Archives

  • 2019-10
  • 2019-11
  • 2020-03
  • 2020-08
  • br Disclosure of interest br The authors declare

    2020-08-12


    Disclosure of interest
    The authors declare that they 740 Y-P have no competing interest.
    References
    [1] Harif M, Barsaoui S, Benchekroun S, et al. Traitement des cancers de l’enfant en Afrique : re´sultats pre´liminaires du groupe francoafricain d’oncologie pe´dia-trie. Arch Pe´diatr 2005;12:851–3.
    [4] Davous D, Haddad E, Carpentier D, et al. L’annonce du diagnostic en pe´diatrie en cas de maladie grave de l’enfant. Groupe the´matique Miramion : parents et soignants face a` l’e´thique en pe´diatrie. Med Therap Pediatr 2002;5:25–31.
    [5] Lolonga D, Pondy A, Gue´de´non KM, et al. L’annonce du diagnostic dans les unite´s d’oncologie pe´diatrique africaines. Rev Oncol Hematol Pediatr 2015;3:29–36.
    [6] Adebayo PB, Abayomi O, Johnson PO, et al. Breaking bad news in clinical setting health professionals’ experience and perceived competence in Southwestern Nigeria: a cross sectional study. Ann Afr Med 2013;12:205–11.
    [7] Abdelmoktader AM, Abd Elhamed KA. Egyptian mothers’ preferences regard-ing how physicians break bad news about their child’s disability: a structured verbal questionnaire. BMC Med Ethics 2012;13:14.
    [8] Adeleye AO, Fatiregun AA. Is breaking of bad news indeed unacceptable to native Africans? A cross-sectional survey of patients in a Nigerian neurosur-gical service. Acta Neurol Scand 2013;127:175–80.
    [11] Davous D, Seigneur E, Auvrignonc A, et al. L’alliance parents-enfant-soignants
    [15] Bettevy F, Dufranc C, Hofmann G. Crite`res de qualite´ de l’annonce du diagnostic : point de vue des malades et de la Ligue nationale contre le cancer. Risques Qual 2006;2:67–72.
    [17] Lolonga D. Guide africain d’annonce du cancer de l’enfant. http://www.iccp-portal.org/guide-africain-dannonce-du-cancer-pediatrique. Accessed Sep-tember 6, 2016.
    [18] Goldberg DP, Jenkins L, Millar T, et al. The ability of trainee general practi-tioners to identify psychological distress among their patients. Psychol Med 1993;23:185–93.
    [20] Andre´ N, Gaudart J, Bernard JL, et al. Quelle place pour l’enfant dans la prise de
    [22] Ministe`re de la Sante´ Publique. Loi N(62-248 du 31 juillet 1962 instituant un code de de´ontologie me´dicale https://srhr.org/abortion-policies/documents/ countries/02-Cote-d-Ivoire-Deontological-Code-for-physicians-2013.pdf.
    [25] Parsons SK, Saiki-Craighill S, Mayer DK, et al. Telling children and adolescents about their cancer diagnosis: cross-cultural comparisons between pediatric oncologists in the US and Japan. Psychooncology 2007;16:60–8.
    [26] Clarke SA, Davies H, Jenney M, et al. Parental communication and children’s behaviour following diagnosis of childhood leukaemia. Psychooncology 2005;14:274–81.
    Please cite Chromatin remodeling article in press as: Couitche´re´ L, et al. Analysis of diagnosis announcements in Abidjan pediatric oncology unit 2 years after introduction of the African Pediatric Cancer Announcement Guideline. Archives de Pe´diatrie (2019), https://doi.org/10.1016/ j.arcped.2019.06.006 ORIGINAL ARTICLE
    Analysis of factors related to poor outcome after e-learning training in endoscopic diagnosis of early gastric cancer using magnifying narrow-band imaging
    Hisatomo Ikehara, MD, PhD,1 Hisashi Doyama, MD, PhD,2 Hiroyoshi Nakanishi, MD, PhD,2 Waku Hatta, MD, PhD,3 Takuji Gotoda, MD, PhD, FASGE, FACG,1 Hideki Ishikawa, MD, PhD,4 Kenshi Yao, MD, PhD5
    Tokyo, Ishikawa, Sendai, Kyoto, Fukuoka, Japan
    Background and Aims: An e-learning system teaching endoscopic diagnostic process for early gastric cancer using magnifying endoscopy with narrow-band imaging (M-NBI) was established, and its efficacy in improving the diagnostic performance for early gastric cancer was proven in a multicenter randomized controlled trial. The aim of this study was to clarify the difference in learning effect in each lesion characteristic.
    Methods: Three hundred sixty-five participants diagnosed 40 gastric lesions based on M-NBI findings using the vessel-plus-surface classification system. The diagnosis data collected from each participant were assessed in this study. The accuracy of NBI cancer diagnosis was assessed using area under the receiver operating characteristics curve (AUC/ROC) analysis. AUC/ROCs were separately calculated in each lesion characteristic (shape and size), and the data were compared between tests 1 and 3.
    Results: Continuous net reclassification improvement (cNRI) analysis of all lesions revealed significant improvement in reclassification when participants underwent e-learning (cNRI, 1.17; P < .01). The inte-grated discrimination improvement analysis demonstrated that the e-learning system improved diagnostic ability (.19; P < .01). According to the analysis depending on the lesion’s characteristics, high AUC/ROCs were demonstrated in depressed and small lesions (<10 mm; .90 and .93, respectively). The cNRI analysis showed remarkable e-learning improvement in both depressed (cNRI, 1.33; P < .01) and small lesions (cNRI, 1.46; P < .01). However, no significant e-learning improvement was observed in elevated or flat lesions.