학술논문
Expertise in surgical neuro-oncology. Results of a survey by the EANS neuro-oncology section
Document Type
article
Author
K. Gousias; A. Hoyer; L.A. Mazurczyk; J. Bartek, Jr.; M. Bruneau; E. Celtikci; N. Foroglou; C. Freyschlag; R. Grossman; C. Jungk; P. Metellus; D. Netuka; R. Rola; P. Schucht; C. Senft; F. Signorelli; A.J.P.E. Vincent; M. Simon; Rachit Agrawal; Luigi Albano; George A. Alexiou; Amanj Ali; Rafid Al-Mahfoudh; Michael Amoo; Christos Anagnostopoulos; Sven Bamps; Soham Bandyopadhyay; Damiano G. Barone; Fabio Barone; Sami Barrit; Felix Behling; Alin Blaga; Alexandros Boukas; Paul Brennan; Vicki M. Butenschoen; Mauro Campello; Areda Cara; Salvatore Chibbaro; Robert Chrenko; Pere J. Cifre Serra; Hans Clusmann; Alba Corell; Jan F. Cornelius; Marcello D'Andrea; Andreas K. Demetriades; Steven De Vleeschouwer; Richard Drexler; Johnny Duerinck; Ruben V. Fanarjyan; Alejandro Fernandez-Coello; Kostas Fountas; Thomas M. Freiman; Vadim Gadzhiagaev; Miltiadis Georgiopoulos; Nathalie Gilis; Jagos Golubovic; Eric Goulin Lippi Fernandes; Giovanni Grasso; Francesco Guerrini; Beste Gulsuna; Ciaran S. Hill; Julius Höhne; Markus Holling; Ievgenii Iarmoliuk; Florian Ioan-Alexandru; Tamara Ius; Kestutis Jacikevicius; Asgeir S. Jakola; Paweł Jakubowski; Georgios Kalantzis; Konstantina Karabatsou; Ramez Kirollos; Ralph König; Danil A. Kozyrev; Dietmar Krex; Barbara Ladisich; Ruth Lau; Yauhen Lizunou; Arnaud Lombard; Hu Liang Low; José Luís Alves; Yazid Maghrabi; Marco Mammi; Ala Marji; Luca Massimi; Ioannis Mavridis; Aaron Lawson McLean; Anna C. Lawson McLean; Bernhard Meyer; Malte Mohme; Pedro Moura Branco; Michael Müther; Issam Musleh; Danial Nasiri; Ramon Navarro; Ibrahim Omerhodzic; Marvin Darkwah Oppong; Nikolaos A. Paidakakos; Zoi Pantera; Mohammed A. Patel; Mateusz Pawlowski; Athanasios Petridis; Adrian J. Praeger; Stephen Price; Franz Ricklefs; Luigi Rigante; Florian Ringel; Pierre A. Robe; Karl Rössler; Eduarda Sá-Marta; Jose L. Sanmillan; Alba Scerrati; Matthias Schneider; Henry W.S. Schroeder; Michael Schwake; Mohamed Shoaib; Octavian Mihai Sirbu; Iñigo L. Sistiaga; Tomasz J. Skajster; Albertas Sliauzys; Vitaly Sokotukhin; Jehuda Soleman; Veit M. Stoecklein; Eric Suero Molina; Wojciech Świątnicki; Νikolaos Syrmos; Graziano Taddei; Avin Taher; Martin Tamarit; Mark ter Laan; Theocharis Theocharous; Dieter Thijs; Leonidas Trakolis; Monica Truffelli; Miriam Weiss; Eberhard Uhl; Laura Grazia Valentini; Dimitri Vanhauwaert; Bassel Zebian; Bojana Zivkovic; Matteo Zoli
Source
Brain and Spine, Vol 4, Iss , Pp 102822- (2024)
Subject
Language
English
ISSN
2772-5294
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.