Study of Photographs of Interest in Training to Obtain Good Reproducibility of the Diagnosis of Perianal Lesions of Crohn's Disease Inspection in Internal Gastroenterology

NCT02842450 | Completed DMC

• 1 other identifier: PhotoCrohn
• Study Type: observational
• Target: 249
• Locations: 1 country
• Sites: 1

Brief Summary

The diagnosis of LAP (lesions Ano-perineal) requires the inspection, palpation, anoscopy and possibly additional examinations including endoscopy and imaging; any of these steps of the diagnosis can only be replaced by another. In the absence of data in the literature on the evaluation of specific LAP Crohn inspection, Clemence Horaist et al established definitions of these lesions inspection with the help of an expert group, then evaluated the diagnostic agreement LAP these definitions in the same group from a selection of photographs. Definitions ulceration, fistula, inflammatory external os, erythema and abscess had an acceptable agreement diagnosis (kappa\> 0.70) The LAP is a predictor of severe Crohn's disease, hepato any gastroenterologist it is appropriate that recognizes and adopts adequate care, this care has been a consensus in 2014. The interns Hepato gastroenterology must learn during their training to know the terminology of LAP Crohn inspection and to recognize so considered acceptable by experts.

Conditions

Crohn

Outcome Measures

Primary Outcomes (1)

• Assessment of the level (quality) of internal diagnosis of Perianal Lesions of Crohn's Disease Inspection

  Assessment the test scores after the training. The test conssite to evaluate whether training giving the consensus definitions of Crohn's lesions on inspection and typical images of these lesions is effective to enable students to achieve a good level of diagnosis of these lesions acceptable for experts (ideally not significantly different from that of the experts).

  within 1 week after training

Study Arms (2)

training with typical definitions established + photos

A broad group of experts (19 proctology and a dermatologist) will be contacted to choose two typical images of LAP (superficial ulceration, deep ulceration ...). 12 photos lesion initially selected by experts.

Device: Photos + definitions

Training only with definitions

Interns will receive typical definitions of LAP stages

Other: definitions only

Interventions

Photos + definitions DEVICE

A broad group of experts (19 proctology and a dermatologist) will be contacted to choose two typical images of LAP (superficial ulceration, deep ulceration ...). 12 photos lesion initially selected by experts.

training with typical definitions established + photos

definitions only OTHER

Training only with definitions

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Internal gastro enterology in France (about 470 domestic total) will be contacted by email, their department heads have been warned of this work

You may qualify if:

• Internal gastro enterology in France will be contacted by email, their department heads have been warned of this work

You may not qualify if:

• Internals who refuses the assessment

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Sites (1)

Groupe Hospitalier Paris Saint Joseph

Paris, Île-de-France Region, 75014, France

Location

Study Officials

• DE PARADES Vincent, MD

  Groupe Hospitalier Paris Saint-Joseph (FRANCE)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 13, 2016
• First Posted: July 22, 2016
• Study Start: June 30, 2016
• Primary Completion: May 31, 2017
• Study Completion: July 31, 2017
• Last Updated: September 8, 2017

Record last verified: 2017-09

Locations

FR (1)