European guidelines on structure and qualification of general thoracic surgery

被引:42
作者
Brunelli, Alessandro [1 ]
Falcoz, Pierre Emmanuel [2 ]
D'Amico, Thomas [3 ]
Hansen, Henrik
Lim, Eric [4 ]
Massard, Gilbert [2 ]
Rice, Thomas W. [5 ]
Rocco, Gaetano [6 ]
Thomas, Pascal [7 ,8 ]
Van Raemdonck, Dirk [9 ]
Congregado, Miguel [10 ]
Decaluwe, Herbert [9 ]
Grodzki, Tomasz [11 ]
Lerut, Toni [9 ]
Molnar, Thomas [12 ]
Salati, Michele [13 ]
Scarci, Marco [14 ]
Van Schil, Paul [15 ]
Varela, Gonzalo [16 ]
Venuta, Federico [17 ]
Melfi, Franca [18 ]
Gebitekin, Cengiz [19 ]
Kuzdzal, Jaroslaw [20 ]
Leschber, Gunda [21 ]
Opitz, Isabelle [22 ]
Papagiannopoulos, Kostas [1 ]
Patterson, Alec [23 ]
Ruffini, Enrico [24 ]
Klepetko, Walter [25 ]
Toker, Alper [26 ]
机构
[1] St James Univ Hosp, Leeds, England
[2] Strasbourg Univ Hosp, Strasbourg, France
[3] Duke Univ, Durham, NC USA
[4] Royal Brompton Hosp, London, England
[5] Cleveland Clin, Cleveland, OH USA
[6] IRCCS, Ist Nazl Tumori, Fdn Pascale, Naples, Italy
[7] Aix Marseille Univ, Marseille, France
[8] Hosp Syst Marseille, Marseille, France
[9] Univ Hosp Leuven, Louvain, Belgium
[10] Univ Hosp Virgen Macarena, Seville, Spain
[11] Pomeranian Med Univ, Szczecin, Poland
[12] Univ Med, Sch Pecs, Pecs, Hungary
[13] Osped Riuniti Ancona, Ancona, Italy
[14] Papworth Hosp NHS Fdn Trust, Papworth Everard, England
[15] Univ Antwerp Hosp, Antwerp, Belgium
[16] Salamanca Univ Hosp, Salamanca, Spain
[17] Univ Roma La Sapienza, Fdn Eleonora Lorillard Spencer Cenci, I-00185 Rome, Italy
[18] Univ Pisa, Pisa, Italy
[19] Uludag Univ, Bursa, Turkey
[20] Jagiellonian Univ Coll Med, Dept Thorac Surg, John Paul II Hosp, Krakow, Poland
[21] ELK Berlin Chest Hosp, Berlin, Germany
[22] Univ Zurich Hosp, Zurich, Switzerland
[23] Washington Univ, St Louis, MO USA
[24] Univ Turin, Turin, Italy
[25] Med Univ Vienna, Vienna, Austria
[26] Istanbul Fac Med, Istanbul, Turkey
关键词
General thoracic surgery; Qualification; Structure; Education; Accreditation; Procedures; Professional affairs; CELL LUNG-CANCER; THORACOSCOPIC LOBECTOMY; LOWER MORBIDITY; STAGE-I; SPECIALTY; OUTCOMES; RESECTION; METAANALYSIS; SURVIVAL; QUALITY;
D O I
10.1093/ejcts/ezu016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To update the recommendations for the structural characteristics of general thoracic surgery (GTS) in Europe in order to provide a document that can be used as a guide for harmonizing the general thoracic surgical practice in Europe. A task force was created to set the structural, procedural and qualification characteristics of a European GTS unit. These criteria were endorsed by the Executive Committee of the European Society of Thoracic Surgeons and by the Thoracic Domain of the European Association for Cardio-Thoracic Surgery and were validated by the European Board of Thoracic Surgery at European Union of Medical Specialists. Criteria regarding definition and scope of GTS, structure and qualification of GTS unit, training and education and recommendations for subjects of particular interest (lung transplant, oesophageal surgery, minimally invasive thoracic surgery, quality surveillance) were developed. This document will hopefully represent the first step of a process of revision of the modern thoracic surgeons' curricula, which need to be qualitatively rethought in the setting of the qualification process. The structural criteria highlighted in the present document are meant to help and tackle the challenge of cultural and language barriers as well as of widely varying national training programmes.
引用
收藏
页码:779 / 786
页数:8
相关论文
共 25 条
[1]   Effect of Surgeon Training, Specialization, and Experience on Outcomes for Cancer Surgery: A Systematic Review of the Literature [J].
Bilimoria, Karl Y. ;
Phillips, Joseph D. ;
Rock, Colin E. ;
Hayman, Amanda ;
Prystowsky, Jay B. ;
Bentrem, David J. .
ANNALS OF SURGICAL ONCOLOGY, 2009, 16 (07) :1799-1808
[2]   Surgeon volume and operative mortality in the United States [J].
Birkmeyer, JD ;
Stukel, TA ;
Siewers, AE ;
Goodney, PP ;
Wennberg, DE ;
Lucas, FL .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (22) :2117-2127
[3]   ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy) [J].
Brunelli, A. ;
Charloux, A. ;
Bolliger, C. T. ;
Rocco, G. ;
Sculier, J-P. ;
Varela, G. ;
Licker, M. ;
Ferguson, M. K. ;
Faivre-Finn, C. ;
Huber, R. M. ;
Clini, E. M. ;
Win, T. ;
De Ruysscher, D. ;
Goldman, L. .
EUROPEAN RESPIRATORY JOURNAL, 2009, 34 (01) :17-41
[4]   Physiologic Evaluation of the Patient With Lung Cancer Being Considered for Resectional Surgery Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J].
Brunelli, Alessandro ;
Kim, Anthony W. ;
Berger, Kenneth I. ;
Addrizzo-Harris, Doreen J. .
CHEST, 2013, 143 (05) :E166-E190
[5]  
Brunelli Alessandro, 2007, Thorac Surg Clin, V17, P387, DOI 10.1016/j.thorsurg.2007.07.011
[6]   The European Thoracic Database project: composite performance score to measure quality of care after major lung resection [J].
Brunelli, Alessandro ;
Berrisford, Richard G. ;
Rocco, Gaetano ;
Varela, Gonzalo .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2009, 35 (05) :769-774
[7]   A meta-analysis of unmatched and matched patients comparing video-assisted thoracoscopic lobectomy and conventional open lobectomy [J].
Cao, Christopher ;
Manganas, Con ;
Ang, Su C. ;
Yan, Tristan D. .
ANNALS OF CARDIOTHORACIC SURGERY, 2012, 1 (01) :16-23
[8]   Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage I non-small cell lung cancer: A meta-analysis [J].
Chen, F. F. ;
Zhang, D. ;
Wang, Y. L. ;
Xiong, B. .
EJSO, 2013, 39 (09) :957-963
[9]   Intraoperative Oncologic Staging and Outcomes for Lung Cancer Resection Vary by Surgeon Specialty [J].
Ellis, Michelle C. ;
Diggs, Brian S. ;
Vetto, John T. ;
Schipper, Paul H. .
ANNALS OF THORACIC SURGERY, 2011, 92 (06) :1958-1964
[10]   Surgeon Specialty and Long-Term Survival After Pulmonary Resection for Lung Cancer [J].
Farjah, Farhood ;
Flum, David R. ;
Varghese, Thomas K. ;
Symons, Rebecca Gaston ;
Wood, Douglas E. .
ANNALS OF THORACIC SURGERY, 2009, 87 (04) :995-1006