ERCP practitioners in China: results from national surveys in 2007 and 2013

Hu, Liang‐Hao; Xin, Lei; Wang, Luo-Wei; Qian, Wei; Liao, Zhuan; Li, Zhao‐Shen

doi:10.1055/s-0035-1563805

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…According to the latest national survey of ERCP practitioners of China, the estimated annual ERCP rate in China was much lower than that of developed countries (4.87 vs 70–188 per 100 000 inhabitants), suggesting an obvious shortage of ERCP practitioners. To improve the level of ERCP service, more trainees need to be involved in ERCP training programs.…”

Section: Discussionmentioning

confidence: 99%

Patient‐related factors associated with successful cannulation by trainees during hands‐on endoscopic retrograde cholangiopancreatography training

Zheng

Wang

Ren

et al. 2019

Digestive Endoscopy

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Background and Aim Hands‐on endoscopic retrograde cholangiopancreatography (ERCP) training is essential for trainees to grasp the technique. Cannulation success rate (CSR) is considered one of the main indicators of competency of trainees. We aimed to investigate whether patient‐related factors had an impact on the CSR of trainees. Methods A post hoc analysis of data from two multicenter studies (NCT02002650 and NCT03057769) was conducted. Patients aged 18–90 years with native papilla undergoing ERCP were eligible for this study. Only procedures involving trainees in centers strictly following “10‐min criteria” for initial cannulation were enrolled. Primary outcome was CSR by trainees. Results From December 2013 to October 2017, 20 trainees in four centers were involved in initial cannulation in 1044 patients with native papilla. Primary CSR by trainees was 61.0% (436/715), 31.5% (70/222) and 44.9% (48/107) in patients with common bile duct stone (CBDS), biliary stricture (BS) and other indications, respectively (P < 0.001). In multivariate analysis, indication of BS (OR, 0.31; 95% CI, 0.22–0.44; P < 0.001) and presence of type A diverticulum (OR, 1.69; 95% CI, 1.23–2.33; P = 0.001) were both independently associated with cannulation success of trainees. Biliary infection was significantly higher in the BS than in the CBDS group (3.6% vs 0.7%, P = 0.004), whereas other post‐ERCP complications were comparable between the two groups. Conclusions Indication of BS and the presence of type A diverticulum were independently associated with the success of cannulation by trainees. These findings indicate that greater effort is needed for trainees to improve the ability of cannulation in BS.

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Section: Discussionmentioning

confidence: 99%

Patient‐related factors associated with successful cannulation by trainees during hands‐on endoscopic retrograde cholangiopancreatography training

Zheng

Wang

Ren

et al. 2019

Digestive Endoscopy

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“…In 2012, the proportion of ERCPist in the population of China was 2.47 per million, far lower than 20 per million in developed countries, and 60.1% of Chinese ERCPists had been practicing ERCP for <5 years. [ 2 , 20 ] Compared with developed countries, the quantity and quality of ERCPists still need to be improved in China. The total output, output per capita, and average IF in Germany were on downward trends.…”

Section: Discussionmentioning

confidence: 99%

Global trends of ERCP research in the last 25 years: A bibliometrics study

et al. 2022

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Endoscopic retrograde cholangiopancreatography (ERCP) has been used in clinical practice for over 50 years. This study aims to investigate the current state of research in the field of ERCP.Methods: Web of Science database was searched using the term "ERCP" for articles published between 1994 and 2018. The total number of articles from the top 20 countries with the most published articles was determined. The top 5 countries were compared in terms of output per capita, number of articles published in top journals, cumulative impact factor (IF), and average IF. All annual data were subjected to time-trend analysis. The frequently used terms in the titles and abstracts of all articles were retrieved to conduct co-occurrence analysis to determine the research focus of ERCP.Results: A total of 9960 articles on ERCP were published between 1994 and 2018, of which 8778 articles were from the top 20 producing countries. There was a significant positive correlation between the output and GDP of each country (R = 0.870, P = .001). The United States of America (USA), Japan, Germany, Italy, and China were the top 5 producing countries with 3190 (32.0%), 868 (8.7%), 658 (6.6%), 512 (5.1%) and 488 (4.9%) articles published, respectively. The USA, Japan, Italy, and China were trending upwards in the total outputs and outputs per capita, while Germany were trending downwards. For average IF, Germany had a downwards trend, while the other 4 countries remained stable. Overall, the USA had the highest output per capita (97.5/10 million) and the highest average IF (6.454). China had the lowest output per capita (3.5/10 million) and average IF (3.125). The ERCP procedures for sphincter of Oddi dysfunction, the combination of ERCP, and laparoscopic cholecystectomy have been the research focus of ERCP.Conclusions: Except for Germany, research on ERCP will continue to increase in the top-producing countries. The outputs per capita and quality of articles from developed countries are higher than those from developing countries.

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“…Meanwhile, the total number of ERCP practitioners in China increased from 1155 (.88 per million) to 3345 (2.47 per million). 19 This is mainly because standard ERCP training programs have been widely conducted in China's large endoscopy centers, and more continuing medical education programs, including academic conferences and endoscopy workshops, are now available.…”

Section: Discussionmentioning

confidence: 99%