MP34-10 DEVELOPMENT AND VALIDATION OF CYSTECTOMY ASSESSMENT AND SURGICAL EVALUATION (CASE) SCORING FOR MALE RADICAL CYSTECTOMY (2017)

You have accessJournal of UrologyBladder Cancer: Invasive II1 Apr 2017MP34-10 DEVELOPMENT AND VALIDATION OF CYSTECTOMY ASSESSMENT AND SURGICAL EVALUATION (CASE) SCORING FOR MALE RADICAL CYSTECTOMY Kevin Sexton, Ahmed Hussein, Meng Maxwell, Abolfazl Hosseini, Peter Wiklund, Daniel Eun, Siamak Daneshmand, Bernard Bochner, James Peabody, Ronney Abaza, Eila Skinner, Richard Hautmann, and Khurshid Guru Kevin SextonKevin Sexton More articles by this author , Ahmed HusseinAhmed Hussein More articles by this author , Meng MaxwellMeng Maxwell More articles by this author , Abolfazl HosseiniAbolfazl Hosseini More articles by this author , Peter WiklundPeter Wiklund More articles by this author , Daniel EunDaniel Eun More articles by this author , Siamak DaneshmandSiamak Daneshmand More articles by this author , Bernard BochnerBernard Bochner More articles by this author , James PeabodyJames Peabody More articles by this author , Ronney AbazaRonney Abaza More articles by this author , Eila SkinnerEila Skinner More articles by this author , Richard HautmannRichard Hautmann More articles by this author , and Khurshid GuruKhurshid Guru More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1027AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It is vital to ensure standardization and objective feedback during training and skill acquisition for optimal surgical outcomes and patient safety. We aimed to develop a structured scoring tool: CASE (Cystectomy Assessment & Surgical Evaluation) that objectively measures and quantifies performance during radical cystectomy (RC) for men. METHODS A multinational expert panel (11 Surgeons who perform open and/or robot-assisted radical cystectomy) collaborated towards development and content validation of the male RC scoring. The critical steps were deconstructed into 9 key domains, where each domain was assessed by 5 anchors evaluating surgical principles, technical proficiency and safety. Content validation was done utilizing the Delphi methodology. Each anchor statement was assessed in terms of 3 aspects: contextual relevance, concordance between language and anchor score, and clarity of wording. An independent coordinator collated the comments and computed Content Validity Index (CVI) for each aspect of each anchor. If CVI was >=0.75, consensus was reached and the statement was removed. If consensus was not achieved, the coordinator incorporated comments from the panel and the updated scoring system was redistributed. This process was repeated until consensus was achieved for all statements. Experts were blinded to each other's assessment. RESULTS The expert panel reached consensus after 4 rounds on all aspects. A ninth domain assessing Disposition of Tissue was removed from the system after the second round. CVI >= 0.75 was achieved in 8 (11%) statements in the first round, 44 (61%) statements in the second, 17 (24%) statements in the third and 3 (4%) statements in the 4th round. The final 8 domains included: Pelvic Lymph Node Dissection, Development of the Peri-ureteral Space, Lateral Pelvic Space, Anterior Rectal Space, Control of the Vascular Pedicle, Anterior Vesical Space, Control of the Dorsal Venous Complex, and Apical Dissection (Fig 1). CONCLUSIONS We developed and validated a scoring system for RC that can provide structured feedback for surgical quality assessment, training and feedback. Validation of the scoring system is in process. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e430-e431 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Kevin Sexton More articles by this author Ahmed Hussein More articles by this author Meng Maxwell More articles by this author Abolfazl Hosseini More articles by this author Peter Wiklund More articles by this author Daniel Eun More articles by this author Siamak Daneshmand More articles by this author Bernard Bochner More articles by this author James Peabody More articles by this author Ronney Abaza More articles by this author Eila Skinner More articles by this author Richard Hautmann More articles by this author Khurshid Guru More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...