TY - JOUR
T1 - Expertise in surgical neuro-oncology. Results of a survey by the EANS neuro-oncology section
AU - Gousias, K.
AU - Hoyer, A.
AU - Mazurczyk, L. A.
AU - Bartek, J.
AU - Bruneau, M.
AU - Celtikci, E.
AU - Foroglou, N.
AU - Freyschlag, C.
AU - Grossman, R.
AU - Jungk, C.
AU - Metellus, P.
AU - Netuka, D.
AU - Rola, R.
AU - Schucht, P.
AU - Senft, C.
AU - Signorelli, F.
AU - Vincent, A. J.P.E.
AU - Simon, M.
AU - Agrawal, Rachit
AU - Albano, Luigi
AU - Alexiou, George A.
AU - Ali, Amanj
AU - Al-Mahfoudh, Rafid
AU - Amoo, Michael
AU - Anagnostopoulos, Christos
AU - Bamps, Sven
AU - Bandyopadhyay, Soham
AU - Barone, Damiano G.
AU - Barone, Fabio
AU - Barrit, Sami
AU - Behling, Felix
AU - Blaga, Alin
AU - Boukas, Alexandros
AU - Brennan, Paul
AU - Butenschoen, Vicki M.
AU - Campello, Mauro
AU - Cara, Areda
AU - Chibbaro, Salvatore
AU - Chrenko, Robert
AU - Cifre Serra, Pere J.
AU - Clusmann, Hans
AU - Corell, Alba
AU - Cornelius, Jan F.
AU - D'Andrea, Marcello
AU - Demetriades, Andreas K.
AU - De Vleeschouwer, Steven
AU - Drexler, Richard
AU - Duerinck, Johnny
AU - Fanarjyan, Ruben V.
AU - Robe, Pierre A.
N1 - Publisher Copyright:
© 2024
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
KW - CNS tumors
KW - EANS
KW - Expertise
KW - Surgical neuro-oncology
UR - http://www.scopus.com/inward/record.url?scp=85193741863&partnerID=8YFLogxK
U2 - 10.1016/j.bas.2024.102822
DO - 10.1016/j.bas.2024.102822
M3 - Article
AN - SCOPUS:85193741863
SN - 2772-5294
VL - 4
JO - Brain and Spine
JF - Brain and Spine
M1 - 102822
ER -