Evidence map›Paper›PMID 30151750›Full record

ArticleSurgical endoscopy2019

Defining competencies for endoscopic submucosal dissection (ESD) for gastric neoplasms.

Madoka Takao, Elif Bilgic, Kevin Waschke, Pepa Kaneva, Satoshi Endo, Yoshiko Nakano, Shinwa Tanaka, Yoshinori Morita, Takashi Toyonaga, Eiji Umegaki and 2 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method.Canadian journal of gastroenterology & hepatology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Madoka TakaoDepartment of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada.
Elif BilgicDepartment of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada.
Kevin WaschkeDivision of Gastroenterology, McGill University, Montreal, QC, Canada.
Pepa KanevaDepartment of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada.
Satoshi EndoDepartment of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada.
Yoshiko NakanoDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Shinwa TanakaDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Yoshinori MoritaDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Takashi ToyonagaDepartment of Endoscopy, Kobe University Hospital, Kobe, Hyogo, Japan.
Eiji UmegakiDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Yuzo KodamaDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Gerald M FriedDepartment of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada. gerald.fried@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent 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.

methodsFourteen 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.

resultsA 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.

conclusionsEssential 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.

Indexed as

Clinical CompetenceAdultConsensusDelphi TechniqueEndoscopic Mucosal ResectionFemaleHumansJapanMaleMiddle AgedStomach NeoplasmsSurveys and QuestionnairesClinical competenceDelphi techniqueEducation measurementEndoscopic submucosal dissectionStomach neoplasms

Identifiers

PMID30151750

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.