David.Cibula

[David.Cibula @DavidCibula]

@DrLouiseWan Sure. Our training tools must be adopted using more video, simulators, cadavers. Still there must be some real cases left to get and keep skills.

[David.Cibula @DavidCibula]

@DrLouiseWan @IJGConline Its a difficult task how to organize health care regionally. Usually in low resourced countries the incidence is high so there can be more sites.

[David.Cibula @DavidCibula]

@DrLouiseWan @IJGConline If I were to choose one, it would be the number of radical parametrectomies per surgeon per year.

[David.Cibula @DavidCibula]

@Baselrefky @IJGConline There are multiple problems globally - screening, vaccination, availability of radiotherapy.

[David.Cibula @DavidCibula]

@IJGConline Right. Its getting very challenging to teach radical parametrectomy. Centralization into a few sites is the only solution.

[David.Cibula @DavidCibula]

@GabrielleVanRam @DrFMartinelli @IJGConline Complexity. How high quality can be achieved and maintained in surgery, diagnostics, pathology, genetics, chemo, palliative and supportive care, psychology, sexuology, etc if a team is small?

[David.Cibula @DavidCibula]

@IJGConline Next step is to establish the esgo institutional accreditation. Not only for the quality of the surgery but for the complex management of cervical patients.

[David.Cibula @DavidCibula]

@Baselrefky @IJGConline Oncology is a complex specialty, the quality of the surgery is only one segment. Institutions should be accredited, and surgeons trained there.

[David.Cibula @DavidCibula]

@DrFMartinelli @GabrielleVanRam @IJGConline Exactly. It is the aim. The volume alone does not guarantee the quality. However, without certain minimal volume the quality cannot be achieved.

[David.Cibula @DavidCibula]

@IJGConline They are not. One or two indicators are not suficient to audit a quality. Esgo developed a set of QI. Authors believe that their combination can give a comprehensive picture.

[David.Cibula @DavidCibula]

@IJGConline Centralization of cancer pts is the prerequisite for any service. The larger is the volume the larger can the team be.

[IJGC @IJGConline]

Will you join our Twitter journal club #IJGCclub Monday January 13th? Discussing #ESGO Quality Indicators for surgical treatment of #CervicalCancer with expert Dr. David Cibula @DavidCibula Click the link to learn more. #Gyncsm #Cancer #Surgery #JMIG

[David.Cibula @DavidCibula]

@IJGConline I will be happy to chat with you.

[David.Cibula @DavidCibula]

@IJGConline Looking forward.

[David.Cibula @DavidCibula]

@ESGO_society What a nice guy.

[ESGO @ESGO_society]

See this article from @Cancerworldeso on the special multidisciplinary session on #OvarianCancer that took place at #ESGO2019Athens.🗞
Expectations in ovarian cancer: foreseeing the next year - https://t.co/luAJQRiqFd