TY - JOUR
T1 - Outcome measures for pediatric laryngotracheal reconstruction
T2 - International consensus statement
AU - Balakrishnan, Karthik
AU - Sidell, Douglas R.
AU - Bauman, Nancy M.
AU - Bellia-Munzon, Gaston F.
AU - Boesch, R. Paul
AU - Bromwich, Matthew
AU - Cofer, Shelagh A.
AU - Daines, Cori
AU - de Alarcon, Alessandro
AU - Garabedian, Nöel
AU - Hart, Catherine K.
AU - Ida, Jonathan B.
AU - Leboulanger, Nicolas
AU - Manning, Peter B.
AU - Mehta, Deepak K.
AU - Monnier, Philippe
AU - Myer, Charles M.
AU - Prager, Jeremy D.
AU - Preciado, Diego
AU - Propst, Evan J.
AU - Rahbar, Reza
AU - Russell, John
AU - Rutter, Michael J.
AU - Thierry, Briac
AU - Thompson, Dana M.
AU - Torre, Michele
AU - Varela, Patricio
AU - Vijayasekaran, Shyan
AU - White, David R.
AU - Wineland, Andre M.
AU - Wood, Robert E.
AU - Wootten, Christopher T.
AU - Zur, Karen
AU - Cotton, Robin T.
N1 - Publisher Copyright:
© 2018 The American Laryngological, Rhinological and Otological Society, Inc.
PY - 2019/1
Y1 - 2019/1
N2 - Objectives: 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. Methods: 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. Results: 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. Conclusion: 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. Level of Evidence: 5 Laryngoscope, 129:244–255, 2019.
AB - Objectives: 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. Methods: 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. Results: 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. Conclusion: 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. Level of Evidence: 5 Laryngoscope, 129:244–255, 2019.
KW - Airway reconstruction
KW - Delphi
KW - consensus
KW - larynx
KW - pediatric
KW - stenosis
KW - trachea
UR - http://www.scopus.com/inward/record.url?scp=85053185125&partnerID=8YFLogxK
U2 - 10.1002/lary.27445
DO - 10.1002/lary.27445
M3 - Review article
C2 - 30152166
AN - SCOPUS:85053185125
SN - 0023-852X
VL - 129
SP - 244
EP - 255
JO - Laryngoscope
JF - Laryngoscope
IS - 1
ER -