Table 1.
Summary of included studies.
| Authors, Yearref | No. of nurses | Nurse exp | Nurse CE training | Ref Standard (RS) | No. of CEs | CE indications | Nurse reading time, mins (mean±SD) | Physician reading time, mins (mean±SD) | Findings: SB angioectasias (nurse/ RS) | Findings: ulcers (nurse/ RS) | Findings: blood in lumen/ bleeding (nurse/ RS) | Findings: tumours (nurse/ RS) | Nurses' total findings | RS total findings | False positives/ over-reporting by nurses | Study agreement between nurses and RS (n/total CEs) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hoffman, 200329 (abst) | 1 | N End | NS | GE | 50 | NS | NS | NS | NS | NS | 29 | NS | ||||
| Levinthal, 200330 | 1 | EN | 15 CEs, supervised | GE | 20 | NS | NS | NS | 25 | 27 | 3 | NS | ||||
| Friedland, 200436 (abst) | 1 | N End | CE course | Expert | 15 | NS | NS | NS | NS | NS | NS | 10/15 | ||||
| Niv, 200510 | 1 | GN | 15 CEs, supervised | Expert | 50 | OGIB: 27 CD/?CD: 7 Coeliac disease: 3 Lymphoma: 2 Nonspecific: 11 | 100 ± 13 | 59 ± 17 | 7/7 | 6/6 | 5/5 | 2/2 | 36 | 38 | 2 | NS |
| Ponferrada, 200532 (abst) | 1 | EN | NS | GE | 32 | NS | 138 ± 6 | 92 ± 9 | - | - | 6/6 | - | 11 | 11 | 1 | NS |
| Sidhu, 200735 | 1 | SN | None | GE | 50 | OGIB: 28 CD/?CD: 15 Nonspecific: 7 | 73 | 58 | NS | 190 | 260 | 235 | NS | |||
| Fernández-Urién, 200827 | 1 | EN | CE course | Consensus with expert | 20 | OGIB: 13 CD/?CD: 3 Nonspecific: 4 | 62.2 ± 19 | 51.9 ± 13.5 | 51/54 | 34/41 | 4/4 | - | 103 | 113 | 1 | 20/20 |
| Mussetto, 200831 (abst) | 2 | 1 EN, 1 SN | None | GE | 10 | NS | 110 (EN), 120 (SN) | 65 | NS | 17 (EN), 13 (SN) | 22 | NS | 7/10 (EN), 4/10 (SN) | |||
| Postgate, 200933 | 1 | EN | Own training prog. | Expert | 22 | OGIB: 26 CD/?CD: 17 Polyposis: 3 | NS | NS | 102 | 220 | 19 | 9/22 | ||||
| Riphaus, 200934 | 1 | EN | 15 CEs, supervised | Expert | 48 | OGIB: 36 CD/?CD: 7 Polyposis: 5 | 63 ± 26 | 54 ± 18 | 47/51 | 5/5 | 3/3 | 1/1 | 56 | 61 | NS | NS |
| Chandrasekhara, 201024 (abst) | 2 | 1 GN, 1 EN | NS | Expert | 20 | OGIB: 5 CD/?CD: 3 Nonspecific: 12 | NS | NS | NS | NS | NS | 14/20 (GN), 10/20 (EN) | ||||
| Dokoutsidou, 201125 | 1 | EN | 50 CEs, supervised | Consensus with expert | 102 | OGIB: 76 CD/?CD: 7 Polyposis: 2 Coeliac disease: 8 Nonspecific: 9 | 117.3 ± 24.8 | 63.8 ± 8.5 | 24/26 | 6/6 | 9/9 | 3/3 | 105 | 113 | NS | NS |
| Drew, 201117 (abst) | 1 | N End with prior CE experience | >200 CEs | Consensus with 2 experts | 95 | OGIB: 80 CD/?CD: 5 Coeliac disease: 7 Nonspecific: 3 | 24 | 17 | 1/1 | 1/1 | 4/4 | 2/2 | 29 | 30 | NS | NS |
| Brock, 201223 | 1 | EN | CE course | GE | 220 | NS | NS | NS | NS | NS | 32 | 166/220 | ||||
| Dreanic, 201526 (abst) | 2 | ENs | NS | Experts | 20 | NS | 34.1 ± 4.1 | 34 ± 9.9 | NS | NS | NS | NS | 16/20 | |||
| Guarini, 201528 | 2 | ENs | CE course | Consensus with expert | 46 | OGIB: 37 CD/?CD: 3 Polyposis: 4 Nonspecific: 2 | 78 | 53 | 7/7 | - | 1/1 | 1/1 | 25 | 25 | 2 | NS |
Abbreviations: abst, abstract; CE, capsule endoscopy; NS, not specified; SD, standard deviation.
Nurse exp (nurse experience): EN, endoscopy nurse; N End, nurse endoscopist; GN, gastroenterology nurse; SN, staff nurse. RS (reference standard): GE gastroenterologist (i.e. moderate CE experience; not specified). CE indications: CD/?CD, Crohn's disease or suspected Crohn's disease; OGIB obscure gastrointestinal bleeding (both occult and overt), Nonspecific refers to indications such as abdominal pain, diarrhoea, suspected functional symptoms Findings: N, nurse; RS, reference standard.