EUROSPINE 2014 Delegates’ Survey€¦ · "I expected the senior members to participate more in the discussions. For younger members like me it is not always so easy to identify

EUROSPINE 2014 Delegates’ Survey

1

powered by APACE | AMFORT

< 35 years

35-45 years

46-55 years

over 55

21% 12%

35%

32%

2

How old are you?

10%90%

3

male female

Spinal Surgery

Trauma Surgery

Neurosurgery

Orthopaedic Surgery

Research

Other

4

What are your main fields?

5

Do you consider it as a part of your continuing professional development (revalidation/ accreditation)?

100%

Yes 100%

6

Did you submit an abstract for a podium or poster presentation?

100%

Yes 15%

7

Did you receive an invitation from a participating company?

100%

Yes 23%

8

Have you enjoyed previous meetings?

100%

Yes 85%

What was the best thing about the conference?

9

"The people in charge of lectures were real experts

in the topic."

"Meet up with colleagues, get the latest news in the

field of LBP.“

"Meeting spine surgeons from all around the globe and exchange knowledge."

"Being able to listen to several kinds of ideas and thoughts about the treatment of spinal disorders

from many countries."

"High quality presentations in the

Plenary Hall.“

"Comprehensive coverage of most aspects of spinal care.“

"Good topics, well functioning AV equipment.“

"Excellent technical presentation of papers in the plenary room.“

"The fact that there were not too many parallel sessions forcing delegates to run

from hall to hall in order to attend the lectures which interested them the most."

"Having qualified senior researchers giving scientific presentations and not the usual residents, who don’t have

the deep insight knowledge."

"Variety of subjects. Understanding the medical way of thinking."

"Good time schedule and well balanced subjects of presentation."

"Rethinking tactics and decision making in different cases as well as refreshing

knowledge."

What were the most important take home messages for you?

10

"Sagittal Balance is important!"

Due to the high number of qualitative answers (impossible to cluster

efficiently), please compare with appendix for further input.

31

Due to the high number of qualitative answers (impossible

to cluster efficiently), please compare with appendix for

further input.

2

Any suggestions for improvement for future EUROSPINE meetings?

11

"The speakers should be

evaluated about there ability to

speak in English!“

"More debates with presentations of clinical cases

of everyday life.“

"Have more keynote addresses by renowned surgeons on

specific topics.“

"Get conference halls where it is easier to navigate around, Milan was good, Liverpool was excellent.“

"Higher quality content, select better presentations. Prevent salami slicing of research groups, except grant them longer talks with all the parts of their

study.“

"More interaction between speakers

and the floor.“

"A discussion after one presentation is better. Many presentations were over the

allotted time frame. The time of 5 minutes may be a little short; be more strict on the timing issue!"

"There have been a couple of cases of "no show" from presenters. This

makes a very bad impression! I think the society should punish the no-shows in order to make people to

take the congress programme seriously.“

"More discussions with debates and case reports."

"Too much sagittal balance and deformity surgery; they are only one portion of the daily

practice.“

"Continue to improve debates and discussions; I think this is an important part of every meeting"

What can EUROSPINE do in order to better serve your needs within the

spine community?

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"More grants for young surgeons to attend meetings.“

"To include more neurosurgical fields at the congress. Spine it is

not only bone."

"Keep on continuous education and

partnership with other scientific societies"

"The best would be to support establishing medical device registers and annual reports in each nation as is done for the orthopedic joints. This would help patients, surgeons and companies when selecting the best

device against independent follow up evidences!"

"Helping with courses and developing

research"

"Less influence of the industry. I feel like being at an

industry’s market."

"I expected the senior members to participate more in the discussions.

For younger members like me it is not always so easy to identify the flaws of the papers and I do miss to hear the opinions of the experts more often."

"More discussions about both sides of treatment: for example, anterior or posterior

decompression for cervical myelopathy/radiculopathy; decompression alone or

decompression and fusion, etc."

"More time for discussions"

Pre-Day Course

Quality Ratings

Free Papers

Debates

Lunch Symposia

3,9

3,7

3,9

3,7

13

There was a good balance between clinical and

academic presentationsThere was too much emphasis on academic presentations

There was too much emphasis on clinical presentations

None of the above

8%

75%

10%

7%

14

How do yourate the balance between clinical and academic presentations?

The programme was for specialists

None of the above

There was too much in the programme for generalists

There was not enough in the programme for specialists

14%

65%

18%

3%

15

What do you think of the

programme?

Faculty

What was your attendee status?

5%

16

4%

Industry Representative

2%

Other Presenter Oral Communication

Participant

Poster Presenter

5% 71%13%

17

Yes 27%

Are you a member of EUROSPINE?

Reduced registration fee

Quality Ratings (Members)

Education events, courses

Newsletter

4,3

3,9

3,6

18

Exclusive member area (website)

ESJ hard copy & on-line access

Social media

3,6

4,2

3,1

19

Quality Ratings (Members)

1-5 times

Never

I will look at the E-posters from back home

49%

32%

19%

20

How often did you visit the

E-Poster area?

The Spine Times (daily newspaper)

Quality Ratings

EUROSPINE app

ARS (included in the app)

3,4

3,8

3,7

21

Commercial exhibition

Quality Ratings

Pre-congress registration procedure

On-site registration procedure

Congress publications

22

ExcellentGoodFairPoor

Staff friendliness

Quality Ratings

On-site catering

4,1

3,4

23

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About the Survey

397 responses 216 complete responses

Online: October 3 – 16, 2014

54% completion rate

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Appendix – What were the most important take home messages for you? (1st)• Advanced techniques

• Be careful with sagittal balance

• Best paper session very good, all I need in that

• Better harmony between different European Organisations

• Big surgery with multilevel instrumentation in osteoporotic (or those who will likely develop it soon) is always bad (or will be next year).

• Careful evaluation of patient

• Conservative management of peg fracture

• Decompression is no superior to fusion in treatment of spondylolisthesis

• Different patient populations result in different outcome

• Don't go to surgery too fast

• Economy will change spine surgery

• Equilibrium is different from balance

• Exchange of different opinions

• Fusion as good as rehabilitation

• Fusion vs decompression in spinal stenosis

• Good images

• Halo-vest is dangerous to the elderly.

• I'm still treating most conditions approriately

• Importance of sagittal balance

• Increase in instrumentation

• Interspinous implants probably aren't worth it

• Keep in closer touch with the clinical practice

• Literatur Based Knowledge improves

• More trials are required to identify best practices

• New generative implants

• New technologies

• No consensus on wether to treat or not to treat type 2 dens fractures, but be some what more conservative

• No relation between bactéries and Disc degeneration

• Openness of industry for new implant technology

• Orthopedic surgeon is very far from neurosurgeon while solving the same Issue

• Posterior fusion devices are a new idea, but should be studied

• Retrolisthesis is a risk factor of post decompression lumbar disc herniation

• Sagittal Balance

• Spine is still a very active field for engineering innovation on devices

• Spine surgeons are very well organized

• Spine surgery is maturing

• The exchange of different opinions

• The importance of preoperative planning

• The importance of technical advances

• The spine in the elderly becomes more actual every day

• The topic of degenerative spinal disease are good and impressive

• There were no serious changes in neurosurgery during the last 5 years

• Try out konservative treatment before surgery

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Appendix – What were the most important take home messages for you? (2nd)• Adjacent segment pathology

• Aging spine is very common and difficult problem

• AOSpine seminar on cervical fracture management

• Artificial disc replacements are no better than spinal fusion

• Avoid abuse of instrumentation

• Avoid excess surgery

• Careful evaluation of modalities of treatment

• Case reports and comparisons among them

• Cervical spine surgery lecture

• Consider not fusing sakrum

• Consider patient acceptable level of pain and priorities

• Cost and society-health

• Cost effectiveness of spine surgery

• Decompression alone for lumbar spinal stenosis is effective.

• Degenerative deformity is still the unsolved problem

• Dynamic Stabilisation Is out

• Endoscoping methods of treatment

• Future technologies

• Good scientific content

• Government pressure influencing practice is robust

• Greater understanding of cervical myelopathy

• Importance of rehab

• Importance of the self studies

• Interdisciplinary management

• Interesting to hear of controversies in management

• Lack of clear CLINICAL results with various products

• Lectures lake evidence based medicine

• Making the good therapy choice is not easy

• Management of cases similar

• More emphasis on history taking and physical exam

• New alternatives for fixation in osteoporosis

• New technologies will change our lives (Mark Stevenson)

• No fusion for degen spondy

• No more IED

• No surgery for the very old and co-morbid dens fx type II

• Only few Innovations

• Pay attention to cervical foraminal stenosis

• Physical examination

• Pleased that Education goes back to Eurospine

• Positive consensus of clinic and industry towards motion preserving disc implants

• Possibility to establish collaborative contacts for development of new devices

• Simulation soft ware for planned correction

• Spinal balance important but requires more research

• The pain until two years after the thoracic surgery is normal

• The technical exhibition was remarkable

• Treat infection complications

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Appendix – What were the most important take home messages for you? (3rd)• Adult deformities are still conflicting

• Aggressive surgical approach to infection

• Be careful in indications of fusion in spinal stenosis

• Better pre op radiographic study in AIS

• Careful follow up of patients

• Contact with high level surgeons

• Continue to attend EUROSPINE meeting

• Crawl slowly to the decision to operate, don’t jump to it!!

• Critical analysis of the research

• Education in Europe

• Endoscopic surgery is the future

• Every body has the same problems with long fusions

• Faster surgery

• Fortunately the disc prosthesis has disappeared

• Fusion may or may not benefit in gr I degen spondy

• Fusion to L5 or S1 is justified

• Good balance is better than good contour

• heart must be wisdom and be patient

• Importance of balance and equilibrium

• Importance of pre-operative care

• Importance of preserving lumbar lordosis in fixations

• Importance of programme of rehabilitation pre- and post- surgery

• Indication for interspinous devices

• Interactive organisation system

• It may be good idea to restore lordosis when fusing L4-L5-S1 segments, as they form 2/3 of it. On contrary, it may be not very good idea to fuse 3-4 segments to restore lordosis, if it is not really severe deformity and relatively young patient with good bone.

• Learning more from future EUROSPINE events

• Long time outcomes

• Magnet control for implant in growing spine with scoliosis

• Making progress on genetic linkages regarding scoliosis

• Maximise the cons treatment before offering surgery

• Methodology in research

• New product are not always better

• No more Long constructions

• Preliminary course had good discussion on need for careful Neurological examination to avoid missing neuro-degenerative myelopathy

• Restore function rather than cure pain as a focus

• Scientific evidence based data insufficient at the moment

• Surgical techniques

• The Dutch need to work on more research (lack of dutch presenters)

• There are no consensus about a lot of things

• There is a different world out there in spine surgery compared to USA & MEX

• There is no place for inter spinous spacers in spine surgery

• Use of equipment for planing surgery (EOS....)

• We don't always know what will happen after surgery