PA.212 Capsule Endoscopy Examination: A Preview by an Endoscopic Nurse and a Staff Nurse. Preliminary Results

Systematic review and meta‐analysis of the performance of nurses in small bowel capsule endoscopy reading

“…Sixteen studies published from 2003 to 2015 were eventually included for review and meta-analysis. 10,17,[23][24][25][26][27][28][29][30][31][32][33][34][35][36] There were nine full papers, 10,23,25,27,28,30,[33][34][35] together with seven abstracts, 17,24,26,29,31,32,36 with a total of 820 CE examinations involving 20 nurses. Table 1 summarises the included studies.…”

“…Nine of the 16 studies compared the nurses' performance to experienced/expert gastroenterologists (>150 CE). 10,23,24,26,[31][32][33][34]36 Three studies involved a general CE-trained gastroenterologist with moderate CE experience or no experience specified (minimum 50 CE). 29,30,35 Four studies compared nurse performance against a consensus reached following discussion between the nurse and one or more experienced/expert physicians.…”

“…Eleven of the 16 studies reported outcomes using the numbers of CE findings reported, 10,17,25,27,28,[30][31][32][33][34][35] with 12 sets of data (two sets of data were obtained from one of the studies, 31 as there were two nurses involved). The meta-analysis results for this outcome are summarised in Table 2.…”

“…Seven of the 16 studies reported results as number of videos where there was agreement on overall findings/ diagnosis between the nurse and RS. 23,24,26,27,31,33,36 Meta-analysis results are summarised in Table 3 In studies involving only nurses who had prior GI endoscopy experience, the proportion of videos with agreement was 0.71 (95% CI 0.56-0.84).…”