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Clinical utility and effectiveness of a training programme in the application of a new classification of narrow‐band imaging for vocal cord leukoplakia: A multicentre study
- Source :
- Clinical Otolaryngology. 44:729-735
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Objective To analyse the application of a new narrow-band imaging (NBI) classification in the diagnosis of vocal cord leukoplakia by laryngologists with different levels of laryngoscopic experience and to explore the impact of NBI training programmes on laryngologists' identification of benign and malignant leukoplakia. Design Prospective multicentre study. Setting Tertiary hospitals. Participants Sixteen laryngologists were divided into less-experienced and experienced groups and received NBI training course. Thirty cases of vocal cord leukoplakia were investigated. Main outcome measures Diagnostic accuracy and interobserver agreement under white light imaging (WLI), before and after NBI training, were analysed among doctors with varying levels of experience. Results The accuracy in the less-experienced group was significantly lower than that of experience group (0.59 vs 0.69) under WLI. There was no significant difference in the diagnostic accuracy between the less-experienced group and the experienced group before NBI training (0.75 vs 0.74) and after NBI training (0.79 vs 0.83). NBI training could improve the interobserver agreement from fair or moderate to good agreement. Conclusion The new NBI diagnostic classification is helpful for identifying benign and malignant vocal cord leukoplakia. In addition, the NBI training programme can improve the diagnostic accuracy and interobserver agreement of less-experienced doctors to the level of experienced laryngologists.
- Subjects :
- Adult
Male
medicine.medical_specialty
Vocal Cords
Narrow Band Imaging
Otolaryngology
03 medical and health sciences
0302 clinical medicine
medicine
White light
Humans
Prospective Studies
030223 otorhinolaryngology
Laryngeal Neoplasms
Training programme
Aged
Leukoplakia
Narrow-band imaging
Laryngoscopy
business.industry
Significant difference
Outcome measures
Middle Aged
medicine.disease
Diagnostic classification
Otorhinolaryngology
Education, Medical, Graduate
030220 oncology & carcinogenesis
Female
Clinical Competence
Radiology
business
Follow-Up Studies
Vocal Cord Leukoplakia
Subjects
Details
- ISSN :
- 17494486 and 17494478
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Clinical Otolaryngology
- Accession number :
- edsair.doi.dedup.....f7f417737d0761b221e9b736c93564ec