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EAU Policy on Live Surgery Events |
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| Authors: | Walter Artibani Vincenzo Ficarra Ben J Challacombe Clement-Claude Abbou Jens Bedke Rafael Boscolo-Berto Maurizio Brausi Jean JMCH de la Rosette Serdar Deger Louis Denis Giorgio Guazzoni Bertrand Guillonneau John PFA Heesakkers Didier Jacqmin Thomas Knoll Luis Martínez-Piñeiro Francesco Montorsi Alexander Mottrie Pierre-Thierry Piechaud Abhay Rane Jens Rassweiler Arnulf Stenzl Jeroen Van Moorselaar Roland F Van Velthoven Hendrik van Poppel Manfred Wirth Per-Anders Abrahamsson Keith F Parsons |
| Institution: | 1. Department of Urology, Azienda Ospedaliera Universitaria Integrata, Verona, Italy;2. University of Udine, Department of Urology, Udine, Italy;3. Department of Urology, Guy''s and St Thomas’ NHS Foundation Trust, London, United Kingdom;4. Service d’Urologie CHU Henri Mondor, Créteil, France;5. Klinik für Urologie, Eberhard-Karls-Universität Tübingen, Tübingen, Germany;6. Department of Cardiac, Thoracic and Vascular Sciences, Section of Legal Medicine, University Hospital of Padova, Padova, Italy;g New S. Agostino-Estense Hospital, AUSL, Modena, Italy;h Department of Urology, Academisch Medisch Centrum, Amsterdam, The Netherlands;i Department of Urology, Paracelsus-Krankenhaus Ruit, Ostfildern, Germany;j Oncology Centre Antwerp, Antwerp, Belgium;k Department of Urology, Università Vita-Salute San Raffaele, Milan, Italy;l Groupe Hospitalier Diaconesses-Croix Saint Simon, Paris, France;m Department of Urology, UMC St Radboud, Nijmegen, The Netherlands;n Department of Urology, Hôpitaux Universitaires, Strasbourg, France;o Department of Urology, Klinikum Sindelfingen-Böblingen, Sindelfingen, Germany;p Department of Urology, Hospital Universitario Infanta Sofia, Madrid, Spain;q Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium;r Department of Urology, Clinic Saint Augustin, Bordeaux, France;s Department of Urology, East Surrey Hospital, Redhill, United Kingdom;t Department of Urology, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany;u Department of Urology, VU Medisch Centrum, Amsterdam, The Netherlands;v Department of Urology, Institut Jules Bordet, Brussels, Belgium;w Department of Urology, University Hospital Leuven, Leuven, Belgium;x Department of Urology, Universitätsklinikum Carl Gustav Carus an der Technischen Universität, Dresden, Germany;y Department of Urology, Skåne University Hospital, Malmö, Sweden;z Honorary Consultant Urological Surgeon, The Royal Liverpool & Broadgreen University Hospitals NHS Trust, Liverpool, United Kingdom |
| Abstract: | ContextLive surgery is an important part of surgical education, with an increase in the number of live surgery events (LSEs) at meetings despite controversy about their real educational value, risks to patient safety, and conflicts of interest.ObjectiveTo provide a European Association of Urology (EAU) policy on LSEs to regulate their organisation during urologic meetings.Evidence acquisitionThe project was carried out in phases: a systematic literature review generating key questions, surveys sent to Live Surgery Panel members, and Internet- and panel-based consensus finding using the Delphi process to agree on and formulate a policy.Evidence synthesisThe EAU will endorse LSEs, provided that the EAU Code of Conduct for live surgery and all organisational requirements are followed. Outcome data must be submitted to an EAU Web-based registry and complications reported using the revised Martin criteria. Regular audits will take place to evaluate compliance as well as the educational role of live surgery.ConclusionsThis policy represents the consensus view of an expert panel established to advise the EAU. The EAU recognises the educational role of live surgery and endorses live case demonstration at urologic meetings that are conducted within a clearly defined regulatory framework. The overriding principle is that patient safety must take priority over all other considerations in the conduct of live surgery.Patient summaryControversy exists regarding the true educational value of live surgical demonstrations on patients at surgical meetings. An EAU committee of experts developed a policy on how best to conduct live surgery at urologic meetings. The key principle is to ensure safety for every patient, including a code of conduct and checklist for live surgery, specific rules for how the surgery is organised and performed, and how each patient's results are reported to the EAU. For detailed information, please visit www.uroweb.org. |
| Keywords: | EAU guidelines EAU policy Live broadcasts Live surgery Surgical education Surgical procedures Urology surgical procedures |
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