Grouped limitations to advanced polypectomy | N (% total) |
---|---|
(G) Governance | 277 (46.6%) |
(T) Training | 97 (16.3%) |
(R) Resources | 96 (16.2%) |
(J) Individual judgement of skill/competency | 355 (59.8%) |
(S) Preference for surgical options | 147 (24.7%) |
Governance issues are potentially appropriate but are currently an individual judgement. This would be addressed if there were robust referral pathways and guidelines available. This may also help define more clearly the individual roles for EMR, ESD in management of complex lesions. The other groups are possibly more concerning, especially a perceived lack in training or resources.
EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection.