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Training in pediatric neurogastroenterology and motility across Europe: a survey of the ESPGHAN National Societies Network 2016-2019
A. Papadopoulou, C. Ribes-Koninckx, A. Baker, M. Noni, E. Koutri, MV. Karagianni, S. Protheroe, A. Guarino, E. Mas, M. Wilschanski, E. Roman, J. Escher, RI. Furlano, C. Posovszky, I. Hoffman, G. Veres, J. Bronsky, AC. Hauer, D. Tjesic-Drinkovic,...
Jazyk angličtina Země Řecko
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 2000
Open Journal Systems (OJS)
od 2000
PubMed Central
od 2011
Open Access Digital Library
od 2011-01-01
PubMed
35599925
DOI
10.20524/aog.2022.0710
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
Background: Pediatric gastrointestinal motility disorders present significant challenges for diagnosis and management, emphasizing the need for appropriate training in Pediatric Neurogastroenterology and Motility (PNGM). The aim of this survey, part of a comprehensive survey on training in pediatric gastroenterology, hepatology and nutrition, was to evaluate training related to PNGM across European training centers. Method: Standardized questionnaires were collected from training centers through the National Societies Network of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), from June 2016 to December 2019. Results: In total, 100 training centers from 19 countries participated in the survey. Dedicated PNGM clinics were available in 22 centers; pH-monitoring in 60; pH/impedance in 66; standard manometry in 37; and high-resolution manometry in 33. If all motility studies were performed partially or fully by the trainees, the median (range) annual numbers/per trainee were as follows: pH-monitoring 30 (1-500); pH/impedance 17 (1-131); standard manometries 10 (1-150); and high-resolution manometries 8 (1-75). The motility assessment was performed by pediatric gastroenterologists (43 centers); adult gastroenterologists (10 centers); pediatric surgeons (5 centers); and both pediatric gastroenterologists and pediatric surgeons (9 centers). Annual numbers ≤10 for pH-monitoring, pH/impedance, standard manometries and high-resolution manometries were reported by 7 (12%), 15 (23%), 11 (30%) and 14 (42%) centers, respectively. Conclusions: Significant differences exist in PNGM-related infrastructure, staff and procedural volumes at training centers across Europe. ESPGHAN and the National Societies should take initiatives to ensure the acquisition of competence in PNGM-related knowledge and skills, and develop strategies for assessment and accreditation.An infographic is available for this article at: https://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-AG6486.pdf.
Birmingham Children's Hospital NHS Foundation Trust Birmingham United Kingdom
Department of Pediatric Gastroenterology Leuven University Hospital Leuven Belgium
Department of Pediatrics and Adolescent Medicine University Medical Center Ulm Ulm Germany
Department of Pediatrics Aristotle University of Thessaloniki Thessaloniki Greece
Department of Pediatrics Medical University of Graz Graz Austria
Department of Pediatrics Saint Marina University hospital Varna Bulgaria
Department of Pediatrics University Hospital Motol Prague Czech Republic
Gastroenterology Department UCL Great Ormond Street Institute of Child Health London United Kingdom
Pediatric Gastroenterology Unit La Fe University Hospital Valencia Spain
Pediatric Gastroenterology Unit University Hospital Puerta de Hierro Majadahonda Madrid Spain
Pediatric Institute Clinic University of Debrecen Debrecen Hungary
Pediatric Liver Centre King's College Hospital London United Kingdom
Vilnius University Clinic of Children's Diseases Vilnius Lithuania
Citace poskytuje Crossref.org
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- $a Papadopoulou, Alexandra $u Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Agia Sofia Children's Hospital, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)
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- $a Background: Pediatric gastrointestinal motility disorders present significant challenges for diagnosis and management, emphasizing the need for appropriate training in Pediatric Neurogastroenterology and Motility (PNGM). The aim of this survey, part of a comprehensive survey on training in pediatric gastroenterology, hepatology and nutrition, was to evaluate training related to PNGM across European training centers. Method: Standardized questionnaires were collected from training centers through the National Societies Network of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), from June 2016 to December 2019. Results: In total, 100 training centers from 19 countries participated in the survey. Dedicated PNGM clinics were available in 22 centers; pH-monitoring in 60; pH/impedance in 66; standard manometry in 37; and high-resolution manometry in 33. If all motility studies were performed partially or fully by the trainees, the median (range) annual numbers/per trainee were as follows: pH-monitoring 30 (1-500); pH/impedance 17 (1-131); standard manometries 10 (1-150); and high-resolution manometries 8 (1-75). The motility assessment was performed by pediatric gastroenterologists (43 centers); adult gastroenterologists (10 centers); pediatric surgeons (5 centers); and both pediatric gastroenterologists and pediatric surgeons (9 centers). Annual numbers ≤10 for pH-monitoring, pH/impedance, standard manometries and high-resolution manometries were reported by 7 (12%), 15 (23%), 11 (30%) and 14 (42%) centers, respectively. Conclusions: Significant differences exist in PNGM-related infrastructure, staff and procedural volumes at training centers across Europe. ESPGHAN and the National Societies should take initiatives to ensure the acquisition of competence in PNGM-related knowledge and skills, and develop strategies for assessment and accreditation.An infographic is available for this article at: https://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-AG6486.pdf.
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