Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Balakrishnan Karthik, Sidell Douglas R, Bauman Nancy M, Bellia-Munzon Gaston F, Boesch R Paul, Bromwich Matthew, Cofer Shelagh A, Daines Cori, de Alarcon Alessandro, Garabedian Nöel, Hart Catherine K, Ida Jonathan B, Leboulanger Nicolas, Manning Peter B, Mehta Deepak K, Monnier Philippe, Myer Charles M, Prager Jeremy D, Preciado Diego, Propst Evan J, Rahbar Reza, Russell John, Rutter Michael J, Thierry Briac, Thompson Dana M, Torre Michele, Varela Patricio, Vijayasekaran Shyan, White David R, Wineland Andre M, Wood Robert E, Wootten Christopher T, Zur Karen, Cotton Robin T
Аннотация
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.