Defining Competencies for Endoscopic Submucosal Dissection (ESD) for Gastric Neoplasms

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2018 Aug 29

PMID 30151750

Citations 5

Authors

Madoka Takao

Elif Bilgic

Kevin Waschke

Pepa Kaneva

Satoshi Endo

Yoshiko Nakano

Shinwa Tanaka

Yoshinori Morita

Takashi Toyonaga

Eiji Umegaki

Yuzo Kodama

Gerald M Fried

Affiliations

Soon will be listed here.

Abstract

Background: Current methods for teaching and assessing competencies for endoscopic submucosal dissection (ESD) are highly variable, non-systematic, and are inefficient for the learner to acquire adequate skills. The present study aims to define and establish expert consensus regarding competencies required to perform ESD for gastric neoplasms.

Methods: Fourteen ESD experts from 12 institutions in Japan were invited to complete an online survey to rate potential items for their importance in performing ESD proficiently. By using methodology based on the Delphi principles, the results of each round were analyzed and re-sent to the experts until consensus was established. Items were included if ranked 8 out of a 10-point Likert scale, by ≥ 80% of the respondents.

Results: A list of 29 potential items was generated through a review of the literature, textbooks, and experience of the steering group members. Ten new items were added through the survey. Consensus was reached after three rounds. Response rate ranged from 93 to 100%. Thirty-four items achieved consensus as important surrogates of competency in performing ESD.

Conclusions: Essential competencies for performing ESD were identified through expert consensus. These competencies can serve as the foundation for structured training and for development of objective assessment tools to evaluate trainee performance in ESD.

Citing Articles

Effectiveness of a novel ex vivo training model for gastric endoscopic submucosal dissection training: a prospective observational study conducted at a single center in Japan.

Toba T, Ishii T, Sato N, Nogami A, Hojo A, Shimizu R Clin Endosc. 2024; 58(1):94-101.

PMID: 39489604 PMC: 11837555. DOI: 10.5946/ce.2024.108.

Defining competencies in robotic thyroidectomy: development of a model assessing an expert operator's intraoperative performance skills and cognitive strategies.

Kim H, Yu H, Ahn J, Lee T, Lee K Gland Surg. 2024; 13(3):340-350.

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Resection speed of endoscopic submucosal dissection according to the location of gastric neoplasia: a learning curve using cumulative sum analysis.

Cho J, Jin S, Park S Surg Endosc. 2022; 37(4):2969-2979.

PMID: 36512121 DOI: 10.1007/s00464-022-09821-7.

Doppler probe method to reduce delayed bleeding after endoscopic submucosal dissection in the stomach: a propensity-score matched study (with video).

Shiratori Y, Ikeya T, Yamamoto K, Takasu A, Suzuki Y, Okada S Surg Endosc. 2022; 36(11):8663-8671.

PMID: 35697850 DOI: 10.1007/s00464-022-09345-0.

Learning endoscopic submucosal dissection in the UK: Barriers, solutions and pathways for training.

Barbour J, OToole P, Suzuki N, Dolwani S Frontline Gastroenterol. 2021; 12(7):671-676.

PMID: 34917325 PMC: 8640414. DOI: 10.1136/flgastro-2020-101526.

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