{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:50Z","timestamp":1790380850938,"version":"4.1.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background High variability has been reported in assessing endoscopic scoring systems for pediatric inflammatory bowel disease (IBD). This study assessed whether a structured training could improve interobserver agreement when scoring IBD endoscopy findings.<\/jats:p>\n                  <jats:p>Methods Ten ileocolonoscopic videos were scored using the Mayo Endoscopic Score (MES) and Ulcerative Colitis Endoscopic Index of Severity (UCEIS) for ulcerative colitis, and the Simple Endoscopic Score for Crohn\u2019s Disease (SES-CD). Ten expert endoscopists and ten trainees evaluated the videos before and after a focused training session. Agreement was measured using intraclass correlation coefficient (ICC) and Fleiss kappa (\u03ba), and perceived benefit was surveyed.<\/jats:p>\n                  <jats:p>Results For MES, \u03ba slightly improved among experts, but ICC declined; trainees showed stable \u03ba and improved ICC. The UCEIS agreement was stable in experts and slightly improved in trainees. The SES-CD scores showed improved agreement for both groups, with trainee accuracy improving from 74% to 86% (\u0394 = 12%, p = 0.051). Both groups reported subjective improvement, although not statistically significant.<\/jats:p>\n                  <jats:p>Conclusions Interobserver agreement ranged from moderate to good. Structured training produced only modest improvements, especially in SES-CD scoring, with limited overall effect on scoring consistency.<\/jats:p>","DOI":"10.1055\/a-2955-0298","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:17:54Z","timestamp":1790378274000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Improving Endoscopic Scoring Accuracy in Pediatric Inflammatory Bowel Disease: Impact of a Focused Training Intervention"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5249-8248","authenticated-orcid":false,"given":"Matteo","family":"Bramuzzo","sequence":"first","affiliation":[{"name":"Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d, Italy","place":["Trieste"],"department":["Gastoenterology and Nutrition"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6094-7983","authenticated-orcid":false,"given":"Sara","family":"Renzo","sequence":"first","affiliation":[{"name":"Meyer Children\u2019s Hospital, IRCCS, Italy","place":["Florence"],"department":["Gastroenterology and Nutrition Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7870-2788","authenticated-orcid":false,"given":"Flavio","family":"Labriola","sequence":"additional","affiliation":[{"name":"Maggiore Hospital Carlo Alberto Pizzardi, Emilia-Romagna, Italy","place":["Bologna"],"department":["Pediatric Gastroenterology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4160-3479","authenticated-orcid":false,"given":"Fabiola","family":"Giudici","sequence":"additional","affiliation":[{"name":"Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Friuli-Venezia Giulia, Italy","place":["Aviano"],"department":["Unit of Cancer Epidemiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Arrigo","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Giannina Gaslini, Liguria, Italy","place":["Genoa"],"department":["Pediatric Gastroenterology and Endoscopy Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4028-4194","authenticated-orcid":false,"given":"Sara","family":"Lega","sequence":"additional","affiliation":[{"name":"Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d, Italy","place":["Trieste"],"department":["Gastoenterology and Nutrition"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4498-7305","authenticated-orcid":false,"given":"Erasmo","family":"Miele","sequence":"additional","affiliation":[{"name":"Section of Paediatrics University of Naples Federico II, Italy","place":["Naples"],"department":["Department of Translational Medical Science"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3322-2921","authenticated-orcid":false,"given":"Lorenzo","family":"Norsa","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Vittore Buzzi, University of Milan, Lumbardy, Italy","place":["Milan"],"department":["Pediatric Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2348-2308","authenticated-orcid":false,"given":"Salvatore","family":"Oliva","sequence":"additional","affiliation":[{"name":"University of Rome La Sapienza, Lazio, Italy","place":["Rome"],"department":["Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Bravin","sequence":"additional","affiliation":[{"name":"Santa Chiara Hospital, Tuscany, Italy","place":["Pisa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7226-6994","authenticated-orcid":false,"given":"Sara","family":"Curto","sequence":"additional","affiliation":[{"name":"Children Hospital, University Hospital SS Antonio e Biagio e C. 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