in endoscopy reports.
Methods:
A survey was distributed to gastroenterology trainees working in Ireland over a four
week period. Routine incorporation of Mayo Endoscopic Score, NICE, Paris and Prague
classifications into endoscopy reporting was established.
Results:
There were 31 respondents; 29 were included for analysis. Response rate was 50.5%.
Among respondents 60% were male and the median age 31.5 years (range 28 – 43). Responses
were identified from 10 of the 16 hospital sites surveyed. Only 48% of trainees have
a formal training list and 52% have been scoping for 4 years or more. To describe
polyps 50% of trainees typically use the Paris Classification; 18% never use it. Among
non-users, 31% don't find it useful and 31% forget to use it. Typically 29% use the
NICE Classification whereas 29% never use it. Of those who don't use the NICE classification
37% forget to use it and 26% don't find it useful. Notably 11% are not sure what the
NICE classification is. When reporting IBD findings 85% typically use standardised
reporting scores. Among non-users 67% report that they forget to use them and 33%
report it takes too much time. The majority at 96% always use the Prague Classification
to describe Barrett's.
Conclusions:
Frequently trainees don't utilise endoscopic classifications. Improved education and
awareness will help improve current practice.
