Construction and comparative analysis of comprehensive clinical application evaluation system of capsule endoscopy

En LIU; Huan YANG; Chaoqiang FAN; Chunhua LI; Lu LIU; Jianying BAI; Shiming YANG; Yafei LI

doi:10.16016/j.1000-5404.201907099

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Construction and comparative analysis of comprehensive clinical application evaluation system of capsule endoscopy

更新时间：2026-01-09

- Construction and comparative analysis of comprehensive clinical application evaluation system of capsule endoscopy
- Journal of Third Military Medical University Vol. 41, Issue 23, Pages: 2341-2347(2019)
- 作者机构：
- 作者简介：
- 基金信息：
  
  the Project of National Key Research and Development Plan(2016YFC0107000)
- DOI：10.16016/j.1000-5404.201907099
  CLC：
- Received：13 July 2019，
  
  Published：15 December 2019
- 稿件说明：
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En LIU, Huan YANG, Chaoqiang FAN, et al. Construction and comparative analysis of comprehensive clinical application evaluation system of capsule endoscopy[J]. Journal of Third Military Medical University, 2019, 41(23): 2341-2347.
DOI：

En LIU, Huan YANG, Chaoqiang FAN, et al. Construction and comparative analysis of comprehensive clinical application evaluation system of capsule endoscopy[J]. Journal of Third Military Medical University, 2019, 41(23): 2341-2347. DOI： 10.16016/j.1000-5404.201907099.

摘要

Abstract

Objective

To establish an index evaluation system for evaluating the comprehensive clinical applications of capsule endoscopy and determine the weight of each indicator

and then utilize the evaluation system to comparatively analyze the domestic and imported capsule endoscopy in order to provide scientific basis for the applications including technology

clinic and market performance of the capsule endoscopy eventually.

Methods

The framework of evaluation system was preliminarily formulated through literature analysis and expert consultation

and the 3-level indicators and weight of them in capsule endoscopic evaluation were determined by Delphi method and analytic hierarchy process (AHP). Factor analysis was employed to empirically analyze the evaluation indexes of domestic and imported capsule endoscopes.

Results

The response rates of the 2 questionnaires were 93.3% (28/30) and 96.4% (27/28)

respectively; the average authoritative coefficients of the experts were 0.867 and 0.858

respectively. The Kendall (Kendall) coordination coefficients of the 3-level indicators in the 2 questionnaires were 0.324

0.189 and 0.140

and 0.280

0.192 and 0.124

respectively (

0.01

Chi

-square test)

with certain consistency. At last

we determined 3 indicators of primary indexes

10 indicators of secondary indexes

and 41 indicators of tertiary indexes

and the weights of each indicator

among which the weights of first-level indicator for technology

clinic and market performance were 0.349 0

0.437 4 and 0.213 6

respectively. Analysis of technical

indicators showed that the domestic capsule endoscope had significantly smaller size (

0.01)

obviously larger weight (

0.01)

but remarkably lower resolution (

0.05) when compared with the imported one. In the evaluation of clinical performance indexes

the domestic capsule endoscope had significantly longer image processing time (

0.01)

obviously lower picture resolution (

0.01)

but markedly better portability and comfortableness of the recorder (

0.01) than the imported one. In terms of market performance

the price of domestic capsule endoscope was distinctly lower than that of imported capsule endoscopy (

0.01).

Conclusion

Our obtained 3-level indexes by experts are concentrated

consistent and credible. The capsule endoscopic evaluation index system constructed by Delphi and AHP is scientific

reasonable and practical. And the practical comparative analysis can further provide an objective and quantifiable basis for the research of clinical evaluations.

关键词

Keywords

references

中华医学会消化内镜学分会中国胶囊内镜临床应用指南中华消化内镜杂志 2014 31 10 549 558 10.3760/cma.j.issn.1007-5232.2014.10.001 中华医学会消化内镜学分会.中国胶囊内镜临床应用指南[J].中华消化内镜杂志, 2014, 31(10):549-558. DOI: 10.3760/cma.j.issn.1007-5232.2014.10.001.

Chinese Medical Association Digestive Endoscopy Branch The guideline of Chinese capsule endoscopy clinical application Chin J Dig Endosc 2014 31 10 549 558 10.3760/cma.j.issn.1007-5232.2014.10.001 Chinese Medical Association Digestive Endoscopy Branch. The guideline of Chinese capsule endoscopy clinical application[J]. Chin J Dig Endosc, 2014, 31(10):549-558. DOI: 10.3760/cma.j.issn.1007-5232.2014.10.001.

ESTÉVEZ E GONZÁLEZ-CONDE B VÁZQUEZ-IGLESIAS J L Diagnostic yield and clinical outcomes after capsule endoscopy in 100 consecutive patients with obscure gastrointestinal bleeding Eur J Gastroenterol Hepatol 2006 18 8 881 888 10.1097/00042737-200608000-00014 ESTÉVEZ E, GONZÁLEZ-CONDE B, VÁZQUEZ-IGLESIAS J L, et al . Diagnostic yield and clinical outcomes after capsule endoscopy in 100 consecutive patients with obscure gastrointestinal bleeding[J ] . Eur J Gastroenterol Hepatol, 2006, 18(8): 881-888.

STURNIOLO G C DI LEO V VETTORATO M G Small bowel exploration by wireless capsule endoscopy: results from 314 procedures Am J Med 2006 119 4 341 347 10.1016/j.amjmed.2005.08.029 STURNIOLO G C, DI LEO V, VETTORATO M G, et al . Small bowel exploration by wireless capsule endoscopy: results from 314 procedures[J ] . Am J Med, 2006, 119(4): 34 1-347. DOI:10.1016/j.amjmed.2005.08.029.

SINGEAP A M STANCIU C TRIFAN A Capsule endoscopy: The road ahead World J Gastroenterol 2016 22 1 369 378 10.3748/wjg.v22.i1.369 SINGEAP A M, STANCIU C, TRIFAN A. Capsule endoscopy: The road ahead[J]. World J Gastroenterol, 2016, 22(1): 369-378. DOI:10.3748/wjg.v22.i1.369.

刘小凤全娇刘菊英胶囊内镜检查对小肠疾病的诊断价值及不同胶囊内镜系统的比较中国普通外科杂志 2018 27 10 1326 1333 10.7659/j.issn.1005-6947.2018.10.016 刘小凤, 全娇, 刘菊英, 等.胶囊内镜检查对小肠疾病的诊断价值及不同胶囊内镜系统的比较[J].中国普通外科杂志, 2018, 27(10):1326-1333. DOI: 10.7659/j.issn.1005-6947.2018.10.016.

LIU X F QUAN J LIU J Y Diagnostic value of capsule endoscopy examination for small intestinal diseases and comparison of different endoscopy examination systems Chin J Gen Surg 2018 27 10 1326 1333 10.7659/j.issn.1005-6947.2018.10.016 LIU X F, QUAN J, LIU J Y, et al .Diagnostic value of capsule endoscopy examination for small intestinal diseases and comparison of different endoscopy examination systems[J ] . Chin J Gen Surg, 2018, 27(10):1326-1333. DOI: 10.7659/j.issn.1005-6947.2018.10.016.

陈昭王新颖胶囊内镜在克罗恩病中的应用及最新进展中华消化内镜杂志 2016 33 3 197 201 10.3760/cma.j.issn.1007-5232.2016.03.019 陈昭, 王新颖.胶囊内镜在克罗恩病中的应用及最新进展[J].中华消化内镜杂志, 2016, 33(3):197-201. DOI:10.3760/cma.j.issn.1007-5232.2016.03.019.

CHEN Z WANG X Y Application and latest progress of capsule endoscopy in Crohn's disease Chin J Dig Endosc 2016 33 3 197 201 10.3760/cma.j.issn.1007-5232.2016.03.019 CHEN Z, WANG X Y. Application and latest progress of capsule endoscopy in Crohn's disease[J]. Chin J Dig Endosc, 2016, 33(3):197-201. DOI:10.3760/cma.j.issn.1007-5232.2016.03.019.

冯玉灵刘海峰胶囊内镜在儿童消化道疾病中的诊断价值中国实用儿科杂志 2018 33 11 862 866 10.19538/j.ek2018110613 冯玉灵, 刘海峰.胶囊内镜在儿童消化道疾病中的诊断价值[J].中国实用儿科杂志, 2018, 33(11): 862-866. DOI:10.19538/j.ek2018110613.

FENG Y L LIU H F Diagnostic value of capsule endoscopy in children with gastrointestinal disorders Chin J Pract Pediatr 2018 33 11 862 866 10.19538/j.ek2018110613 FENG Y L, LIU H F. Diagnostic value of capsule endoscopy in children with gastrointestinal disorders[J]. Chin J Pract Pediatr, 2018, 33(11): 862-866. DOI:10.19538/j.ek2018110613.

何文雅许信红陈建伟基于德尔菲法和层次分析法构建广州市健康村评估指标体系研究中国健康教育 2017 33 3 195 198, 219 10.16168/j.cnki.issn.1002-9982.2017.03.001 何文雅, 许信红, 陈建伟.基于德尔菲法和层次分析法构建广州市健康村评估指标体系研究[J].中国健康教育, 2017, 33(3): 195-198, 219. DOI:10.16168/j.cnki.issn.1002-9982.2017.03.001.

HE W Y XU X H CHEN J W Establishment of evaluation index system based on Delphi method and analytic hierarchy process for healthy village in Guangzhou City Chin J Health Educ 2017 33 3 195 198, 219 10.16168/j.cnki.issn.1002-9982.2017.03.001 HE W Y, XU X H, CHEN J W. Establishment of evaluation index system based on Delphi method and analytic hierarchy process for healthy village in Guangzhou City[J]. Chin J Health Educ, 2017, 33(3): 195-198, 219. DOI:10.16168/j.cnki.issn.1002-9982.2017.03.001.

ASGHARI M NASSIRI P MONAZZAM M R Weighting criteria and prioritizing of heat stress indices in surface mining using a Delphi technique and fuzzy AHP-TOPSIS method J Environ Health Sci Eng 2017 15 1 10.1186/s40201-016-0264-9 ASGHARI M, NASSIRI P, MONAZZAM M R, et al . Weighting criteria and prioritizing of heat stress indices in surface mining using a Delphi technique and fuzzy AHP-TOPSIS method[J ] . J Environ Health Sci Eng, 2017, 15: 1. DOI:10.1186/s40201-016-0264-9.

严莲李显蓉李飞构建规范化培训模式的护理硕士学位研究生核心能力考核指标体系西部医学 2018 30 9 1370 1375 10.3969/j.issn.1672-3511.2018.09.026 严莲, 李显蓉, 李飞, 等.构建规范化培训模式的护理硕士学位研究生核心能力考核指标体系[J].西部医学, 2018, 30(9):1370-1375. DOI: 10.3969/j.issn.1672-3511.2018.09.026.

YAN L LI X R LI F Establish the evaluation system of the core competence of graduates in master of nursing specialist based on standardized training model Med J West China 2018 30 9 1370 1375 10.3969/j.issn.1672-3511.2018.09.026 YAN L, LI X R, LI F, et al . Establish the evaluation system of the core competence of graduates in master of nursing specialist based on standardized training model[J ] .Med J West China, 2018, 30(9):1370-1375. DOI: 10.3969/j.issn.1672-3511.2018.09.026.

HEIKKILÄ S The Dougados Functional Index with the 5-point Likert scale is sensitive to change due to intensive physiotherapy and exercise in spondyloarthropathy Clin Exp Rheumatol 2002 20 5 689 692 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=d5d37c08bed32832e93dae4b46afd3ca HEIKKILÄ S. The Dougados Functional Index with the 5-point Likert scale is sensitive to change due to intensive physiotherapy and exercise in spondyloarthropathy[J]. Clin Exp Rheumatol, 2002, 20(5): 689-692.

俞明娜邬燕莺鲁汉锋急诊护士核心能力评价指标体系的构建中国实用护理杂志 2012 28 27 80 81 10.3760/cma.j.issn.1672-7088.2012.27.146 俞明娜, 邬燕莺, 鲁汉锋.急诊护士核心能力评价指标体系的构建[J].中国实用护理杂志, 2012, 28(27):80-81. DOI: 10.3760/cma.j.issn.1672-7088.2012.27.146.

YU M N WU Y Y LU H F Construction of evaluation index system for core competence of emergency nurses Chin J Prac Nurs 2012 28 27 80 81 10.3760/cma.j.issn.1672-7088.2012.27.146 YU M N, WU Y Y, LU H F. Construction of evaluation index system for core competence of emergency nurses[J]. Chin J Prac Nurs, 2012, 28(27):80-81. DOI: 10.3760/cma.j.issn.1672-7088.2012.27.146.

DELBARI S A NG S I AZIZ Y A An investigation of key competitiveness indicators and drivers of full-service airlines using Delphi and AHP techniques J Air Transp Manag 2016 52 23 34 10.1016/j.jairtraman.2015.12.004 DELBARI S A, NG S I, AZIZ Y A, et al . An investigation of key competitiveness indicators and drivers of full-service airlines using Delphi and AHP techniques[J ] . J Air Transp Manag, 2016, 52: 23-34. DOI:10.1016/j.jairtraman.2015.12.004.

王丰潘国伟任苒应用德尔菲法和层次分析法构建丙型肝炎健康教育评价的指标体系中国健康教育 2016 32 7 593 596 10.16168/j.cnki.issn.1002-9982.2016.07.005 王丰, 潘国伟, 任苒, 等.应用德尔菲法和层次分析法构建丙型肝炎健康教育评价的指标体系[J].中国健康教育, 2016, 32(7): 593-596. DOI:10.16168/j.cnki.issn.1002-9982.2016.07.005.

WANG F PAN G W REN R Application of Delphi method and analytic hierarchy process in effect evaluation index system for hepatitis C health education Chin J Health Educ 2016 32 7 593 596 10.16168/j.cnki.issn.1002-9982.2016.07.005 WANG F, PAN G W, REN R, et al . Application of Delphi method and analytic hierarchy process in effect evaluation index system for hepatitis C health education[J ] . Chin J Health Educ, 2016, 32(7): 593-596. DOI:10.16168/j.cnki.issn.1002-9982.2016.07.005.

EDMUNDS S HAINES L BLAIR M Development of a questionnaire to collect public health data for school entrants in london: child health assessment at school entry (CHASE) project Child Care Health Dev 2005 31 1 89 97 10.1111/j.1365-2214.2005.00460.x EDMUNDS S, HAINES L, BLAIR M. Development of a questionnaire to collect public health data for school entrants in london: child health assessment at school entry (CHASE) project[J]. Child Care Health Dev, 2005, 31(1): 89-97. DOI:10.1111/j.1365-2214.2005.00460.x.

李斯斯韦波冯启明广西艾滋病抗病毒治疗项目实施效果评价体系的构建中华疾病控制杂志 2015 19 12 1220 1222, 1230 10.16462/j.cnki.zhjbkz.2015.12.009 李斯斯, 韦波, 冯启明, 等.广西艾滋病抗病毒治疗项目实施效果评价体系的构建[J].中华疾病控制杂志, 2015, 19(12): 1220-1222, 1230. DOI:10.16462/j.cnki.zhjbkz.2015.12.009.

LI S S WEI B FENG Q M Establishment of an effect evaluation system for AIDS antiviral therapy project in Guangxi Chin J Dis Control Prev 2015 19 12 1220 1222, 1230 10.16462/j.cnki.zhjbkz.2015.12.009 LI S S, WEI B, FENG Q M, et al . Establishment of an effect evaluation system for AIDS antiviral therapy project in Guangxi[J ] . Chin J Dis Control Prev, 2015, 19(12): 1220-1222, 1230. DOI:10.16462/j.cnki.zhjbkz.2015.12.009.

RONDONOTTI E SPADA C ADLER S Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European society of gastrointestinal endoscopy (ESGE) technical review Endoscopy 2018 50 4 423 446 10.1055/a-0576-0566 RONDONOTTI E, SPADA C, ADLER S, et al . Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European society of gastrointestinal endoscopy (ESGE) technical review[J ] . Endoscopy, 2018, 50(4): 423-446. DOI:10.1055/a-0576-0566.

杨强强邓涛徐红两种不同时间口服聚乙二醇对小肠胶囊内镜肠道准备效果影响的多中心随机对照研究第三军医大学学报 2018 40 21 1973 1977 10.16016/j.1000-5404.201807219 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201807219 杨强强, 邓涛, 徐红, 等.两种不同时间口服聚乙二醇对小肠胶囊内镜肠道准备效果影响的多中心随机对照研究[J].第三军医大学学报, 2018, 40(21): 1973-1977. DOI:10.16016/j.1000-5404.201807219.

YANG Q Q DENG T XU H Clinical efficacy of 2 schedules of oral polyethylene glycol solution for bowel preparations before small bowel capsule endoscopy: a multicenter, randomized controlled study J Third Mil Med Univ 2018 40 21 1973 1977 10.16016/j.1000-5404.201807219 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201807219 YANG Q Q, DENG T, XU H, et al . Clinical efficacy of 2 schedules of oral polyethylene glycol solution for bowel preparations before small bowel capsule endoscopy: a multicenter, randomized controlled study[J ] . J Third Mil Med Univ, 2018, 40(21): 1973-1977. DOI:10.16016/j.1000-5404.201807219.

MILLER G The development of indicators for sustainable tourism: results of a Delphi survey of tourism researchers Tour Manag 2001 22 4 351 362 10.1016/s0261-5177(00)00067-4 MILLER G. The development of indicators for sustainable tourism: results of a Delphi survey of tourism researchers[J]. Tour Manag, 2001, 22(4): 351-362. DOI:10.1016/s0261- 5177(00)00067-4.

VAN ZOLINGEN S J KLAASSEN C A Selection processes in a Delphi study about key qualifications in senior secondary vocational education Technol Forecast Soc Chang 2003 70 4 317 340 10.1016/s0040-1625(02)00202-0 VAN ZOLINGEN S J, KLAASSEN C A. Selection processes in a Delphi study about key qualifications in senior secondary vocational education[J]. Technol Forecast Soc Chang, 2003, 70(4): 317-340. DOI:10.1016/s0040-1625(02)00202-0.

江文何海燕彭娜置管前经外周静脉穿刺置入中心静脉导管并发症风险评估指标体系的构建第三军医大学学报 2016 38 12 1466 1470 10.16016/j.1000-5404.201604002 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201604002 江文, 何海燕, 彭娜, 等.置管前经外周静脉穿刺置入中心静脉导管并发症风险评估指标体系的构建[J].第三军医大学学报, 2016, 38(12): 1466-1470. DOI:10.16016/j.1000-5404.201604002.

JIANG W HE H Y PENG N Establishment of a risk assessment index system for peripherally inserted central catheterization complications before placement J Third Mil Med Univ 2016 38 12 1466 1470 10.16016/j.1000-5404.201604002 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201604002 JIANG W, HE H Y, PENG N, et al . Establishment of a risk assessment index system for peripherally inserted central catheterization complications before placement[J ] . J Third Mil Med Univ, 2016, 38(12): 1466-1470. DOI:10.16016/j.1000-5404.201604002.

高良庆韩泽龙陈振煜两种不同重量及大小的胶囊内镜之间胃肠通过时间及全小肠检查完成率的对比中国内镜杂志 2016 22 2 1 6 http://d.old.wanfangdata.com.cn/Periodical/zgnjzz201602001 高良庆, 韩泽龙, 陈振煜, 等.两种不同重量及大小的胶囊内镜之间胃肠通过时间及全小肠检查完成率的对比[J].中国内镜杂志, 2016, 22(2): 1-6.

GAO L Q HAN Z L CHEN Z Y Comparison of gastrointestinal transit time and completion rates of two kinds of capsule endoscopy with different size and weight China J Endosc 2016 22 2 1 6 http://d.old.wanfangdata.com.cn/Periodical/zgnjzz201602001 GAO L Q, HAN Z L, CHEN Z Y, et al . Comparison of gastrointestinal transit time and completion rates of two kinds of capsule endoscopy with different size and weight[J ] . China J Endosc, 2016, 22(2): 1-6.

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