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Organization of gynaecological cancer care
293 Quality of training in cervical cancer surgery: a survey from the European network of young gynaecologic oncologists (ENYGO)
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  1. N Bizzarri1,
  2. A Pletnev2,
  3. Z Razumova3,
  4. K Zalewski4,
  5. C Theofanakis5,
  6. I Selcuk6,
  7. T Nikolova7,
  8. M Lanner8,
  9. NR Gómez-Hidalgo9,
  10. J Kacperczyk-Bartnik10,
  11. D Querleu1,11,
  12. D Cibula12,
  13. RHM Verheijen13 and
  14. A Fagotti1
  1. 1Fondazione Policlinico Universitario A Gemelli, IRCCS, UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Rome, Italy
  2. 2Department of Gynaecological Oncology, N.N. Alexandrov National Cancer Centre of Belarus, Minsk, Belarus
  3. 3Department of Women’s and Children’s Health, Division of Neonatology, Obstetrics and Gynaecology, Karolinska Institute, Stockholm, Sweden
  4. 4Gynaecological Oncology, Świętokrzyskie Cancer Centre, Kielce, Poland
  5. 5Department of Gynaecological Oncology, General Hospital of Athens Alexandra, Athens, Greece
  6. 6Gynaecological Oncology, Maternity Hospital, Ankara City Hospital, Ankara, Turkey
  7. 7Klinikum Mittelbaden, Academic Teaching Hospital of Heidelberg University, Baden-Baden, Germany
  8. 8Department of Obstetrics and Gynaecology, Kardinal Schwarzenberg Klinikum, Schwarzach im Pongau, Austria
  9. 9Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Vall d’Hebron Barcelona Hospital Campus, Autonoma University of Barcelona, UAB, Passeig Vall d’Hebron, Barcelona, Spain
  10. 102nd Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland
  11. 11Department of Obstetrics and Gynecology, University Hospital of Strasbourg, Strasbourg, France
  12. 12Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
  13. 13Department of Gynaecological Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands

Abstract

Introduction/Background*European Society of Gynaecological Oncology (ESGO) and partners are committed to improving the quality of training for gynecological oncology fellows. The aim of this survey was to take a real-life picture of the type and level of the training in cervical cancer surgery, and to investigate whether LACC-trial changes may have affected quality of training in radical hysterectomy for gynecologic oncology fellows.

Methodology In June 2020, a 47-question electronic survey was shared with European Network of Young Gynaecologic Oncologists (ENYGO) members. Specialist in Obstetrics and Gynecology and Gynecologic Oncology Fellows, who started the training between 01/01/2017 and 01/01/2020 or started before 01/01/2017 but finished their training at least 6 months after LACC trial publication, were included.

Result(s)*81 respondents were included in the present study. The median time from the start of fellowship to the date of completion of survey was 28.0 months (range, 6-48). Fifty-six (69.1%) respondents were still fellows-in-training. Six out of 56 (10.7%) and 14/25 (56.0%) of respondents who were still in training and completed the fellowship respectively, performed ≥10 radical hysterectomies during their training. Fellows trained in an ESGO-accredited center had higher chance to be exposed to sentinel lymph node biopsy (p=0.027). There was no difference in the mean number of radical hysterectomies performed by fellows before and after LACC-trial publication (8±12.0 versus 7±8.4, respectively) (p=0.463). A significant reduction in number of minimally-invasive radical hysterectomies was evident when comparing the period before and after LACC-trial (38.5% versus 13.8%, respectively; p<0.001).

Conclusion*Exposure to radical surgery for cervical cancer is relatively low amongst gynecologic oncology fellows. Centralization of cervical cancer cases to high-volume centers provides an increase in fellows’ exposure to radical procedures. LACC-trial publication did not reduce the possibility for a fellow to perform radical hysterectomies, but it may have affected the opportunity of performing minimally-invasive radical hysterectomy.

https://doi.org/10.1136/ijgc-2021-ESGO.298

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