An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands
Purpose The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, s...
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| Veröffentlicht in: | Techniques in coloproctology 2023-12, Vol.27 (12), p.1243-1250 |
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| container_title | Techniques in coloproctology |
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| creator | Hazen, S. J. A. Sluckin, T. C. Horsthuis, K. Lambregts, D. M. J. Beets-Tan, R. G. H. Tanis, P. J. Kusters, M. |
| description | Purpose
The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit.
Methods
Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training.
Results
Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%,
p
= 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%,
p
= 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%,
p
= 0.423) and after the training (87% vs 87%,
p
= 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%,
p
|
| doi_str_mv | 10.1007/s10151-023-02803-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2813885090</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2813885090</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-af949b70f836a3f9ace5567e80fc77a1c4352bd20bd4f347f6d135bac5da01833</originalsourceid><addsrcrecordid>eNp9kc9uFSEUxonR2Fp9AReGxI2b0cMAA3fZNP5LGt1o4o4wcKi0M8MVGJM-ga_hs_hk0rlVowsXwAnn932c8BHymMFzBqBeFAZMsg563pYG3ok75JixXncg5Ke7W827gXN1RB6UcgnAlJLsPjniimmhVH9Mvp0udN17W9FT_Gqn1daYFpoCrZ-Rxnk_4YxL_eu2xIs5RU-rvcIuhUAnu_jZ5ivKfny_RpupDRXzxrZ2dNFONC41J7-6zSguW_Mdtj3fqMtDci_YqeCj2_OEfHz18sPZm-78_eu3Z6fnneMKamfDTuxGBUHzwfKwsw6lHBRqCE4py5zgsh99D6MXgQsVBs-4HK2T3gLTnJ-QZwfffU5fVizVzLE4nNoQmNZies241hJ20NCn_6CXac1Lm65RWg-ciUE2qj9QLqdSMgazz7F9xrVhYG5iMoeYTIvJbDEZ0URPbq3XcUb_W_IrlwbwA1Baa7nA_Oft_9j-BCUtn6w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2888631465</pqid></control><display><type>article</type><title>An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands</title><source>Springer Nature - Complete Springer Journals</source><creator>Hazen, S. J. A. ; Sluckin, T. C. ; Horsthuis, K. ; Lambregts, D. M. J. ; Beets-Tan, R. G. H. ; Tanis, P. J. ; Kusters, M.</creator><creatorcontrib>Hazen, S. J. A. ; Sluckin, T. C. ; Horsthuis, K. ; Lambregts, D. M. J. ; Beets-Tan, R. G. H. ; Tanis, P. J. ; Kusters, M. ; Dutch Sigmoid Take-off Research Group ; the Dutch Sigmoid Take-off Research Group</creatorcontrib><description>Purpose
The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit.
Methods
Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training.
Results
Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%,
p
= 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%,
p
= 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%,
p
= 0.423) and after the training (87% vs 87%,
p
= 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%,
p
< 0.001).
Conclusions
The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-023-02803-4</identifier><identifier>PMID: 37184772</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Colorectal cancer ; Colorectal Surgery ; Gastroenterology ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Online instruction ; Original Article ; Proctology ; Surgery</subject><ispartof>Techniques in coloproctology, 2023-12, Vol.27 (12), p.1243-1250</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-af949b70f836a3f9ace5567e80fc77a1c4352bd20bd4f347f6d135bac5da01833</cites><orcidid>0000-0002-2468-9186</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-023-02803-4$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-023-02803-4$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37184772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hazen, S. J. A.</creatorcontrib><creatorcontrib>Sluckin, T. C.</creatorcontrib><creatorcontrib>Horsthuis, K.</creatorcontrib><creatorcontrib>Lambregts, D. M. J.</creatorcontrib><creatorcontrib>Beets-Tan, R. G. H.</creatorcontrib><creatorcontrib>Tanis, P. J.</creatorcontrib><creatorcontrib>Kusters, M.</creatorcontrib><creatorcontrib>Dutch Sigmoid Take-off Research Group</creatorcontrib><creatorcontrib>the Dutch Sigmoid Take-off Research Group</creatorcontrib><title>An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Purpose
The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit.
Methods
Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training.
Results
Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%,
p
= 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%,
p
= 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%,
p
= 0.423) and after the training (87% vs 87%,
p
= 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%,
p
< 0.001).
Conclusions
The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.</description><subject>Abdominal Surgery</subject><subject>Colorectal cancer</subject><subject>Colorectal Surgery</subject><subject>Gastroenterology</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Online instruction</subject><subject>Original Article</subject><subject>Proctology</subject><subject>Surgery</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kc9uFSEUxonR2Fp9AReGxI2b0cMAA3fZNP5LGt1o4o4wcKi0M8MVGJM-ga_hs_hk0rlVowsXwAnn932c8BHymMFzBqBeFAZMsg563pYG3ok75JixXncg5Ke7W827gXN1RB6UcgnAlJLsPjniimmhVH9Mvp0udN17W9FT_Gqn1daYFpoCrZ-Rxnk_4YxL_eu2xIs5RU-rvcIuhUAnu_jZ5ivKfny_RpupDRXzxrZ2dNFONC41J7-6zSguW_Mdtj3fqMtDci_YqeCj2_OEfHz18sPZm-78_eu3Z6fnneMKamfDTuxGBUHzwfKwsw6lHBRqCE4py5zgsh99D6MXgQsVBs-4HK2T3gLTnJ-QZwfffU5fVizVzLE4nNoQmNZies241hJ20NCn_6CXac1Lm65RWg-ciUE2qj9QLqdSMgazz7F9xrVhYG5iMoeYTIvJbDEZ0URPbq3XcUb_W_IrlwbwA1Baa7nA_Oft_9j-BCUtn6w</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Hazen, S. J. A.</creator><creator>Sluckin, T. C.</creator><creator>Horsthuis, K.</creator><creator>Lambregts, D. M. J.</creator><creator>Beets-Tan, R. G. H.</creator><creator>Tanis, P. J.</creator><creator>Kusters, M.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2468-9186</orcidid></search><sort><creationdate>20231201</creationdate><title>An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands</title><author>Hazen, S. J. A. ; Sluckin, T. C. ; Horsthuis, K. ; Lambregts, D. M. J. ; Beets-Tan, R. G. H. ; Tanis, P. J. ; Kusters, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-af949b70f836a3f9ace5567e80fc77a1c4352bd20bd4f347f6d135bac5da01833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Colorectal cancer</topic><topic>Colorectal Surgery</topic><topic>Gastroenterology</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Online instruction</topic><topic>Original Article</topic><topic>Proctology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hazen, S. J. A.</creatorcontrib><creatorcontrib>Sluckin, T. C.</creatorcontrib><creatorcontrib>Horsthuis, K.</creatorcontrib><creatorcontrib>Lambregts, D. M. J.</creatorcontrib><creatorcontrib>Beets-Tan, R. G. H.</creatorcontrib><creatorcontrib>Tanis, P. J.</creatorcontrib><creatorcontrib>Kusters, M.</creatorcontrib><creatorcontrib>Dutch Sigmoid Take-off Research Group</creatorcontrib><creatorcontrib>the Dutch Sigmoid Take-off Research Group</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hazen, S. J. A.</au><au>Sluckin, T. C.</au><au>Horsthuis, K.</au><au>Lambregts, D. M. J.</au><au>Beets-Tan, R. G. H.</au><au>Tanis, P. J.</au><au>Kusters, M.</au><aucorp>Dutch Sigmoid Take-off Research Group</aucorp><aucorp>the Dutch Sigmoid Take-off Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>27</volume><issue>12</issue><spage>1243</spage><epage>1250</epage><pages>1243-1250</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>Purpose
The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit.
Methods
Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training.
Results
Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%,
p
= 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%,
p
= 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%,
p
= 0.423) and after the training (87% vs 87%,
p
= 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%,
p
< 0.001).
Conclusions
The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37184772</pmid><doi>10.1007/s10151-023-02803-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2468-9186</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1123-6337 1128-045X |
| language | eng |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Colorectal cancer Colorectal Surgery Gastroenterology Magnetic resonance imaging Medicine Medicine & Public Health Online instruction Original Article Proctology Surgery |
| title | An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands |
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