ESD implementation in EU

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Fig. 1A (ref. 2) Strategy how to learn and establish endoscopic submucosal dissection (ESD) in the West.

Fig. 1B (ref. 1) Distribution of participating ESD centers across Europe and the Mediterranean Near East.

The centers of ESD workshop trainees have implemented an ESD supply network of 83 active centers – additional eleven by 2019 published ESD centers in Europe that had not participated are not shown. Circles represent centers, insert color the ESD category: grey = unknown, white = zero, red = starting (≤ 30), green = competent (31 – 150), blue = professional (>150 ESD).


Fig. 2 (ref. 1) Performance of ESD during implementation period. Organ distribution (A) and performance (B) of ESD-ITT (mean±SE) of the 72 responding centers shown for center categories. Subgroup analyses yields only 5 significant differences, * Hybrid-ESD in 1-3 particles. All categories performed mean 64-70% in Colorectum

Fig. 3 (ref. 1) Adverse outcome during implementation of ESD. The cross-sectional survey is split into initial phase (total 420 ESD; follow-up 18±2.6 mo) vs. competent to professional phase (>30 ESD; total 5676 ESD; follow-up 59±5 mo, initial phase of centers included). Severe AE and oncological outcome met Asian standards. No significant differences between the two groups nor the 3 categories. * mortality indicates % per category

Supplementary Tab. 1 (ref 1)

COLLABORATORS - ESD WORKSHOP TRAINING GROUP (responding active centers)
Halm Ulrich, Park-KH Helios, Leipzig, DE
Schulz Heinrich, KH St Josef Bremen, Bremen, DE
Chabrun Edouard, CHU Bordeaux, Bordeaux, FR1
Cholet Franck, CHU de la Cavale Blanche, Brest, FR
Thorlacius Henrik, Skane UH, Lund Univ., Malmö, SE
Dumoulin Franz-Ludwig, Gemeinschafts-KH Bonn, DE
Herreros de Tejada A., Porto de Hierros UH, Madrid, ES
Łozinski Cezary, Cancer Institute Poznań, Poznań, PL
Caillol Fabrice, Institut Paoli Calmettes, Marseille, FR
Spychalski Michal, Medical University of Lodz, Lodz, PL
Santos-Antunes João C, Univ Hosp S.João, Porto, PG
Lutz Manfred, Caritasklinikum St Theresia,Saarbrücken,DE
Bermoser Katrin, KH Hall in Tirol, AT2
Schäfer Andreas, Alfried-Krupp Krankenhaus, Essen, DE
LeBaleur Yann, CHU Henri Mondor, Paris, FR3
Jacob Harold, Haddassah UH, Ein Karem, Jerusalem, IL
Allgaier Hans-Peter, Diakonie KH Freiburg, DE
Kleber Gerhard, Ostalb Klinikum, Aalen DE
Steinbrück Ingo, Asklepios KH Hamburg-Altona, DE12
Tringali Alberto, Ospedale Conegliano, Conegliano,IT
Flatz Thomas, LKH Feldkirch, Feldkirch, AT
Österreicher Christian, Hanusch KH, OEGK, Wien, AT
Glas Anton, Klinikum Passau, Passau, DE
Schroder Robert, Gellre Hospital, Apeldoorn, NL4
Lutterer Achim, Klinikum Karlsruhe, Karlsruhe, DE
Wedi Edri, Univ Hosp Göttingen, Göttingen, DE14
Anzinger Michael, KH Barmherzige Brüder, München, DE
Boger Philip, UH Southampton, Southampton, UK
Suchánek Stepan, Milit. Hosp, Charles Univ, Prague, CZ
Laquière Arthur, Hopital-NORD, Marseille, FR
Rajkumar Sarveson, RoyalStoke UH,Stoke-on-Trent, UK
Rupinski Maciej, Marie Curie OncologyCenter,Warsaw, PL
Jue Terry, Kaiser Permanente Hosp, San Francisco, USA5
Barawi Mohamed, UH Wayne State Univ.,Detroit, USA
Schlag Christoph, KH re-dr Isar, Tech.Univ, München, DE15
Möschler Oliver, Marienhospital, Osnabrück, DE
Sferrazza Sandro, Univ Hosp. St Chiara, Trento, IT
Pekarek Boris, National Oncology Ctr., Bratislava, SK
Poyrazoglu Orhan Kursat, Firat UH, Elazig, Anatolia, TR6
Baran Bulent, Koç University Hospital, Istanbul, TR13
Mayer Andreas, Landsteiner UK, LKH, St Pölten,AT
Tribl Barbara, AKH, Wien, Med Univ Wien,Wien, AT
Goetz Martin, Univ.Klinikum, Tübingen, DE7
Plamenig Dieter, KH Barmherzige Brüder, St Veit, AT8
Pickartz Tilman, Univ.Klinikum, Greifswald, DE16
Hayward Chris, Plymouth Univ. Hosp. Plymouth, UK
Grünhage Frank, Rhein KH, Dormagen-Grevenbroich, DE9
Qutob Tarek, City Hospital, Amman, JD
Seerden Tom, Amphia Hospital, Breda NL
Schmitz Volker, KH Bad Kreuznach, DE
Wiest Reiner, Inselspital, Univ. Bern, Bern CH
Hoffman Arthur, HeliosH-Schmidt KH Wiesbaden, DE
Flatz Thomas, LKH Feldkirch, Feldkirch, AT
Horvath Henrik, Bürgerspital, Solothurn, CH10
Viale Edi, Ospedale San Rafaele, Milan, IT
LaRoche Michaela, Diakonie KH Kassel, DE
Peveling-Oberhag Jan, Robert Bosch KH, Stuttgart, DE
Aerts Maridi, ZU Univ Hospital, Brussel, BE
Gal Eyal, Kaplan Medical Ctr, Tel Aviv, IL
Doykov Daniel, Univ Hospital Kaspela, Plovdiv, BGR
Allerstorfer David, KH Rudolfinum, Vienna, AT
Bodlaj Gerd, KH Barmherzige Schwestern, Wien, AT
Maskelis Romualdas, Lithuan. Nat. Cancer Ctr Vilnius, LT
Vassiljeva Varvara, Hospital Arlon, Arlon, BE
Kapetanakis Nikos, Gastro Med Ctr, Volos, GR
Appenrodt Beate, UK Saarland Homburg,DE11
Moura Miguel, Santa-Maria-UH, Lisboa, PG
Bastiaansen Barbara A, Acad Med Ctr, Amsterdam, NL
Barsic Neven, Univ Hosp Zagreb, Zagreb, HR
Zimmer Vinzent, Marienhaus Klinik Neunkirchen, DE


Current affiliations:
1…Clinique de l‘Anjou, Angers, FR
2…LeopoldinuMED Hall in Tirol, AT
3… Hôpital Paris Saint‑Joseph, Paris, FR
4…Nij Smellinghe Ziekenhuis, Drachten, NL
5…Mayo Clinic, Phoenix, AZ, USA
6…Aydin University Hospital, Istanbul, TR
7…Med. Klinik IV, Kliniken Böblingen, Böblingen, DE
8…Spittal a.d. Drau, AT
9… KRH Klinikum Siloah, Hannover, DE
10…Klinik Linde, Biel, CH
11…St. Elisabeth-Krankenhaus, Köln, DE
12…Diakonie KH Freiburg, DE
13…Townsville Univ. Hosp. Townsville, Queensland, Australia
14…Sana Kliniken, Offenbach, DE
15…UniversitätsSpital, Zürich, CH
16…Klinikum Südstadt, Rostock, DE