TY - JOUR
T1 - Knowledge of chronic intestinal failure among US gastroenterologists
T2 - Cause for concern and learning opportunity
AU - Iyer, Kishore R.
AU - Winkler, Marion
AU - Zubizarreta, Nicole
AU - Nisenholtz, Marjorie
AU - Lucero, Katie
AU - Lubarda, Jovana
N1 - Funding Information:
Kishore Iyer receives grant support from Takeda Pharmaceuticals, Zealand Pharmaceuticals, and VectivBio Pharmaceuticals and is a scientific advisor for VectivBio Pharmaceuticals and Hanmi Pharmaceuticals. Marion Winkler, Nicole Zubizaretta, Marjorie Nisenholtz, Katie Lucero, and Jovana Lubarda report they have no conflict of interests to disclose.
Publisher Copyright:
© 2021 American Society for Parenteral and Enteral Nutrition.
PY - 2022/3
Y1 - 2022/3
N2 - Background: Chronic intestinal failure (CIF) is an ultrarare disease, with an estimated national prevalence of ∼25,000 cases. There is a suspicion of widespread lack of expertise in CIF care, but no formal assessment tool or data exist. We developed and validated a knowledge test in CIF and now report our preliminary results from testing CIF knowledge in a cohort of US gastroenterologists. Method: We developed a 20-question knowledge test in CIF, covering four key components of IF. After internal testing, refinement, and revision, we administered the test to a convenience sample of experts and nonexperts in IF. We then deployed the validated test to a cohort of 100 US gastroenterologists. Results: The test had a Cronbach alpha of 0.74, suggesting a reliable test, with a threshold score to discriminate experts and nonexperts of 13.4 (maximum 20) and with a sensitivity of 81.3% and specificity of 86.4%. The overall mean score of 8.2 for the 100 US gastroenterologists was at the level of nonexperts in our convenience sample. Conclusion: The preliminary results of our validated knowledge test in IF among a broad group of US gastroenterologists demonstrate lack of knowledge in IF.
AB - Background: Chronic intestinal failure (CIF) is an ultrarare disease, with an estimated national prevalence of ∼25,000 cases. There is a suspicion of widespread lack of expertise in CIF care, but no formal assessment tool or data exist. We developed and validated a knowledge test in CIF and now report our preliminary results from testing CIF knowledge in a cohort of US gastroenterologists. Method: We developed a 20-question knowledge test in CIF, covering four key components of IF. After internal testing, refinement, and revision, we administered the test to a convenience sample of experts and nonexperts in IF. We then deployed the validated test to a cohort of 100 US gastroenterologists. Results: The test had a Cronbach alpha of 0.74, suggesting a reliable test, with a threshold score to discriminate experts and nonexperts of 13.4 (maximum 20) and with a sensitivity of 81.3% and specificity of 86.4%. The overall mean score of 8.2 for the 100 US gastroenterologists was at the level of nonexperts in our convenience sample. Conclusion: The preliminary results of our validated knowledge test in IF among a broad group of US gastroenterologists demonstrate lack of knowledge in IF.
KW - adult
KW - education
KW - gastroenterology
KW - home nutrition support
KW - parenteral nutrition
KW - short bowel syndrome
UR - http://www.scopus.com/inward/record.url?scp=85119193807&partnerID=8YFLogxK
U2 - 10.1002/jpen.2283
DO - 10.1002/jpen.2283
M3 - Article
C2 - 34713914
AN - SCOPUS:85119193807
VL - 46
SP - 730
EP - 733
JO - Journal of Parenteral and Enteral Nutrition
JF - Journal of Parenteral and Enteral Nutrition
SN - 0148-6071
IS - 3
ER -