Brain and Spine (Jan 2024)
Expertise in surgical neuro-oncology. Results of a survey by the EANS neuro-oncology section
- K. Gousias,
- A. Hoyer,
- L.A. Mazurczyk,
- J. Bartek, Jr.,
- M. Bruneau,
- E. Celtikci,
- N. Foroglou,
- C. Freyschlag,
- R. Grossman,
- C. Jungk,
- P. Metellus,
- D. Netuka,
- R. Rola,
- P. Schucht,
- C. Senft,
- F. Signorelli,
- A.J.P.E. Vincent,
- M. Simon,
- Rachit Agrawal,
- Luigi Albano,
- George A. Alexiou,
- Amanj Ali,
- Rafid Al-Mahfoudh,
- Michael Amoo,
- Christos Anagnostopoulos,
- Sven Bamps,
- Soham Bandyopadhyay,
- Damiano G. Barone,
- Fabio Barone,
- Sami Barrit,
- Felix Behling,
- Alin Blaga,
- Alexandros Boukas,
- Paul Brennan,
- Vicki M. Butenschoen,
- Mauro Campello,
- Areda Cara,
- Salvatore Chibbaro,
- Robert Chrenko,
- Pere J. Cifre Serra,
- Hans Clusmann,
- Alba Corell,
- Jan F. Cornelius,
- Marcello D'Andrea,
- Andreas K. Demetriades,
- Steven De Vleeschouwer,
- Richard Drexler,
- Johnny Duerinck,
- Ruben V. Fanarjyan,
- Alejandro Fernandez-Coello,
- Kostas Fountas,
- Thomas M. Freiman,
- Vadim Gadzhiagaev,
- Miltiadis Georgiopoulos,
- Nathalie Gilis,
- Jagos Golubovic,
- Eric Goulin Lippi Fernandes,
- Giovanni Grasso,
- Francesco Guerrini,
- Beste Gulsuna,
- Ciaran S. Hill,
- Julius Höhne,
- Markus Holling,
- Ievgenii Iarmoliuk,
- Florian Ioan-Alexandru,
- Tamara Ius,
- Kestutis Jacikevicius,
- Asgeir S. Jakola,
- Paweł Jakubowski,
- Georgios Kalantzis,
- Konstantina Karabatsou,
- Ramez Kirollos,
- Ralph König,
- Danil A. Kozyrev,
- Dietmar Krex,
- Barbara Ladisich,
- Ruth Lau,
- Yauhen Lizunou,
- Arnaud Lombard,
- Hu Liang Low,
- José Luís Alves,
- Yazid Maghrabi,
- Marco Mammi,
- Ala Marji,
- Luca Massimi,
- Ioannis Mavridis,
- Aaron Lawson McLean,
- Anna C. Lawson McLean,
- Bernhard Meyer,
- Malte Mohme,
- Pedro Moura Branco,
- Michael Müther,
- Issam Musleh,
- Danial Nasiri,
- Ramon Navarro,
- Ibrahim Omerhodzic,
- Marvin Darkwah Oppong,
- Nikolaos A. Paidakakos,
- Zoi Pantera,
- Mohammed A. Patel,
- Mateusz Pawlowski,
- Athanasios Petridis,
- Adrian J. Praeger,
- Stephen Price,
- Franz Ricklefs,
- Luigi Rigante,
- Florian Ringel,
- Pierre A. Robe,
- Karl Rössler,
- Eduarda Sá-Marta,
- Jose L. Sanmillan,
- Alba Scerrati,
- Matthias Schneider,
- Henry W.S. Schroeder,
- Michael Schwake,
- Mohamed Shoaib,
- Octavian Mihai Sirbu,
- Iñigo L. Sistiaga,
- Tomasz J. Skajster,
- Albertas Sliauzys,
- Vitaly Sokotukhin,
- Jehuda Soleman,
- Veit M. Stoecklein,
- Eric Suero Molina,
- Wojciech Świątnicki,
- Νikolaos Syrmos,
- Graziano Taddei,
- Avin Taher,
- Martin Tamarit,
- Mark ter Laan,
- Theocharis Theocharous,
- Dieter Thijs,
- Leonidas Trakolis,
- Monica Truffelli,
- Miriam Weiss,
- Eberhard Uhl,
- Laura Grazia Valentini,
- Dimitri Vanhauwaert,
- Bassel Zebian,
- Bojana Zivkovic,
- Matteo Zoli
Affiliations
- K. Gousias
- Department of Neurosurgery, Athens Medical Center, Athens, Greece; University of Nicosia Medical School, Nicosia, Cyprus; University of Münster Medical School, Germany; Corresponding author. Department of Neurosurgery, Athens Medical Center, Distomou 5-7, 15125, Athens, Greece.
- A. Hoyer
- Biostatistics and Medical Biometry, Medical School OWL, Bielefeld University, Bielefeld, Germany
- L.A. Mazurczyk
- University of Nicosia Medical School, Nicosia, Cyprus
- J. Bartek, Jr.
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- M. Bruneau
- Department of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium
- E. Celtikci
- Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey
- N. Foroglou
- Department of Neurosurgery, AHEPA University Hospital, Aristotle University, Thessaloniki, Greece
- C. Freyschlag
- Universitätsklinik für Neurochirurgie, Medizinische Universität Innsbruck, Innsbruck, Austria
- R. Grossman
- Department of Neurosurgery, Brain tumor center, Rambam Health Care Campus, Rappaport Faculty of Medicine, Haifa, Israel
- C. Jungk
- Department of Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany
- P. Metellus
- Department of Neurosurgery, Clairval Private Hospital, Marseille, France
- D. Netuka
- Department of Neurosurgery, Central Military Hospital Prague, Prague, Czech Republic
- R. Rola
- Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland
- P. Schucht
- Department of Neurosurgery, University Hospital of Bern, Bern, Switzerland
- C. Senft
- Department of Neurosurgery, Jena University Hospital, Jena, Germany
- F. Signorelli
- Department of Neurosurgery, Azienda Ospedaliero-Universitaria Consorziale Policlinico, University “Aldo Moro” of Bari, Bari, Italy
- A.J.P.E. Vincent
- Department of Neurosurgery, ErasmusMC /Brain Tumor Center, Rotterdam, the Netherlands
- M. Simon
- Department of Neurosurgery, Bethel Clinic, University of Bielefeld Medical School OWL, Bielefeld, Germany
- Rachit Agrawal
- Department of Neurosurgery, St. Marien Hospital Lünen, Lünen, Germany
- Luigi Albano
- Neurosurgery and Gamma Knife Radiosurgery Unit, IRCCS Ospedale San Raffaele, Milan, Italy
- George A. Alexiou
- Department of Neurosurgery, University of Ioannina, Ioannina, Greece
- Amanj Ali
- Department of Neurosurgery, Faruk Medical City, Sulaymaniyah, Iraq
- Rafid Al-Mahfoudh
- Department of Neurosurgery, University Hospitals Sussex NHS Trust, UK
- Michael Amoo
- Department of Neurosurgery, Cork University Hospital, Cork, UK
- Christos Anagnostopoulos
- Department of Neurosurgery, Korgialenio Benakio Hellenic Red Cross Hospital Athens, Greece
- Sven Bamps
- Department of Neurosurgery, Jessa Hospital Hasselt Belgium, Belgium
- Soham Bandyopadhyay
- Clinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK; Wessex Neurological Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK
- Damiano G. Barone
- Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK
- Fabio Barone
- Department of Neurosurgery, Cannizzaro General Hospital, Catania, Italy
- Sami Barrit
- Department of Neurosurgery, Erasmus Hospital, Université Libre de Bruxelles, Brussels, Belgium
- Felix Behling
- Department of Neurosurgery and Neurotechnology, Eberhard Karls University Tübingen, University Hospital Tübingen, Germany
- Alin Blaga
- Department of Neurosurgery, SCJU Oradea, Romania
- Alexandros Boukas
- Department of Neurosurgery, Oxford University Hospitals, Oxford, UK
- Paul Brennan
- Center for Clinical Brain Sciences, Cancer Research UK Edinburgh Center, Edinburgh Neuro- Oncology, Edinburgh, UK
- Vicki M. Butenschoen
- Department of Neurosurgery, School of Medicine, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany
- Mauro Campello
- Department of Neurosurgery, University “UniCal” and Great Metropolitan Hospital, Reggio Calabria, Italy
- Areda Cara
- Department of Neurosurgery, Mother Tereza Hospital, Tirane, Albania
- Salvatore Chibbaro
- Department of Neurosurgery, Strasbourg University Hospital, Strasbourg, France
- Robert Chrenko
- Department of Pediatric Surgery, National Institute of Children's Diseases, Bratislava, Slovak Republic
- Pere J. Cifre Serra
- Department of Neurosurgery, Bellvitge University Hospital, Barcelona, Spain
- Hans Clusmann
- Department of Neurosurgery, RWTH Aachen University Hospital, Aachen, Germany
- Alba Corell
- Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, Gothenburg, Sweden; Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden
- Jan F. Cornelius
- Neurosurgical Department, University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, Germany
- Marcello D'Andrea
- Department of Neurosurgery, M.Bufalini''Hospital, AUSL Romagna, Cesena, Italy
- Andreas K. Demetriades
- Department of Neurosurgery, Royal Infirmary Edinburgh, UK
- Steven De Vleeschouwer
- Department of Neurosurgery, University Hospitals Leuven, Leuven, Belgium
- Richard Drexler
- Department of Neurosurgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany
- Johnny Duerinck
- Department of Neurosurgery, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium
- Ruben V. Fanarjyan
- University Clinic of Neurosurgery and Comprehensive Stroke Center of YSMU, Armenia
- Alejandro Fernandez-Coello
- Department of Neurosurgery, Bellvitge University Hospital, Barcelona, Spain
- Kostas Fountas
- Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larissa, Greece
- Thomas M. Freiman
- Department of Neurosurgery, University Medical Center Rostock, Rostock, Germany
- Vadim Gadzhiagaev
- Department of Neurosurgery, Moscow Regional Research Clinical Institute “M.F. Vladimirsky” (MRRCI), Moscow, Russia
- Miltiadis Georgiopoulos
- Spinal Surgery, Swansea Bay University Health Board, Swansea, UK
- Nathalie Gilis
- Department of Neurosurgery, Erasmus Hospital, Université Libre de Bruxelles, Brussels, Belgium
- Jagos Golubovic
- Department of Neurosurgery, Faculty of Medicine, University of Novi Sad, Clinical Centre of Vojvodina, Novi Sad, Serbia
- Eric Goulin Lippi Fernandes
- Department of Neurosurgery, University Hospital OWL, Campus Bielefeld Bethel, Bielefeld, Germany
- Giovanni Grasso
- Department of Neurosurgery, University of Palermo, Palermo, Italy
- Francesco Guerrini
- Unit of Neurosurgery, Department of Head and Neck Surgery, Fondazione Policlinico IRCCS San Matteo, Pavia, Italy
- Beste Gulsuna
- Department of Neurological Surgery, University of California San Francisco, CA, USA
- Ciaran S. Hill
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
- Julius Höhne
- Department of Neurosurgery, Klinikum Nürnberg Paracelsus Medical University, Germany
- Markus Holling
- Department of Neurosurgery, University Hospital Münster, Münster, Germany
- Ievgenii Iarmoliuk
- Department of Neurosurgery, Schwarzwald-Baar-Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Germany
- Florian Ioan-Alexandru
- Department of Neurosciences, UMF Cluj, “Iuliu Hatieganu” University of Medicine and Pharmacy, Faculty of Medicine, Romania
- Tamara Ius
- Neurosurgery Unit, Head-Neck and NeuroScience Department University Hospital of Udine, Udine, Italy
- Kestutis Jacikevicius
- Department of Neurosurgery, Klaipeda University Hospital, Klaipeda, Lithuania
- Asgeir S. Jakola
- Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, Gothenburg, Sweden; Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden
- Paweł Jakubowski
- Department of Neurosurgery and Neurotraumatology, Samodzielny Publiczny Wojewódzki Szpital Zespolony, Szczecin, Poland
- Georgios Kalantzis
- Neurosurgery Department, General University Hospital of Patras, Patra, Greece
- Konstantina Karabatsou
- Department of Neurosurgery, Salford Royal Hospital, Greater Manchester, UK
- Ramez Kirollos
- Department of Neurosurgery, National Neuroscience Institute, Singapore
- Ralph König
- Department of Neurosurgery, University Hospital Ulm, BKH Günzburg, Günzburg, Germany
- Danil A. Kozyrev
- Children's City Hospital, St. Petersburg, Russia
- Dietmar Krex
- Department of Neurosurgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany
- Barbara Ladisich
- Department of Neurosurgery, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, St. Pölten, Austria
- Ruth Lau
- Department of Neurosurgery, Joan XXIII University Hospital, Tarragona, Spain
- Yauhen Lizunou
- Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
- Arnaud Lombard
- Department of Neurosurgery, GIGA-Neuroscience, Laboratory of Nervous System Disorders and Therapy, University of Liège, CHR Citadelle, Liège, Belgium
- Hu Liang Low
- Department of Neurosurgery, Queens Hospital, London, Barking, Havering and Redbridge University NHS Trust, London, UK
- José Luís Alves
- Department of Neurosurgery, Centro Hospitalar e Universitário de Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), Coimbra, Portugal
- Yazid Maghrabi
- Department of Neurosurgery, King Faisal Specalist Hospital and Research Center-Jeddah, Saudi Arabia
- Marco Mammi
- Department of Neurosurgery, M.Bufalini''Hospital, AUSL Romagna, Cesena, Italy
- Ala Marji
- Department of Neurosurgery, King Hussein Cancer Center, Amman, Jordan
- Luca Massimi
- Department of Neuroscience, Catholic University Medical School, Rome, Italy
- Ioannis Mavridis
- Department of Neurosurgery, School of Medicine, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
- Aaron Lawson McLean
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany
- Anna C. Lawson McLean
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany
- Bernhard Meyer
- Department of Neurosurgery, School of Medicine, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany
- Malte Mohme
- Department of Neurosurgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany
- Pedro Moura Branco
- Department of Neurosurgery, S. José Hospital, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal
- Michael Müther
- Department of Neurosurgery, University Hospital Münster, Münster, Germany
- Issam Musleh
- Department of Neurosurgery, St. Marien Hospital Lünen, Lünen, Germany
- Danial Nasiri
- Department of Neurosurgery, Inselspital Bern, Bern, Switzerland
- Ramon Navarro
- Neurosurgery Unit, Townsville University Hospital, Townsville, QLD, Australia
- Ibrahim Omerhodzic
- Department of Neurosurgery, Clinical Center University of Sarajevo, Bosnia and Herzegovina
- Marvin Darkwah Oppong
- Department of Neurosurgery and Spine Surgery, University Hospital Essen, Essen, Germany
- Nikolaos A. Paidakakos
- Department of Neurosurgery, Athens General Hospital ‘G. Gennimatas’, Athens, Greece
- Zoi Pantera
- Department of Neurosurgery, Private Hospital IASO Thessalias, Larissa, Greece
- Mohammed A. Patel
- Department of Neurosurgery, Sheffield Teaching Hospitals NHS Foundation Trust, UK
- Mateusz Pawlowski
- Department of Neurosurgery, Vital Medic Hospital, Kluczbork, Poland; Department of Neurosurgery, St. Hedwig's Regional Specialist Hospital, Opole, Poland
- Athanasios Petridis
- Neurosurgical Department, University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, Germany
- Adrian J. Praeger
- Department of Neurosurgery, Monash Health, Clayton, Victoria, Australia; Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
- Stephen Price
- Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK
- Franz Ricklefs
- Department of Neurosurgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany
- Luigi Rigante
- Department of Neurosurgery, Klinikum Bremen Mitte, Bremen, Germany
- Florian Ringel
- Department of Neurosurgery, University Medical Center Mainz, Mainz, Germany
- Pierre A. Robe
- Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center of Utrecht, Utrecht, the Netherlands
- Karl Rössler
- Department of Neurosurgery, Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria
- Eduarda Sá-Marta
- Department of Neurosurgery, Hospital de Braga, Braga, Portugal
- Jose L. Sanmillan
- Department of Neurosurgery, Bellvitge University Hospital, Barcelona, Spain
- Alba Scerrati
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy; Department of Neurosurgery, University Hospital Sant'Anna of Ferrara, Ferrara, Italy
- Matthias Schneider
- Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
- Henry W.S. Schroeder
- Department of Neurosurgery, University Medicine Greifswald, Germany
- Michael Schwake
- Department of Neurosurgery, University Hospital Münster, Münster, Germany
- Mohamed Shoaib
- Advanced Neurosurgery Brain and Spine Center, Jabalpur, India
- Octavian Mihai Sirbu
- Department of Neurosurgery, Emergency University Central Military Hospital “dr Carol Davila”, Bucharest, Romania
- Iñigo L. Sistiaga
- Department of Neurosurgery, University Hospital Cruces, Bilbao, Basque Country, Spain
- Tomasz J. Skajster
- Department of Neurosurgery, Vivantes Klinikum im Friedrichshain, Berlin, Germany
- Albertas Sliauzys
- Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences Kaunas, Lithuania
- Vitaly Sokotukhin
- Department of Neurosurgery, Hospital Barmherzige Brüder, Regensburg, Germany
- Jehuda Soleman
- Department of Neurosurgery and Division for Pediatric Neurosurgery, University Hospital and Children's Hospital Basel, Switzerland
- Veit M. Stoecklein
- Department of Neurosurgery, LMU University Hospital, LMU Munich, Germany
- Eric Suero Molina
- Department of Neurosurgery, University Hospital Münster, Münster, Germany
- Wojciech Świątnicki
- Department of Neurosurgery, Maria Skłodowska-Curie Regional Specialist Hospital, Zgierz, Poland
- Νikolaos Syrmos
- Department of Neurosurgery, Aristotle University of Thessaloniki, Greece
- Graziano Taddei
- Department of Neurosurgery, Santa Maria Goretti Hospital, Latina, Italy
- Avin Taher
- Department of Neurosurgery, Erbil Teaching Hospital, Erbil, Iraq
- Martin Tamarit
- Servicio de Neurocirurgía, Hospital Universitario de Getafe, Madrid, Spain
- Mark ter Laan
- Department of Neurosurgery, Radboud UMC, Nijmegen, the Netherlands
- Theocharis Theocharous
- Department of Neurosurgery, St. Marien Hospital Lünen, Lünen, Germany
- Dieter Thijs
- Department of Neurosurgery, Antwerp University Hospital, Belgium
- Leonidas Trakolis
- Department of Neurosurgery, Agios Loukas Clinic Thessaloniki, Thessaloniki, Greece
- Monica Truffelli
- IRCCS Ospedale Policlinico San Martino, Division of Neurosurgery, Genoa, Italy
- Miriam Weiss
- Department of Neurosurgery, Cantonal Hospital Aarau, Aarau, Switzerland
- Eberhard Uhl
- Department of Neurosurgery, Justus-Liebig-University Giessen, Giessen, Germany; Children's Hospital Basel, Switzerland
- Laura Grazia Valentini
- Pediatric Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
- Dimitri Vanhauwaert
- Department of Neurosurgery, AZ Delta Roeselare, Roeselare, Belgium
- Bassel Zebian
- King's College Hospital NHS Foundation Trust, London, UK
- Bojana Zivkovic
- Neurosurgical Clinic, University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Matteo Zoli
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neurochirurgia Ipofisi (Pituitary Unit), Bologna, Italy; Department of Bio-medical and Neuromotor Sciences, University of Bologna, Italy
- Journal volume & issue
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Vol. 4
p. 102822
Abstract
Introduction: Technical advances and the increasing role of interdisciplinary decision-making may warrant formal definitions of expertise in surgical neuro-oncology. Research question: The EANS Neuro-oncology Section felt that a survey detailing the European neurosurgical perspective on the concept of expertise in surgical neuro-oncology might be helpful. Material and methods: The EANS Neuro-oncology Section panel developed an online survey asking questions regarding criteria for expertise in neuro-oncological surgery and sent it to all individual EANS members. Results: Our questionnaire was completed by 251 respondents (consultants: 80.1%) from 42 countries. 67.7% would accept a lifetime caseload of >200 cases and 86.7% an annual caseload of >50 as evidence of neuro-oncological surgical expertise. A majority felt that surgeons who do not treat children (56.2%), do not have experience with spinal fusion (78.1%) or peripheral nerve tumors (71.7%) may still be considered experts. Majorities believed that expertise requires the use of skull-base approaches (85.8%), intraoperative monitoring (83.4%), awake craniotomies (77.3%), and neuro-endoscopy (75.5%) as well as continuing education of at least 1/year (100.0%), a research background (80.0%) and teaching activities (78.7%), and formal interdisciplinary collaborations (e.g., tumor board: 93.0%). Academic vs. non-academic affiliation, career position, years of neurosurgical experience, country of practice, and primary clinical interest had a minor influence on the respondents’ opinions. Discussion and conclusion: Opinions among neurosurgeons regarding the characteristics and features of expertise in neuro-oncology vary surprisingly little. Large majorities favoring certain thresholds and qualitative criteria suggest a consensus definition might be possible.
