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Sökning: onr:"swepub:oai:lup.lub.lu.se:6a463414-0060-4f9b-aa55-c60744ac6f2a" > Development of a su...

  • Moloney, KristenRoyal Brisbane and Women's Hospital (författare)

Development of a surgical competency assessment tool for sentinel lymph node dissection by minimally invasive surgery for endometrial cancer

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-03-04
  • BMJ,2021

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:6a463414-0060-4f9b-aa55-c60744ac6f2a
  • https://lup.lub.lu.se/record/6a463414-0060-4f9b-aa55-c60744ac6f2aURI
  • https://doi.org/10.1136/ijgc-2020-002315DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:149870254URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Sentinel lymph node dissection is widely used in the staging of endometrial cancer. Variation in surgical techniques potentially impacts diagnostic accuracy and oncologic outcomes, and poses barriers to the comparison of outcomes across institutions or clinical trial sites. Standardization of surgical technique and surgical quality assessment tools are critical to the conduct of clinical trials. By identifying mandatory and prohibited steps of sentinel lymph node (SLN) dissection in endometrial cancer, the purpose of this study was to develop and validate a competency assessment tool for use in surgical quality assurance. A Delphi methodology was applied, included 35 expert gynecological oncology surgeons from 16 countries. Interviews identified key steps and tasks which were rated mandatory, optional, or prohibited using questionnaires. Using the surgical steps for which consensus was achieved, a competency assessment tool was developed and subjected to assessments of validity and reliability. Seventy percent consensus agreement standardized the specific mandatory, optional, and prohibited steps of SLN dissection for endometrial cancer and informed the development of a competency assessment tool. Consensus agreement identified 21 mandatory and three prohibited steps to complete a SLN dissection. The competency assessment tool was used to rate surgical quality in three preselected videos, demonstrating clear separation in the rating of the skill level displayed with mean skills summary scores differing significantly between the three videos (F score=89.4; P<0.001). Internal consistency of the items was high (Cronbach α=0.88). Specific mandatory and prohibited steps of SLN dissection in endometrial cancer have been identified and validated based on consensus among a large number of international experts. A competency assessment tool is now available and can be used for surgeon selection in clinical trials and for ongoing, prospective quality assurance in routine clinical care.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Janda, MonikaUniversity of Queensland (författare)
  • Frumovitz, MichaelUniversity of Texas MD Anderson Cancer Center (författare)
  • Leitao, MarioMemorial Sloan-Kettering Cancer Center (författare)
  • Abu-Rustum, Nadeem R.Memorial Sloan-Kettering Cancer Center (författare)
  • Rossi, EmmaUniversity of North Carolina (författare)
  • Nicklin, James L.Royal Brisbane and Women's Hospital (författare)
  • Plante, MarieLaval University (författare)
  • Lecuru, Fabrice R.Curie Institute, Paris,Paris Diderot University (författare)
  • Buda, AlessandroUniversity of Milano-Bicocca (författare)
  • Mariani, AndreaMayo Clinic Minnesota (författare)
  • Leung, YeeUniversity of Western Australia, Crawley (författare)
  • Ferguson, Sarah ElizabethUniversity of Toronto (författare)
  • Pareja, ReneNational Cancer Institute of Colombia (författare)
  • Kimmig, RainerUniversity of Duisburg-Essen (författare)
  • Tong, Pearl Shuang YeNational University Health System (författare)
  • McNally, OrlaRoyal Women's Hospital, Carlton,University of Melbourne (författare)
  • Chetty, NavenMater Health Services Brisbane (författare)
  • Liu, KaijiangRenji Hospital (författare)
  • Jaaback, KenJohn Hunter Hospital (författare)
  • Lau, JulioUniversity of San Carlos de Guatemala,Hospital General San Juan de Dios (författare)
  • Ng, Soon Yau JosephNational University of Singapore (författare)
  • Falconer, HenrikKarolinska Institutet,Karolinska Institute,Karolinska University Hospital (författare)
  • Persson, JanLund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Livmoder och livmoderhalscancer,Forskargrupper vid Lunds universitet,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Endometrial and cervical cancer,Lund University Research Groups,Skåne University Hospital(Swepub:lu)gyn-jpe (författare)
  • Land, RussellRoyal Brisbane and Women's Hospital (författare)
  • Martinelli, FabioIstituto Nazionale dei Tumori (författare)
  • Garrett, AndreaRoyal Brisbane and Women's Hospital (författare)
  • Altman, AlonUniversity of Manitoba (författare)
  • Pendlebury, AdamMercy Hospital for Women, Heidelberg (författare)
  • Cibula, DavidGeneral University Hospital in Prague,Charles University in Prague (författare)
  • Altamirano, RobertoUniversity of Chile (författare)
  • Brennan, DonalMater Misericordiae University Hospital,University College Dublin (författare)
  • Ind, Thomas EdwardRoyal Marsden NHS Foundation Trust,St George's, University of London (författare)
  • De Kroon, CornelisLeiden University Medical Centre (författare)
  • Tse, Ka YuUniversity of Hong Kong (författare)
  • Hanna, GeorgeImperial College London (författare)
  • Obermair, AndreasRoyal Brisbane and Women's Hospital (författare)
  • Royal Brisbane and Women's HospitalUniversity of Queensland (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:International Journal of Gynecological Cancer: BMJ31:5, s. 647-6551048-891X1525-1438

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