Assessing the Predictive Validity and Efficacy of a Multimodal Training Programme for Laparoscopic Radical Prostatectomy (LRP)

Sugiono, Marto; Teber, Doğu; Anghel, Gabriel; Gözen, Ali Serdar; Stock, Christian; Hruza, Marcel; Frede, Thomas; Klein, Jan; Rassweiler, Jens

doi:10.1016/j.eururo.2006.11.029

Cited by 38 publications

(35 citation statements)

References 30 publications

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“…Such training programs have to prove their content validity, face validity, construct validity, predictive validity and most importantly their transfer validity, respectively. 9 This has been proven already for several laparoscopic training programs. 6,9 The advantage of any endoscopic technique includes the direct use of video-teaching.…”

Section: The Quality Of the Surgeonmentioning

confidence: 99%

“…9 This has been proven already for several laparoscopic training programs. 6,9 The advantage of any endoscopic technique includes the direct use of video-teaching. At present, we are not aware of similar studies presented by open surgeons.…”

Section: The Quality Of the Surgeonmentioning

confidence: 99%

“…The constructive and predictive validity of HLTP has been shown previously. 8,9 In the present study, we aimed to evaluate the safety and efficacy of laparoscopic surgery for organ confined prostate cancer carried out by two trainees, showing the transferability (transfer validity) to an independent academic center.…”

Section: The Advantages Of the Heilbronn Laparoscopic Training Programmentioning

confidence: 99%

“…The constructive and predictive validity of HLTP have been shown before. 9 The question remains whether such training would transfer laparoscopic skills into an inexperienced center (i.e. transfer validity).…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic radical prostatectomy: Transfer validity

et al. 2010

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Objectives:The impact of a formal fellowship training program on the independent practice of the trainees (i.e. transfer validity) has not been evaluated. We analyzed the transfer validity of a structured curriculum in an in-door as well as an out-door setting. Methods: After completing their training, two fourth generation laparoscopic surgeons who started at the same time compared operative parameters and oncological outcomes in their independent practice, prospectively analyzing the next 100 patients in each. One surgeon continued laparoscopic radical prostatectomy (LRP) in the same center of excellence (Group-In), whereas the other implemented the procedure in a separate academic center (Group-Out). Results: The demographics for both groups (Group-In vs Group-Out) were similar regarding age, prostate volume and preoperative prostate-specific antigen levels. Mean operation times (214.8 vs 224.2 min; P = 0.494) and estimated blood loss (472.4 vs 402.6 mL; P = 0.109) did not differ significantly in both groups as well as complication rate (20 vs 24%), median catheter time (8 vs 8.5 days) and continence rates at 12 months (95 vs 95.5%). According to the pathological stages, the rates of positive surgical margins were similar for pT2 (3.2 vs 4.3%) and pT3 (42.8 vs 45.2%), respectively. Conclusions: With a well designed , long-term preclinical and clinical fellowship training program, LRP techniques can be efficiently transferred from the center of excellence to other centers with no significant impact on surgical, functional and oncological outcomes.

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Section: The Quality Of the Surgeonmentioning

confidence: 99%

Section: The Quality Of the Surgeonmentioning

confidence: 99%

Section: The Advantages Of the Heilbronn Laparoscopic Training Programmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic radical prostatectomy: Transfer validity

et al. 2010

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“…As mentioned by Sugiono in 2007, "Gone are the days of a surgeon seeing a new technique and performing it the next day. Instead, mentorships and modular learning have been shown to ensure patient safety while allowing a surgeon to reach competency at a faster rate" [9]. This is why it is necessary to focus and to unite in our efforts to support new surgeons to establish transurethral enucleation programs.…”

mentioning

confidence: 99%