Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement.

Détails

ID Serval
serval:BIB_D098F7E56F8A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement.
Périodique
The Laryngoscope
Auteur(s)
Balakrishnan K., Sidell D.R., Bauman N.M., Bellia-Munzon G.F., Boesch R.P., Bromwich M., Cofer S.A., Daines C., de Alarcon A., Garabedian N., Hart C.K., Ida J.B., Leboulanger N., Manning P.B., Mehta D.K., Monnier P., Myer C.M., Prager J.D., Preciado D., Propst E.J., Rahbar R., Russell J., Rutter M.J., Thierry B., Thompson D.M., Torre M., Varela P., Vijayasekaran S., White D.R., Wineland A.M., Wood R.E., Wootten C.T., Zur K., Cotton R.T.
ISSN
1531-4995 (Electronic)
ISSN-L
0023-852X
Statut éditorial
Publié
Date de publication
01/2019
Peer-reviewed
Oui
Volume
129
Numéro
1
Pages
244-255
Langue
anglais
Notes
Publication types: Consensus Development Conference ; Journal Article
Publication Status: ppublish
Résumé
Develop multidisciplinary and international consensus on patient, disease, procedural, and perioperative factors, as well as key outcome measures and complications, to be reported for pediatric airway reconstruction studies.
Standard Delphi methods were applied. Participants proposed items in three categories: 1) patient/disease characteristics, 2) procedural/intraoperative/perioperative factors, and 3) outcome measures and complications. Both general and anatomic site-specific measures were elicited. Participants also suggested specific operations to be encompassed by this project. We then used iterative ranking and review to develop consensus lists via a priori Delphi consensus criteria.
Thirty-three pediatric airway experts from eight countries in North and South America, Europe, and Australia participated, representing otolaryngology (including International Pediatric Otolaryngology Group members), pulmonology, general surgery, and cardiothoracic surgery. Consensus led to inclusion of 19 operations comprising open expansion, resection, and slide procedures of the larynx, trachea, and bronchi as well as three endoscopic procedures. Consensus was achieved on multiple patient/comorbidity (10), disease/stenosis (7), perioperative-/intraoperative-/procedure-related (16) factors. Consensus was reached on multiple outcome and complication measures, both general and site-specific (8 general, 13 supraglottic, 15 glottic, 17 subglottic, 8 cervical tracheal, 12 thoracic tracheal). The group was able to clarify how each outcome should be measured, with specific instruments defined where applicable.
This consensus statement provides a framework to communicate results consistently and reproducibly, facilitating meta-analyses, quality improvement, transfer of information, and surgeon self-assessment. It also clarifies expert opinion on which patient, disease, procedural, and outcome measures may be important to consider in any pediatric airway reconstruction patient.
5 Laryngoscope, 129:244-255, 2019.
Mots-clé
Child, Delphi Technique, Humans, Laryngoplasty/standards, Larynx/surgery, Otorhinolaryngologic Surgical Procedures/methods, Otorhinolaryngologic Surgical Procedures/standards, Outcome Assessment (Health Care)/methods, Pediatrics, Practice Guidelines as Topic, Reconstructive Surgical Procedures/methods, Reconstructive Surgical Procedures/standards, Reoperation, Trachea/surgery, Airway reconstruction, Delphi, consensus, larynx, pediatric, stenosis, trachea
Pubmed
Web of science
Création de la notice
03/09/2018 14:16
Dernière modification de la notice
20/08/2019 16:50
Données d'usage