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Browsing by Author "Alseidi, Adnan"
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Item Development of a multimedia tutorial to educate how to assess the critical view of safety in laparoscopic cholecystectomy using expert review and crowd-sourcing(Elsevier, 2017-05) Deal, Shanley B.; Stefanidis, Dimitrios; Brunt, L. Michael; Alseidi, Adnan; Department of Surgery, IU School of MedicineWe sought to determine the feasibility of developing a multimedia educational tutorial to teach learners to assess the critical view of safety using input from expert surgeons, non-surgeons and crowd-sourcing. We intended to develop a tutorial that would teach learners how to identify the basic anatomy and physiology of the gallbladder, identify the components of the critical view of safety criteria, and understand its significance for performing a safe gallbladder removal. Using rounds of assessment with experts, laypersons and crowd-workers we developed an educational video with improving comprehension after each round of revision. We demonstrate that the development of a multimedia educational tool to educate learners of various backgrounds is feasible using an iterative review process that incorporates the input of experts and crowd sourcing. When planning the development of an educational tutorial, a step-wise approach as described herein should be considered.Item The road to tailored adjuvant chemotherapy for all four non-pancreatic periampullary cancers: An international multimethod cohort study(Springer Nature, 2024) Uijterwijk, Bas A.; Lemmers, Daniël H.; Ghidini, Michele; Wilmink, Johanna W.; Zaniboni, Alberto; Fusai, Giuseppe Kito; Zerbi, Alessandro; Koerkamp, Bas Groot; Luyer, Misha; Ghorbani, Poya; Salvia, Roberto; White, Steven; Ielpo, Benedetto; Goh, Brian K. P.; Boggi, Ugo; Kazemier, Geert; House, Michael G.; Mavroeidis, Vasileios K.; Björnsson, Bergthor; Mazzola, Michele; Serradilla, Mario; Korkolis, Dimitris; Alseidi, Adnan; Roberts, Keith J.; Soonawalla, Zahir; Pessaux, Patrick; Fisher, William E.; Koek, Sharnice; Kent, Tara S.; Vladimirov, Miljana; Bolm, Louisa; Jamieson, Nigel; Dalla Valle, Raffaele; Kleeff, Jorg; Mazzotta, Alessandro; Suarez Muñoz, Miguel Angel; Sánchez Cabús, Santiago; Ball, Chad G.; Berger, Adam C.; Ferarri, Clarissa; Besselink, Marc G.; Hilal, Mohammed Abu; International Study Group on non-pancreatic periampullary Cancer (ISGACA); Surgery, School of MedicineBackground: Despite differences in tumour behaviour and characteristics between duodenal adenocarcinoma (DAC), the intestinal (AmpIT) and pancreatobiliary (AmpPB) subtype of ampullary adenocarcinoma and distal cholangiocarcinoma (dCCA), the effect of adjuvant chemotherapy (ACT) on these cancers, as well as the optimal ACT regimen, has not been comprehensively assessed. This study aims to assess the influence of tailored ACT on DAC, dCCA, AmpIT, and AmpPB. Patients and methods: Patients after pancreatoduodenectomy for non-pancreatic periampullary adenocarcinoma were identified and collected from 36 tertiary centres between 2010 - 2021. Per non-pancreatic periampullary tumour type, the effect of adjuvant chemotherapy and the main relevant regimens of adjuvant chemotherapy were compared. The primary outcome was overall survival (OS). Results: The study included a total of 2866 patients with DAC (n = 330), AmpIT (n = 765), AmpPB (n = 819), and dCCA (n = 952). Among them, 1329 received ACT, and 1537 did not. ACT was associated with significant improvement in OS for AmpPB (P = 0.004) and dCCA (P < 0.001). Moreover, for patients with dCCA, capecitabine mono ACT provided the greatest OS benefit compared to gemcitabine (P = 0.004) and gemcitabine - cisplatin (P = 0.001). For patients with AmpPB, no superior ACT regime was found (P > 0.226). ACT was not associated with improved OS for DAC and AmpIT (P = 0.113 and P = 0.445, respectively). Discussion: Patients with resected AmpPB and dCCA appear to benefit from ACT. While the optimal ACT for AmpPB remains undetermined, it appears that dCCA shows the most favourable response to capecitabine monotherapy. Tailored adjuvant treatments are essential for enhancing prognosis across all four non-pancreatic periampullary adenocarcinomas.Item Unifying the Hepatopancreatobiliary Surgery Fellowship Curriculum via Delphi Consensus(Wolters Kluwer, 2021) Park, Keon Min; Rashidian, Nikdokht; Mohamedaly, Sarah; Brasel, Karen J.; Conroy, Patricia; Glencer, Alexa C.; He, Jin; Passeri, Michael J.; Katariya, Nitin N.; Alseidi, Adnan; TrainHPB research group; Surgery, School of MedicineBackground: Hepatopancreatobiliary (HPB) Fellowship training in the Americas consists of 3 distinctive routes with variable curricula: Surgical Oncology Fellowship via the Society of Surgical Oncology (SSO), Abdominal Transplant Surgery Fellowship via the American Society of Transplant Surgeons (ASTS), and HPB Fellowship via the Americas Hepato-Pancreato-Biliary Association (AHPBA). Our objective was to establish a pan-American consensus among HPB surgeons, surgical oncologists, abdominal transplant surgeons, and general surgery residency program directors (GSPDs) on a core knowledge curriculum for HPB fellowship, and to identify topics appropriate for general surgery residency and subspecialty beyond HPB fellowship. Study design: A 3-round modified Delphi process was used. Baseline statements were developed by the Education and Training Committee of the AHPBA, in collaboration with representatives of the SSO, ASTS, and GSPDs. The expert panel, consisting of members of the 3 societies together with GSPDs, rated the statements on a 5-point Likert scale and suggested editing or adding new statements. A statement was included in the final curriculum when Cronbach's alpha value was ≥ 0.8 and ≥ 80% of the panel agreed on inclusion. Results: The response rate was 100% for the first round, and 98% for the second and third rounds. Eighty-nine of 138 proposed statements were included in the final HPB fellowship curriculum. Curricula for general surgery residency and subspecialty beyond HPB fellowship included 50 and 29 statements, respectively. Conclusions: A multinational consensus on core knowledge for an HPB fellowship curriculum was achieved via the modified Delphi method. This core curriculum may be used to standardize HPB fellowship training across different pathways in the Americas.