Abstract
Purpose: The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit. Methods: Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training. Results: Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%, p = 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%, p = 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%, p = 0.423) and after the training (87% vs 87%, p = 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%, p < 0.001). Conclusions: The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.
| Original language | English |
|---|---|
| Pages (from-to) | 1243-1250 |
| Number of pages | 8 |
| Journal | Techniques in coloproctology |
| Volume | 27 |
| Issue number | 12 |
| Early online date | 2023 |
| DOIs | |
| Publication status | Published - Dec 2023 |
Keywords
- Implementation
- Magnetic resonance imaging
- Rectal cancer
- Sigmoid cancer
- Sigmoid take-off
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In: Techniques in coloproctology, Vol. 27, No. 12, 12.2023, p. 1243-1250.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands
AU - the Dutch Sigmoid Take-off Research Group
AU - Hazen, S. J.A.
AU - Sluckin, T. C.
AU - Horsthuis, K.
AU - Lambregts, D. M.J.
AU - Beets-Tan, R. G.H.
AU - Tanis, P. J.
AU - Kusters, M.
AU - Ankersmit, M.
AU - Bahadoer, R. R.
AU - Bakker, I. S.
AU - Bangert, F.
AU - Barendse, R. M.
AU - Barsom, E.
AU - Bemelman, W. A.
AU - van den Berg, K.
AU - de Bie, S. H.
AU - Blok, R. D.
AU - Boer, F. C.den
AU - Boerma, E. J.G.
AU - Boogerd, L. S.F.
AU - Borstlap, W. A.A.
AU - Braak, S. J.
AU - Bradshaw, J. W.
AU - Brandsma, A. T.A.
AU - Bremers, A. J.A.
AU - Brenkman, H. J.F.
AU - van der Burg, S. W.
AU - Burghgraef, T. A.
AU - Cate, D. W.G.ten
AU - Clermonts, S. H.E.M.
AU - Cobben, L. P.J.
AU - Coebergh van den Braak, R. R.J.
AU - Consten, E. C.J.
AU - Corver, M.
AU - Crolla, R. M.P.H.
AU - Curutchet, S.
AU - van Dalsen, A. D.
AU - Decaestecker, M.
AU - Deerenberg, E. B.
AU - Dekker, E. N.
AU - Derksen, T.
AU - van Dijk, S.
AU - Dreuning, K. M.A.
AU - Hakkenbrak, N. A.G.
AU - Nell, S.
AU - de Raaff, C. A.L.
AU - Tenhagen, M.
AU - Tuynman, J. B.
AU - Wienholts, K.
AU - de Wilt, J. H.W.
AU - Dinaux, A. M.
AU - Ditzel, M.
AU - Emmen, A. M. L. H.
AU - van Erp, A. C.
AU - Geerdink, T. H.
AU - Gerritsen, A.
AU - de Groof, E. J.
AU - Hogewoning, A.
AU - Hompes, R.
AU - Huiberts, A. A. M.
AU - Jansen, J.
AU - Kaçmaz, E.
AU - Kreisel, S. I.
AU - Kornmann, V. N. N.
AU - Lamme, B.
AU - de Lijster, M. S.
AU - Loggers, S. A. I.
AU - Mackay, T. M.
AU - Musters, G. D.
AU - de Nes, L. C. F.
AU - Olthof, P. B.
AU - Scheurkogel, M. M.
AU - Talboom, K.
AU - Tielbeek, J.
AU - van Veldhuisen, S. L.
AU - Vermaas, M.
AU - Volkers, N. A.
AU - de Vries, F. E. E.
AU - de Vries, M.
AU - van Westreenen, H. L.
AU - Wolfhagen, N.
AU - Zijta, F. M.
AU - Zwanenburg, E. S.
N1 - Funding Information: Collaborators of the Dutch Sigmoid Take-off Research Group: Marjolein Ankersmit, Renu R. Bahadoer, Ilsalien. S. Bakker, Fleur Bangert, Renée M. Barendse, Esther Barsom, Willem A. Bemelman, Kim van den Berg, Shira H. de Bie, Robin D. Blok, Frank C. den Boer, Evert-Jan G. Boerma, Leonora S. F. Boogerd, Wernard A. A. Borstlap, Sicco J. Braak, Jennifer W. Bradshaw, Amarins T. A. Brandsma, André J. A. Bremers, Hylke J. F. Brenkman, Sjirk W. van der Burg, Thijs A. Burghgraef, David W. G. ten Cate, Stefan H. E. M. Clermonts, Lodewijk P. J. Cobben, Robert R. J. Coebergh van den Braak, Esther C. J. Consten, Maaike Corver, Rogier M. P. H. Crolla, Sam Curutchet, Annette D. van Dalsen, Matthieu Decaestecker, Eva B. Deerenberg, Emmelie N. Dekker, Tyche Derksen, Stefan van Dijk, Anne M. Dinaux, Max Ditzel, Eveline Dokter, Kemal Dogan, Pascal G. Doornebosch, Marieke C. van Dorth-Rombouts, Kelly M. A. Dreuning, Laurentine S. E. van Egdom, Saskia van Elderen, Anouk M. L. H. Emmen, Anne C. van Erp, Jeroen A. van Essen, Eline A. Feitsma, Shirin S. Feshtali, Bas Frietman, Edgar J. B. Furnee, Anne M. van Geel, Thijs H. Geerdink, Ritch Geitenbeek, Anna A. W. Geloven, Arja Gerritsen, Mahsa Ghasemi, Hugo Gielkens, Lucas Goense, Klaas M. Govaert, Johannes A. Govaert, Stefan Graus, E. Joline de Groof, Alexander A. J. Grüter, Robbert J. de Haas, Pieter J. Haasnoot, Nadia A. G. Hakkenbrak, Vera Heesink, Sifrid Hendrickx, Sjoerd van den Hoek, Erik J. R. J. van der Hoeven, Anna Hogewoning, Cornelis R. C. Hogewoning, Roel Hompes, Astrid A. M. Huiberts, Jan Jansen, Nicky Janssen, Jacoline Jonkers, Charlotte de Jonge, Daniela Jou-Valencia, Enes Kaçmaz, Denice D. Kamphuis, Sanne Kanters, Ingrid Kappers, Bas Keizers, Stijn H. J. Ketelaers, M. R. Ketting, Saskia I. Kreisel, Peter A. M. Kint, Eva Knöps, Sebastiaan van Koeverden, Sylvia Kok, Joop L. M. Konsten, Verena N. N. Kornmann, Fleur I. de Korte, Robert T. J. Kortekaas, Aukje A. J. M. Kramer- van Tilborg, Jasenko Krdzalic, Pepijn Krielen, Leonard F. Kroese, Bas Lamme, Tanja Lettinga, Annabel S. van Lieshout, Manou S. de Lijster, Frank Logeman, Sverre A. I. Loggers, Joanna Luttikhold, Tara M. Mackay, Martijn S. Marsman, Milou H. Martens, Max G. Mentink, Dietrich J. L. de Mey, Julia Moelker-Galuzina, Els Moltzer, Erik J. Mulder, Gijsbert D. Musters, Joost Nederend, Sjoerd Nell, Lindsey C. F. de Nes, Jonanne F. Nieuwenhuis, Joost Nonner, Bo Jan Noordman, Stefi Nordkamp, Stanley A. Oei, Pim B. Olthof, Ida Paulusma, Koen C. M. J. Peeters, Zoë Pironet, Joost D. J. Plate, Floris B. Poelmann, Ingrid G. M. Poodt, Zar Popal, Lisanne A. E. Posma, Jeroen F. Prette, Apollo Pronk, Seyed M. Qaderi, Christel A. L. de Raaff, Jan M. van Rees, Beata M. M. Reiber, Rutger-Jan Renger, Anouk J. M. Rombouts, Marnix de Roos, Joost Rothbarth, Marit E. van der Sande, Boudewijn E. Schaafsma, Renske A. Schasfoort, Merel M. Scheurkogel, Andreas Schmid, Puck M. E. Schuivens, Aydın Şekercan, Martsje van der Sluis, Bo P. Smalbroek, Lisanne J. H. Smits, Meindert N. Sosef, Ernst J. Spillenaar Bilgen, Ernst J. A. Steller, Jan H. M. B. Stoot, Marijn Takkenberg, Kevin Talboom, Aaldert K. Talsma, Sofieke J. D. Temmink, Mark Tenhagen, Jeroen Tielbeek, G. F. A. J. B. van Tilborg, G. Y. M. The, Dorothée van Trier, Stephanie A. M. Troquay, Jurriaan B. Tuynman, Maxime J. M. van der Valk, Cornelis J. Veeken, Sophie L. van Veldhuisen, Charlotte J. Verberne, Wouter M. Verduin, Tim Verhagen, Maarten Vermaas, Victorien M. T. van Verschuer, Maria Verseveld, Guy H. E. J. Vijgen, Roy F. A. Vliegen, Sophie Voets, Clementine L. A. Vogelij, J. Mathijs Vogten, Nicole A. Volkers, Fleur E. E. de Vries, Marianne de Vries, Bas S. T. van Vugt, Shan Wang, Dareczka K. Wasowicz, Kiedo Wienholts, Johannes A. Wegdam, Teus J. Weijs, Paul P. van Westerveld, Henderik L. van Westreenen, Allard G. Wijma, Johannes H. W. de Wilt, Victor van Woerden, Niels Wolfhagen, Sander van der Wolk, Kasper van der Wulp, Johannes M. Wybenga, Edwin S. van der Zaag, Bobby Zamaray, Herman J. A. Zandvoort, Dennis van der Zee, Annette Zeilstra, Kang J. Zheng, Frank M. Zijta, Emma S. Zwanenburg. Publisher Copyright: © 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Purpose: The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit. Methods: Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training. Results: Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%, p = 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%, p = 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%, p = 0.423) and after the training (87% vs 87%, p = 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%, p < 0.001). Conclusions: The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.
AB - Purpose: The definition of rectal cancer based on the sigmoid take-off (STO) was incorporated into the Dutch guideline in 2019, and became mandatory in the national audit from December 2020. This study aimed to evaluate the use of the STO in clinical practice and the added value of online training, stratified for the period before (group A, historical cohort) and after (group B, current cohort) incorporation into the national audit. Methods: Participants, including radiologists, surgeons, surgical and radiological residents, interns, PhD students, and physician assistants, were asked to complete an online training program, consisting of questionnaires, 20 MRI cases, and a training document. Outcomes were agreement with the expert reference, inter-rater variability, and accuracy before and after the training. Results: Group A consisted of 86 participants and group B consisted of 114 participants. Familiarity with the STO was higher in group B (76% vs 88%, p = 0.027). Its use in multidisciplinary meetings was not significantly higher (50% vs 67%, p = 0.237). Agreement with the expert reference was similar for both groups before (79% vs 80%, p = 0.423) and after the training (87% vs 87%, p = 0.848). Training resulted in significant improvement for both groups in classifying tumors located around the STO (group A, 69–79%; group B, 67–79%, p < 0.001). Conclusions: The results of this study show that after the inclusion of the STO in the mandatory Dutch national audit, the STO was consequently used in only 67% of the represented hospitals. Online training has the potential to improve implementation and unambiguous assessment.
KW - Implementation
KW - Magnetic resonance imaging
KW - Rectal cancer
KW - Sigmoid cancer
KW - Sigmoid take-off
UR - http://www.scopus.com/inward/record.url?scp=85159619451&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s10151-023-02803-4
DO - https://doi.org/10.1007/s10151-023-02803-4
M3 - Article
C2 - 37184772
SN - 1123-6337
VL - 27
SP - 1243
EP - 1250
JO - Techniques in coloproctology
JF - Techniques in coloproctology
IS - 12
ER -