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Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement
Authors
Karthik Balakrishnan
Nancy M. Bauman
+31 more
Gaston F. Bellia-Munzon
R. Paul Boesch
Matthew Bromwich
Shelagh A. Cofer
Cori Daines
Alessandro de Alarcon
Nöel Garabedian
Catherine K. Hart
Jonathan B. Ida
Nicolas Leboulanger
Peter B. Manning
Deepak K. Mehta
Philippe Monnier
Charles M. Myer
Jeremy D. Prager
Diego Preciado
Evan J. Propst
Reza Rahbar
John Russell
Michael J. Rutter
Douglas R. Sidell
Briac Thierry
Dana M. Thompson
Michele Torre
Patricio Varela
Shyan Vijayasekaran
David R. White
Andre M. Wineland
Robert E. Wood
Christopher T. Wootten
Karen Zur
Publication date
1 January 2019
Publisher
Health Sciences Research Commons
Abstract
© 2018 The American Laryngological, Rhinological and Otological Society, Inc. 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
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Last time updated on 03/12/2020