Current Quality of Videos on Colorectal Cancer Screening for General Public

BACKGROUND

One-third of American adults encompassed by current colorectal cancer screening guidelines fail to obtain recommended screening evaluations. Educational videos are a valuable medium through which to educate and encourage recommended health behaviors in patients.

METHODS

A cross-sectional study reviewing the quality of patient education videos addressing colorectal cancer screening. Video quality was assessed in 3 domains: accountability, content, and production.

RESULTS

Forty-four videos met inclusion criteria. Out of 33 possible points, videos scored a median of 15.0 (interquartile range 12.9-16.6). Videos scored 1.0 (interquartile range .8-1.0) out of 4.0 for accountability, 6.0 (interquartile range 4.4-8.0) out of 20 for content, and 8.0 (interquartile range 7.4-8.0) out of 9.0 for production. Colonoscopy was the most frequently discussed method of screening (38, 86%). While 13 (34%) videos discussed the risk of colorectal cancer in the general population and 15 (32%) discussed the risk in those with a family history, few videos addressed those with other risk factors. Most (31, 70%) videos discussed the medical consequences of not receiving screening, but only 1 (2%) video discussed the social consequences. Similarly, medical benefits were discussed in 34 (77%) videos while other benefits were not discussed by any video. Only one-fifth of the videos address three or more barriers to screening.

CONCLUSIONS

Videos on colorectal cancer screening have excellent production quality but need improvement in the domains of accountability and content. The videos included in this analysis did not adequately address the concerns of viewers nor the benefits of colorectal cancer screening.

Primary pancreatic cancer of the jejunum: a case report and brief review of literature

The variable clinical presentation of heterotopic pancreatic (HP) tissue and its malignant transformation makes the diagnosis very challenging. These lesions are very rare, usually not suspected upon initial presentation and for the most part, are diagnosed incidentally on review of pathology following surgical resection. In this study, we are reporting an adenocarcinoma arising from jejunal heterotopic pancreatic tissue in a 59-year-old female and a brief review of previously reported cases.

Critical Evaluation of the Efficiency of Colorectal Fellowship Websites: Cross-sectional Study

BACKGROUND

Websites are an important source of information for fellowship applicants, as they can influence ongoing interest and potential program selection.

OBJECTIVE

This study aims to evaluate the current state of colorectal fellowship websites.

METHODS

This cross-sectional study evaluates the quantity and quality of information available on websites of colorectal fellowship programs verified by the Accreditation Council for Graduate Medical Education in 2019.

RESULTS

A total of 63 colorectal fellowships were included for evaluation. Websites were surveyed for content items that previous studies have found to be influential to program applicants. The 58 (91%) programs with a functional website were evaluated using an information index (calculated as a function of availability of content items concerning education, application, personnel, and benefits) and an interactive index (calculated as a function of accessibility and usability of the webpage). Programs had a median total score of 27.8 (IQR 21.5-34.5) of 79. The median score for the interactive index was 7.5 of 15 and for the information index was 20 of 64. The median scores for website application, education, personnel, and benefits or life considerations were 5, 5.5, 3.3, and 4 of 13, 24, 13, and 14, respectively. There was no difference in total score between programs in different geographical regions (P=.46).

CONCLUSIONS

Currently, colorectal surgery fellowship program websites do not provide enough content for applicants to make informed decisions. All training programs, regardless of specialty, should evaluate and improve their digital footprint to ensure their websites are accessible and provide the information desired by applicants.

Characteristics of borderline personality disorder admissions to private psychiatric hospitals

Inpatients diagnosed as having borderline personality disorder (BPD) by DSM-III criteria who were admitted to 11 Central Neuropsychiatric Hospital Association (CNPHA) hospitals in 1982 and 1983 are described in terms of 28 clinical-history and demographic characteristics. This study statistically compared 181 BPD inpatients to 1,121 non-BPD inpatients admitted to the same hospitals during the same period as part of the broader CNPHA prospective outcome study. These BPD inpatients were also compared to other BPD samples described in the literature. The 1982-83 CNPHA BPD inpatients exhibited clinical and demographic characteristics significantly different from their non-BPD counterparts. These BPD inpatients, mostly female, may have had particularly difficult living situations, had extensive treatment histories that began early, were frequently self-destructive, and had a distinctive medication pattern, among other characteristics. Comparison to other BPD samples in the literature showed similarities, supporting the generalizability of the CNPHA prospective outcome study.