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Development of a su...
Development of a surgical competency assessment tool for sentinel lymph node dissection by minimally invasive surgery for endometrial cancer
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- Moloney, Kristen (författare)
- Royal Brisbane and Women's Hospital
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- Janda, Monika (författare)
- University of Queensland
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- Frumovitz, Michael (författare)
- University of Texas MD Anderson Cancer Center
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- Leitao, Mario (författare)
- Memorial Sloan-Kettering Cancer Center
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- Abu-Rustum, Nadeem R. (författare)
- Memorial Sloan-Kettering Cancer Center
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- Rossi, Emma (författare)
- University of North Carolina
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- Nicklin, James L. (författare)
- Royal Brisbane and Women's Hospital
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- Plante, Marie (författare)
- Laval University
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- Lecuru, Fabrice R. (författare)
- Curie Institute, Paris,Paris Diderot University
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- Buda, Alessandro (författare)
- University of Milano-Bicocca
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- Mariani, Andrea (författare)
- Mayo Clinic Minnesota
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- Leung, Yee (författare)
- University of Western Australia, Crawley
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- Ferguson, Sarah Elizabeth (författare)
- University of Toronto
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- Pareja, Rene (författare)
- National Cancer Institute of Colombia
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- Kimmig, Rainer (författare)
- University of Duisburg-Essen
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- Tong, Pearl Shuang Ye (författare)
- National University Health System
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- McNally, Orla (författare)
- Royal Women's Hospital, Carlton,University of Melbourne
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- Chetty, Naven (författare)
- Mater Health Services Brisbane
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- Liu, Kaijiang (författare)
- Renji Hospital
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- Jaaback, Ken (författare)
- John Hunter Hospital
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- Lau, Julio (författare)
- University of San Carlos de Guatemala,Hospital General San Juan de Dios
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- Ng, Soon Yau Joseph (författare)
- National University of Singapore
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- Falconer, Henrik (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Persson, Jan (författare)
- Lund 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
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- Land, Russell (författare)
- Royal Brisbane and Women's Hospital
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- Martinelli, Fabio (författare)
- Istituto Nazionale dei Tumori
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- Garrett, Andrea (författare)
- Royal Brisbane and Women's Hospital
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- Altman, Alon (författare)
- University of Manitoba
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- Pendlebury, Adam (författare)
- Mercy Hospital for Women, Heidelberg
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- Cibula, David (författare)
- Charles University in Prague,General University Hospital in Prague
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- Altamirano, Roberto (författare)
- University of Chile
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- Brennan, Donal (författare)
- Mater Misericordiae University Hospital,University College Dublin
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- Ind, Thomas Edward (författare)
- Royal Marsden NHS Foundation Trust,St George's, University of London
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- De Kroon, Cornelis (författare)
- Leiden University Medical Centre
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- Tse, Ka Yu (författare)
- University of Hong Kong
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- Hanna, George (författare)
- Imperial College London
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- Obermair, Andreas (författare)
- Royal Brisbane and Women's Hospital
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(creator_code:org_t)
- 2021-03-04
- 2021
- Engelska.
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Ingår i: International Journal of Gynecological Cancer. - : BMJ. - 1048-891X .- 1525-1438. ; 31:5, s. 647-655
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://ijgc.bmj.com...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- endometrial neoplasms
- operative
- sentinel lymph node
- surgical oncology
- surgical procedures
- uterine cancer
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Moloney, Kristen
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Janda, Monika
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Frumovitz, Micha ...
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Leitao, Mario
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Abu-Rustum, Nade ...
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Rossi, Emma
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visa fler...
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Nicklin, James L ...
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Plante, Marie
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Lecuru, Fabrice ...
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Buda, Alessandro
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Mariani, Andrea
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Leung, Yee
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Ferguson, Sarah ...
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Pareja, Rene
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Kimmig, Rainer
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Tong, Pearl Shua ...
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McNally, Orla
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Chetty, Naven
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Liu, Kaijiang
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Jaaback, Ken
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Lau, Julio
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Ng, Soon Yau Jos ...
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Falconer, Henrik
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Persson, Jan
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Land, Russell
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Martinelli, Fabi ...
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Garrett, Andrea
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Altman, Alon
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Pendlebury, Adam
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Cibula, David
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Altamirano, Robe ...
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Brennan, Donal
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Ind, Thomas Edwa ...
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De Kroon, Cornel ...
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Tse, Ka Yu
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Hanna, George
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Obermair, Andrea ...
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och Klinisk medicin
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och Cancer och onkol ...
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Lunds universitet
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Karolinska Institutet