Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)

Hervé Dutau; David Breen; Antonio Bugalho; Levent Dalar; Johannes Daniels; Christophe Dooms; Ralf Eberhardt; Lars Ek; Milena Encheva; Michel Febvre; Martin Hackl; Sirje Marran; Zsolt Papai-Szekely; Michael Perch; Mihovil Roglic; Antoni Rosell; Ales Rozman; Pallav L Shah; Marioara Simon; Artur Szlubowski; Grigoris Stratakos; Arve Sundset; Toomas Uibu; Christophe Von Garnier; Bojan Zaric; Marija Zdraveska; Lina Zuccatosta; Darijo Bokan; Syed Arshad Husain; Semra Bilaceroglu; Paola Gasche-Soccal; Stefano Gasparini; Felix J F Herth; Muhammed Munavvar

doi:10.1159/000480152

Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)

Hervé Dutau, David Breen, Antonio Bugalho, Levent Dalar, Johannes Daniels, Christophe Dooms, Ralf Eberhardt, Lars Ek, Milena Encheva, Michel Febvre, Martin Hackl, Sirje Marran, Zsolt Papai-Szekely, Michael Perch, Mihovil Roglic, Antoni Rosell, Ales Rozman, Pallav L Shah, Marioara Simon, Artur SzlubowskiGrigoris Stratakos, Arve Sundset, Toomas Uibu, Christophe Von Garnier, Bojan Zaric, Marija Zdraveska, Lina Zuccatosta, Darijo Bokan, Syed Arshad Husain, Semra Bilaceroglu, Paola Gasche-Soccal, Stefano Gasparini, Felix J F Herth, Muhammed Munavvar

Department of Clinical Medicine

16 Citations (Scopus)

Abstract

BACKGROUND: Airway stenting (AS) commenced in Europe circa 1987 with the first placement of a dedicated silicone airway stent. Subsequently, over the last 3 decades, AS was spread throughout Europe, using different insertion techniques and different types of stents.

OBJECTIVES: This study is an international survey conducted by the European Association of Bronchology and Interventional Pulmonology (EABIP) focusing on AS practice within 26 European countries.

METHODS: A questionnaire was sent to all EABIP National Delegates in February 2015. National delegates were responsible for obtaining precise and objective data regarding the current AS practice in their country. The deadline for data collection was February 2016.

RESULTS: France, Germany, and the UK are the 3 leading countries in terms of number of centres performing AS. These 3 nations represent the highest ranked nations within Europe in terms of gross national income. Overall, pulmonologists perform AS exclusively in 5 countries and predominately in 12. AS is performed almost exclusively in public hospitals. AS performed under general anaesthesia is the rule for the majority of institutions, and local anaesthesia is an alternative in 9 countries. Rigid bronchoscopy techniques are predominant in 20 countries. Amongst commercially available stents, both Dumon and Ultraflex are by far the most commonly deployed. Finally, 11 countries reported that AS is an economically viable activity, while 10 claimed that it is not.

CONCLUSION: This EABIP survey demonstrates that there is significant heterogeneity in AS practice within Europe. Therapeutic bronchoscopy training and economic issues/reimbursement for procedures are likely to be the primary reasons explaining these findings.

Original language	English
Journal	Respiration
Volume	95
Issue number	1
Pages (from-to)	44-54
ISSN	0025-7931
DOIs	https://doi.org/10.1159/000480152
Publication status	Published - 1 Jan 2018

Keywords

Bronchoscopy/instrumentation
Europe
Humans
Pulmonary Medicine/instrumentation
Stents/statistics & numerical data
Surveys and Questionnaires

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Dutau, H., Breen, D., Bugalho, A., Dalar, L., Daniels, J., Dooms, C., Eberhardt, R., Ek, L., Encheva, M., Febvre, M., Hackl, M., Marran, S., Papai-Szekely, Z., Perch, M., Roglic, M., Rosell, A., Rozman, A., Shah, P. L., Simon, M., ... Munavvar, M. (2018). Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP). Respiration, 95(1), 44-54. https://doi.org/10.1159/000480152

Dutau, H, Breen, D, Bugalho, A, Dalar, L, Daniels, J, Dooms, C, Eberhardt, R, Ek, L, Encheva, M, Febvre, M, Hackl, M, Marran, S, Papai-Szekely, Z, Perch, M, Roglic, M, Rosell, A, Rozman, A, Shah, PL, Simon, M, Szlubowski, A, Stratakos, G, Sundset, A, Uibu, T, Von Garnier, C, Zaric, B, Zdraveska, M, Zuccatosta, L, Bokan, D, Arshad Husain, S, Bilaceroglu, S, Gasche-Soccal, P, Gasparini, S, Herth, FJF & Munavvar, M 2018, 'Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)', Respiration, vol. 95, no. 1, pp. 44-54. https://doi.org/10.1159/000480152

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title = "Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)",

abstract = "BACKGROUND: Airway stenting (AS) commenced in Europe circa 1987 with the first placement of a dedicated silicone airway stent. Subsequently, over the last 3 decades, AS was spread throughout Europe, using different insertion techniques and different types of stents.OBJECTIVES: This study is an international survey conducted by the European Association of Bronchology and Interventional Pulmonology (EABIP) focusing on AS practice within 26 European countries.METHODS: A questionnaire was sent to all EABIP National Delegates in February 2015. National delegates were responsible for obtaining precise and objective data regarding the current AS practice in their country. The deadline for data collection was February 2016.RESULTS: France, Germany, and the UK are the 3 leading countries in terms of number of centres performing AS. These 3 nations represent the highest ranked nations within Europe in terms of gross national income. Overall, pulmonologists perform AS exclusively in 5 countries and predominately in 12. AS is performed almost exclusively in public hospitals. AS performed under general anaesthesia is the rule for the majority of institutions, and local anaesthesia is an alternative in 9 countries. Rigid bronchoscopy techniques are predominant in 20 countries. Amongst commercially available stents, both Dumon and Ultraflex are by far the most commonly deployed. Finally, 11 countries reported that AS is an economically viable activity, while 10 claimed that it is not.CONCLUSION: This EABIP survey demonstrates that there is significant heterogeneity in AS practice within Europe. Therapeutic bronchoscopy training and economic issues/reimbursement for procedures are likely to be the primary reasons explaining these findings.",

keywords = "Bronchoscopy/instrumentation, Europe, Humans, Pulmonary Medicine/instrumentation, Stents/statistics & numerical data, Surveys and Questionnaires",

author = "Herv{\'e} Dutau and David Breen and Antonio Bugalho and Levent Dalar and Johannes Daniels and Christophe Dooms and Ralf Eberhardt and Lars Ek and Milena Encheva and Michel Febvre and Martin Hackl and Sirje Marran and Zsolt Papai-Szekely and Michael Perch and Mihovil Roglic and Antoni Rosell and Ales Rozman and Shah, {Pallav L} and Marioara Simon and Artur Szlubowski and Grigoris Stratakos and Arve Sundset and Toomas Uibu and {Von Garnier}, Christophe and Bojan Zaric and Marija Zdraveska and Lina Zuccatosta and Darijo Bokan and {Arshad Husain}, Syed and Semra Bilaceroglu and Paola Gasche-Soccal and Stefano Gasparini and Herth, {Felix J F} and Muhammed Munavvar",

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doi = "10.1159/000480152",

language = "English",

volume = "95",

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journal = "Respiration",

issn = "0025-7931",

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TY - JOUR

T1 - Current Practice of Airway Stenting in the Adult Population in Europe

T2 - A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)

AU - Dutau, Hervé

AU - Breen, David

AU - Bugalho, Antonio

AU - Dalar, Levent

AU - Daniels, Johannes

AU - Dooms, Christophe

AU - Eberhardt, Ralf

AU - Ek, Lars

AU - Encheva, Milena

AU - Febvre, Michel

AU - Hackl, Martin

AU - Marran, Sirje

AU - Papai-Szekely, Zsolt

AU - Perch, Michael

AU - Roglic, Mihovil

AU - Rosell, Antoni

AU - Rozman, Ales

AU - Shah, Pallav L

AU - Simon, Marioara

AU - Szlubowski, Artur

AU - Stratakos, Grigoris

AU - Sundset, Arve

AU - Uibu, Toomas

AU - Von Garnier, Christophe

AU - Zaric, Bojan

AU - Zdraveska, Marija

AU - Zuccatosta, Lina

AU - Bokan, Darijo

AU - Arshad Husain, Syed

AU - Bilaceroglu, Semra

AU - Gasche-Soccal, Paola

AU - Gasparini, Stefano

AU - Herth, Felix J F

AU - Munavvar, Muhammed

PY - 2018/1/1

Y1 - 2018/1/1

N2 - BACKGROUND: Airway stenting (AS) commenced in Europe circa 1987 with the first placement of a dedicated silicone airway stent. Subsequently, over the last 3 decades, AS was spread throughout Europe, using different insertion techniques and different types of stents.OBJECTIVES: This study is an international survey conducted by the European Association of Bronchology and Interventional Pulmonology (EABIP) focusing on AS practice within 26 European countries.METHODS: A questionnaire was sent to all EABIP National Delegates in February 2015. National delegates were responsible for obtaining precise and objective data regarding the current AS practice in their country. The deadline for data collection was February 2016.RESULTS: France, Germany, and the UK are the 3 leading countries in terms of number of centres performing AS. These 3 nations represent the highest ranked nations within Europe in terms of gross national income. Overall, pulmonologists perform AS exclusively in 5 countries and predominately in 12. AS is performed almost exclusively in public hospitals. AS performed under general anaesthesia is the rule for the majority of institutions, and local anaesthesia is an alternative in 9 countries. Rigid bronchoscopy techniques are predominant in 20 countries. Amongst commercially available stents, both Dumon and Ultraflex are by far the most commonly deployed. Finally, 11 countries reported that AS is an economically viable activity, while 10 claimed that it is not.CONCLUSION: This EABIP survey demonstrates that there is significant heterogeneity in AS practice within Europe. Therapeutic bronchoscopy training and economic issues/reimbursement for procedures are likely to be the primary reasons explaining these findings.

AB - BACKGROUND: Airway stenting (AS) commenced in Europe circa 1987 with the first placement of a dedicated silicone airway stent. Subsequently, over the last 3 decades, AS was spread throughout Europe, using different insertion techniques and different types of stents.OBJECTIVES: This study is an international survey conducted by the European Association of Bronchology and Interventional Pulmonology (EABIP) focusing on AS practice within 26 European countries.METHODS: A questionnaire was sent to all EABIP National Delegates in February 2015. National delegates were responsible for obtaining precise and objective data regarding the current AS practice in their country. The deadline for data collection was February 2016.RESULTS: France, Germany, and the UK are the 3 leading countries in terms of number of centres performing AS. These 3 nations represent the highest ranked nations within Europe in terms of gross national income. Overall, pulmonologists perform AS exclusively in 5 countries and predominately in 12. AS is performed almost exclusively in public hospitals. AS performed under general anaesthesia is the rule for the majority of institutions, and local anaesthesia is an alternative in 9 countries. Rigid bronchoscopy techniques are predominant in 20 countries. Amongst commercially available stents, both Dumon and Ultraflex are by far the most commonly deployed. Finally, 11 countries reported that AS is an economically viable activity, while 10 claimed that it is not.CONCLUSION: This EABIP survey demonstrates that there is significant heterogeneity in AS practice within Europe. Therapeutic bronchoscopy training and economic issues/reimbursement for procedures are likely to be the primary reasons explaining these findings.

KW - Bronchoscopy/instrumentation

KW - Europe

KW - Humans

KW - Pulmonary Medicine/instrumentation

KW - Stents/statistics & numerical data

KW - Surveys and Questionnaires

U2 - 10.1159/000480152

DO - 10.1159/000480152

M3 - Journal article

C2 - 28881352

SN - 0025-7931

VL - 95

SP - 44

EP - 54

JO - Respiration

JF - Respiration

IS - 1

ER -

Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)

Abstract

Keywords

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