Stavros A Antoniou1,2,3, Sofia Tsokani4, Dimitrios Mavridis4,5, Ferdinando Agresta6, Manuel López-Cano7, Filip E Muysoms8, Salvador Morales-Conde9, Hendrik-Jaap Bonjer10, Thérèse van Veldhoven11, Nader K Francis12. 1. Medical School, European University Cyprus, Nicosia, Cyprus. stavros.antoniou@hotmail.com. 2. Department of Surgery, Mediterranean Hospital of Cyprus, Limassol, Cyprus. stavros.antoniou@hotmail.com. 3. , Athinon-Souniou 11, 19001, Keratea, Athens, Greece. stavros.antoniou@hotmail.com. 4. Department of Mathematics, School of Sciences, University of Ioannina, Ioannina, Greece. 5. Department of Primary Education, School of Education, University of Ioannina, Ioannina, Greece. 6. Department of General Surgery, ULSS 5 del Veneto, Adria, Italy. 7. Abdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall D'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain. 8. Department of Surgery, Maria Middelares Hospital, Ghent, Belgium. 9. Unit of Innovation in Minimally Invasive Surgery, Department of Surgery, University Hospital Virgen del Rocio, Sevilla, Spain. 10. Department of General Surgery, VU University Medical Center, Amsterdam, Netherlands. 11. Executive Office, European Association for Endoscopic Surgery, Veldhoven, Netherlands. 12. Department of General Surgery, Yeovil District Hospital NHS Foundation Trust, Higher Kingston, Yeovil, UK.
Abstract
BACKGROUND: Over the past 25 years, the European Association for Endoscopic Surgery (EAES) has been issuing clinical guidance documents to aid surgical practice. We aimed to investigate the awareness and use of such documents among EAES members. Additionally, we conceptually appraised the methodology used in their development in order to propose a bundle of actions for quality improvement and increased penetration of clinical practice guidelines among EAES members. METHODS: We invited members of EAES to participate in a web-based survey on awareness and use of these documents. Post hoc analyses were performed to identify factors associated with poor awareness/use and the reported reasons for limited use. We further summarized and conceptually analyzed key methodological features of clinical guidance documents published by EAES. RESULTS: Three distinct consecutive phases of methodological evolvement of clinical guidance documents were evident: a "consensus phase," a "guideline phase," and a "transitional phase". Out of a total of 254 surgeons who completed the survey, 72% percent were aware of EAES guidelines and 47% reported occasional use. Young age and trainee status were associated with poor awareness and use. Restriction by colleagues was the primary reason for limited use in these subgroups. CONCLUSIONS: The methodology of EAES clinical guidance documents is evolving. Awareness among EAES members is fair, but use is limited. Dissemination actions should be directed to junior surgeons and trainees.
BACKGROUND: Over the past 25 years, the European Association for Endoscopic Surgery (EAES) has been issuing clinical guidance documents to aid surgical practice. We aimed to investigate the awareness and use of such documents among EAES members. Additionally, we conceptually appraised the methodology used in their development in order to propose a bundle of actions for quality improvement and increased penetration of clinical practice guidelines among EAES members. METHODS: We invited members of EAES to participate in a web-based survey on awareness and use of these documents. Post hoc analyses were performed to identify factors associated with poor awareness/use and the reported reasons for limited use. We further summarized and conceptually analyzed key methodological features of clinical guidance documents published by EAES. RESULTS: Three distinct consecutive phases of methodological evolvement of clinical guidance documents were evident: a "consensus phase," a "guideline phase," and a "transitional phase". Out of a total of 254 surgeons who completed the survey, 72% percent were aware of EAES guidelines and 47% reported occasional use. Young age and trainee status were associated with poor awareness and use. Restriction by colleagues was the primary reason for limited use in these subgroups. CONCLUSIONS: The methodology of EAES clinical guidance documents is evolving. Awareness among EAES members is fair, but use is limited. Dissemination actions should be directed to junior surgeons and trainees.
Entities:
Keywords:
Awareness; Clinical practice guidelines; EAES; Laparoscopy; Use
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