An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands

S J A Hazen^{1

2

3}, T C Sluckin^{1

2

3}, K Horsthuis^{3

4}, D M J Lambregts⁵, R G H Beets-Tan^{5

6}, P J Tanis^{2

3

7

8}, M Kusters^{9

10

11}; Dutch Sigmoid Take-off Research Group

Collaborators, Affiliations

Collaborators

Dutch Sigmoid Take-off Research Group:
M Ankersmit, R R Bahadoer, I S Bakker, F Bangert, R M Barendse, E Barsom, W A Bemelman, K van den Berg, S H de Bie, R D Blok, F C den Boer, E-J G Boerma, L S F Boogerd, W A A Borstlap, S J Braak, J W Bradshaw, A T A Brandsma, A J A Bremers, H J F Brenkman, S W van der Burg, T A Burghgraef, D W G Ten Cate, S H E M Clermonts, L P J Cobben, R R J Coebergh van den Braak, E C J Consten, M Corver, R M P H Crolla, S Curutchet, A D van Dalsen, M Decaestecker, E B Deerenberg, E N Dekker, T Derksen, S van Dijk, A M Dinaux, M Ditzel, E Dokter, K Dogan, P G Doornebosch, M C van Dorth-Rombouts, K M A Dreuning, L S E van Egdom, S van Elderen, A M L H Emmen, A C van Erp, J A van Essen, E A Feitsma, S S Feshtali, B Frietman, E J B Furnee, A M van Geel, T H Geerdink, R Geitenbeek, A A W Geloven, A Gerritsen, M Ghasemi, H Gielkens, L Goense, K M Govaert, J A Govaert, S Graus, E J de Groof, A A J Grüter, R J de Haas, P J Haasnoot, N A G Hakkenbrak, V Heesink, S Hendrickx, S van den Hoek, E J R J van der Hoeven, A Hogewoning, C R C Hogewoning, R Hompes, A A M Huiberts, J Jansen, N Janssen, J Jonkers, C de Jonge, D Jou-Valencia, E Kaçmaz, D D Kamphuis, S Kanters, I Kappers, B Keizers, S H J Ketelaers, M R Ketting, S I Kreisel, P A M Kint, E Knöps, S van Koeverden, S Kok, J L M Konsten, V N N Kornmann, F I de Korte, R T J Kortekaas, A A J M Kramer-van Tilborg, J Krdzalic, P Krielen, L F Kroese, B Lamme, T Lettinga, A S van Lieshout, M S de Lijster, F Logeman, S A I Loggers, J Luttikhold, T M Mackay, M S Marsman, M H Martens, M G Mentink, D J L de Mey, J Moelker-Galuzina, E Moltzer, E J Mulder, G D Musters, J Nederend, S Nell, L C F de Nes, J F Nieuwenhuis, J Nonner, B J Noordman, S Nordkamp, S A Oei, P B Olthof, I Paulusma, K C M J Peeters, Z Pironet, J D J Plate, F B Poelmann, I G M Poodt, Z Popal, L A E Posma, J F Prette, A Pronk, S M Qaderi, C A L de Raaff, J M van Rees, B M M Reiber, R-J Renger, A J M Rombouts, M de Roos, J Rothbarth, M E van der Sande, B E Schaafsma, R A Schasfoort, M M Scheurkogel, A Schmid, P M E Schuivens, A Şekercan, M van der Sluis, B P Smalbroek, L J H Smits, M N Sosef, E J Spillenaar Bilgen, E J A Steller, J H M B Stoot, M Takkenberg, K Talboom, A K Talsma, S J D Temmink, M Tenhagen, J Tielbeek, G F A J B van Tilborg, G Y M The, D van Trier, S A M Troquay, J B Tuynman, M J M van der Valk, C J Veeken, S L van Veldhuisen, C J Verberne, W M Verduin, T Verhagen, M Vermaas, V M T van Verschuer, M Verseveld, G H E J Vijgen, R F A Vliegen, S Voets, C L A Vogelij, J M Vogten, N A Volkers, F E E de Vries, M de Vries, B S T van Vugt, S Wang, D K Wasowicz, K Wienholts, J A Wegdam, T J Weijs, P P van Westerveld, H L van Westreenen, A G Wijma, J H W de Wilt, V van Woerden, N Wolfhagen, S van der Wolk, K van der Wulp, J M Wybenga, E S van der Zaag, B Zamaray, H J A Zandvoort, D van der Zee, A Zeilstra, K J Zheng, F M Zijta, E S Zwanenburg

Affiliations

¹ Department of Surgery, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, De Boelelaan 1117, P.O. Box 7057, 1007 MB, Amsterdam, the Netherlands.
² Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands.
³ Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands.
⁴ Radiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
⁵ Radiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
⁶ GROW School of Oncology and Developmental Biology, University of Maastricht, Maastricht, The Netherlands.
⁷ Surgery, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
⁸ Erasmus Medical Center, Surgical Oncology and Gastrointestinal Surgery, Rotterdam, The Netherlands.
⁹ Department of Surgery, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, De Boelelaan 1117, P.O. Box 7057, 1007 MB, Amsterdam, the Netherlands. m.kusters@amsterdamumc.nl.
¹⁰ Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands. m.kusters@amsterdamumc.nl.
¹¹ Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands. m.kusters@amsterdamumc.nl.

PMID: 37184772
PMCID: PMC10638143
DOI: 10.1007/s10151-023-02803-4

An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands

S J A Hazen et al. Tech Coloproctol. 2023 Dec.

. 2023 Dec;27(12):1243-1250.

doi: 10.1007/s10151-023-02803-4. Epub 2023 May 15.

Authors

S J A Hazen^{1

2

3}, T C Sluckin^{1

2

3}, K Horsthuis^{3

4}, D M J Lambregts⁵, R G H Beets-Tan^{5

6}, P J Tanis^{2

3

7

8}, M Kusters^{9

10

11}; Dutch Sigmoid Take-off Research Group

Collaborators

Dutch Sigmoid Take-off Research Group:
M Ankersmit, R R Bahadoer, I S Bakker, F Bangert, R M Barendse, E Barsom, W A Bemelman, K van den Berg, S H de Bie, R D Blok, F C den Boer, E-J G Boerma, L S F Boogerd, W A A Borstlap, S J Braak, J W Bradshaw, A T A Brandsma, A J A Bremers, H J F Brenkman, S W van der Burg, T A Burghgraef, D W G Ten Cate, S H E M Clermonts, L P J Cobben, R R J Coebergh van den Braak, E C J Consten, M Corver, R M P H Crolla, S Curutchet, A D van Dalsen, M Decaestecker, E B Deerenberg, E N Dekker, T Derksen, S van Dijk, A M Dinaux, M Ditzel, E Dokter, K Dogan, P G Doornebosch, M C van Dorth-Rombouts, K M A Dreuning, L S E van Egdom, S van Elderen, A M L H Emmen, A C van Erp, J A van Essen, E A Feitsma, S S Feshtali, B Frietman, E J B Furnee, A M van Geel, T H Geerdink, R Geitenbeek, A A W Geloven, A Gerritsen, M Ghasemi, H Gielkens, L Goense, K M Govaert, J A Govaert, S Graus, E J de Groof, A A J Grüter, R J de Haas, P J Haasnoot, N A G Hakkenbrak, V Heesink, S Hendrickx, S van den Hoek, E J R J van der Hoeven, A Hogewoning, C R C Hogewoning, R Hompes, A A M Huiberts, J Jansen, N Janssen, J Jonkers, C de Jonge, D Jou-Valencia, E Kaçmaz, D D Kamphuis, S Kanters, I Kappers, B Keizers, S H J Ketelaers, M R Ketting, S I Kreisel, P A M Kint, E Knöps, S van Koeverden, S Kok, J L M Konsten, V N N Kornmann, F I de Korte, R T J Kortekaas, A A J M Kramer-van Tilborg, J Krdzalic, P Krielen, L F Kroese, B Lamme, T Lettinga, A S van Lieshout, M S de Lijster, F Logeman, S A I Loggers, J Luttikhold, T M Mackay, M S Marsman, M H Martens, M G Mentink, D J L de Mey, J Moelker-Galuzina, E Moltzer, E J Mulder, G D Musters, J Nederend, S Nell, L C F de Nes, J F Nieuwenhuis, J Nonner, B J Noordman, S Nordkamp, S A Oei, P B Olthof, I Paulusma, K C M J Peeters, Z Pironet, J D J Plate, F B Poelmann, I G M Poodt, Z Popal, L A E Posma, J F Prette, A Pronk, S M Qaderi, C A L de Raaff, J M van Rees, B M M Reiber, R-J Renger, A J M Rombouts, M de Roos, J Rothbarth, M E van der Sande, B E Schaafsma, R A Schasfoort, M M Scheurkogel, A Schmid, P M E Schuivens, A Şekercan, M van der Sluis, B P Smalbroek, L J H Smits, M N Sosef, E J Spillenaar Bilgen, E J A Steller, J H M B Stoot, M Takkenberg, K Talboom, A K Talsma, S J D Temmink, M Tenhagen, J Tielbeek, G F A J B van Tilborg, G Y M The, D van Trier, S A M Troquay, J B Tuynman, M J M van der Valk, C J Veeken, S L van Veldhuisen, C J Verberne, W M Verduin, T Verhagen, M Vermaas, V M T van Verschuer, M Verseveld, G H E J Vijgen, R F A Vliegen, S Voets, C L A Vogelij, J M Vogten, N A Volkers, F E E de Vries, M de Vries, B S T van Vugt, S Wang, D K Wasowicz, K Wienholts, J A Wegdam, T J Weijs, P P van Westerveld, H L van Westreenen, A G Wijma, J H W de Wilt, V van Woerden, N Wolfhagen, S van der Wolk, K van der Wulp, J M Wybenga, E S van der Zaag, B Zamaray, H J A Zandvoort, D van der Zee, A Zeilstra, K J Zheng, F M Zijta, E S Zwanenburg

Affiliations

¹ Department of Surgery, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, De Boelelaan 1117, P.O. Box 7057, 1007 MB, Amsterdam, the Netherlands.
² Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands.
³ Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands.
⁴ Radiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
⁵ Radiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
⁶ GROW School of Oncology and Developmental Biology, University of Maastricht, Maastricht, The Netherlands.
⁷ Surgery, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
⁸ Erasmus Medical Center, Surgical Oncology and Gastrointestinal Surgery, Rotterdam, The Netherlands.
⁹ Department of Surgery, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, De Boelelaan 1117, P.O. Box 7057, 1007 MB, Amsterdam, the Netherlands. m.kusters@amsterdamumc.nl.
¹⁰ Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands. m.kusters@amsterdamumc.nl.
¹¹ Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands. m.kusters@amsterdamumc.nl.

PMID: 37184772
PMCID: PMC10638143
DOI: 10.1007/s10151-023-02803-4

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.

Keywords: Implementation; Magnetic resonance imaging; Rectal cancer; Sigmoid cancer; Sigmoid take-off.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

References

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An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands

Collaborators

Affiliations

An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources