Expertise in surgical neuro-oncology. Results of a survey by the EANS neuro-oncology section

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • for the EANS Surgical Neuro-oncology Expertise Survey working group - (Autor:in)
  • Klinik und Poliklinik für Neurochirurgie
  • Athens Medical Center
  • University of Nicosia
  • Westfälische Wilhelms-Universität Münster
  • Universität Bielefeld
  • Karolinska Institutet
  • Vrije Universiteit Brussel
  • Gazi University
  • Aristotle University of Thessaloniki
  • Universität Innsbruck
  • Rambam Health Care Campus Israel
  • Universität Heidelberg
  • Hôpital privé Clairval
  • Military University Hospital Prague
  • Medical University of Lublin
  • Universität Bern
  • Friedrich-Schiller-Universität Jena
  • Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari
  • Erasmus University Rotterdam
  • St. Marien Hospital Lünen
  • IRCCS Ospedale San Raffaele - Milano
  • University of Ioannina
  • Faruk Medical City
  • University Hospitals Sussex NHS Foundation Trust
  • University College Cork
  • Hellenic Red Cross Hospital
  • Jessaziekenhuis
  • University of Southampton
  • University Hospital Southampton NHS Foundation Trust
  • University of Oxford
  • University of Cambridge
  • Azienda Ospedaliera Cannizzaro
  • Université libre de Bruxelles (ULB)
  • Universitätsklinikum Tübingen
  • Spitalul Clinic Județean de Urgență Bihor
  • Oxford University Hospitals NHS Foundation Trust
  • Cancer Research UK
  • Technische Universität München
  • Grande Ospedale Metropolitano
  • University of Calabria
  • University Medical Center of Tirana "Mother Teresa"
  • Université de Strasbourg
  • National Institute of Children's Diseases
  • University Hospital of Bellvitge
  • Rheinisch-Westfälische Technische Hochschule Aachen
  • University of Gothenburg
  • Sahlgrenska University Hospital
  • Universitätsklinikum Düsseldorf
  • Ospedale M. Bufalini
  • University of Edinburgh
  • KU Leuven
  • Universität Hamburg
  • Yerevan State Medical University
  • Universitätsklinikum Carl Gustav Carus Dresden

Abstract

Introduction: Technical advances and the increasing role of interdisciplinary decision-making may warrant formal definitions of expertise in surgical neuro-oncology. Research question: The EANS Neuro-oncology Section felt that a survey detailing the European neurosurgical perspective on the concept of expertise in surgical neuro-oncology might be helpful. Material and methods: The EANS Neuro-oncology Section panel developed an online survey asking questions regarding criteria for expertise in neuro-oncological surgery and sent it to all individual EANS members. Results: Our questionnaire was completed by 251 respondents (consultants: 80.1%) from 42 countries. 67.7% would accept a lifetime caseload of >200 cases and 86.7% an annual caseload of >50 as evidence of neuro-oncological surgical expertise. A majority felt that surgeons who do not treat children (56.2%), do not have experience with spinal fusion (78.1%) or peripheral nerve tumors (71.7%) may still be considered experts. Majorities believed that expertise requires the use of skull-base approaches (85.8%), intraoperative monitoring (83.4%), awake craniotomies (77.3%), and neuro-endoscopy (75.5%) as well as continuing education of at least 1/year (100.0%), a research background (80.0%) and teaching activities (78.7%), and formal interdisciplinary collaborations (e.g., tumor board: 93.0%). Academic vs. non-academic affiliation, career position, years of neurosurgical experience, country of practice, and primary clinical interest had a minor influence on the respondents’ opinions. Discussion and conclusion: Opinions among neurosurgeons regarding the characteristics and features of expertise in neuro-oncology vary surprisingly little. Large majorities favoring certain thresholds and qualitative criteria suggest a consensus definition might be possible.

Details

OriginalspracheEnglisch
Aufsatznummer102822
FachzeitschriftBrain and Spine
Jahrgang4
PublikationsstatusVeröffentlicht - Jan. 2024
Peer-Review-StatusJa

Schlagworte

Schlagwörter

  • CNS tumors, EANS, Expertise, Surgical neuro-oncology