Observer Variability in Upper Gastrointestinal Fiber Endoscopy

Abstract
The reliability of esophagogastroduodenoscopy (EGD) was evaluated in 71 patients. The study was designed as a comparison between the separate protocols written by 2 endoscopists at each EGD. The results showed an over-all disagreement of 32% between observers. When the results were correlated with endoscopical experience, a significantly higher proportion of false-negative results was found among endoscopists with experience of < 500 EGD compared with a more experienced group of investigators. No difference was found between residents in training (.ltoreq. 200 EGD) and those with intermediate experience (200-500 EGD). The implications with regard to repeated training programs and authorization of endoscopists are discussed.

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