{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:17:07Z","timestamp":1785842227225,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,7,27]],"date-time":"2011-07-27T00:00:00Z","timestamp":1311724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To prospectively estimate the agreement between a fellow in training in gynecologic oncology and a senior surgeon performing a laparoscopic score to describe peritoneal carcinosis diffusion in patients with advanced ovarian cancer. <jats:italic>Design<\/jats:italic>: Single\u2010institutional non\u2010inferiority trial. <jats:italic>Setting.<\/jats:italic> University hospital tertiary care center. <jats:italic>Population.<\/jats:italic> Ninety consecutive patients with primary advanced ovarian cancer. <jats:italic>Methods.<\/jats:italic> The patients underwent staging\u2010laparoscopy by a fellow in gynecologic oncology and a senior surgeon, sequentially and blindly. Single laparoscopic parameters (omental cake, peritoneal and diaphragmatic carcinosis, mesenteric retraction, bowel stomach infiltration, superficial liver metastasis) and a comprehensive laparoscopic score (PIV) were assessed in each procedure and registered. <jats:italic>Main outcome measures<\/jats:italic>. No differences in the score discriminating performance for predicting optimal cytoreduction were observed between fellows\u2019 and seniors\u2019 evaluations. <jats:italic>Results<\/jats:italic>. The median number of staging laparoscopies performed by each fellow was 30 (range 28\u201332). The median score was 6 (0\u201310) for the fellows and 6 (0\u201314) for senior surgeons (<jats:italic>p<\/jats:italic>=ns). Results were superimposable in 57 of 90 patients (63.3%). Dividing the study period into two blocks, cases 1\u201345 and cases 46\u201390, differences were equally distributed over time (16.6 vs. 20%; <jats:italic>p<\/jats:italic>=0.9). The area under the curve of the receiver operating characteristic (ROC) curves for the score of fellows and seniors was 0.86 and 0.89, respectively (<jats:italic>p<\/jats:italic>=ns). <jats:italic>Conclusions.<\/jats:italic> The laparoscopic assessment of peritoneal cancer diffusion according to a laparoscopic score can reliably be carried out by a fellow in gynecologic oncology after 12 months\u2019 experience without significant differences from a senior surgeon's assessment.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2011.01227.x","type":"journal-article","created":{"date-parts":[[2011,6,30]],"date-time":"2011-06-30T12:53:44Z","timestamp":1309438424000},"page":"1126-1131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Learning curve and pitfalls of a laparoscopic score to describe peritoneal carcinosis in advanced ovarian cancer"],"prefix":"10.1111","volume":"90","author":[{"given":"ANNA","family":"FAGOTTI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GIUSEPPE","family":"VIZZIELLI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BARBARA","family":"COSTANTINI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ANTONELLA","family":"LECCA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"VALERIO","family":"GALLOTTA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARIA LUCIA","family":"GAGLIARDI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GIOVANNI","family":"SCAMBIA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FRANCESCO","family":"FANFANI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,7,27]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6312"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.5.1248"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6605292"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.10.010"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.10.856"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.04.037"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.09.060"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2006.00323.x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1245\/ASO.2006.08.021"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.06.052"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2009.09.015"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.04.042"},{"key":"e_1_2_7_14_2","first-page":"249","volume-title":"Introduction to clinical trials","author":"Chan YH","year":"1998"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_7_16_2","volume-title":"Precision of test methods. 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