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.
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