Karthik Balakrishnan1, Douglas R Sidell2, Nancy M Bauman3, Gaston F Bellia-Munzon4, R Paul Boesch5, Matthew Bromwich6, Shelagh A Cofer1, Cori Daines7, Alessandro de Alarcon8, Nöel Garabedian9, Catherine K Hart8, Jonathan B Ida10, Nicolas Leboulanger9, Peter B Manning11, Deepak K Mehta12, Philippe Monnier13, Charles M Myer8, Jeremy D Prager14, Diego Preciado3, Evan J Propst15, Reza Rahbar16, John Russell17, Michael J Rutter8, Briac Thierry9, Dana M Thompson10, Michele Torre18, Patricio Varela19, Shyan Vijayasekaran20, David R White21, Andre M Wineland22, Robert E Wood23, Christopher T Wootten24, Karen Zur25, Robin T Cotton8. 1. Department of Otorhinolaryngology and Mayo Clinic Children's Center, Rochester, Minnesota. 2. Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California. 3. Division of Otolaryngology, Children's National Health System, Washington, DC. 4. Department of Pediatric Surgery, General Hospital of Children Pedro de Elizalde, Buenos Aires, Argentina. 5. Department of Pediatric and Adolescent Medicine and Mayo Clinic Children's Center, Mayo Clinic, Rochester, Minnesota. 6. Department of Otorhinolaryngology, University of Ottawa, Ottawa. 7. Department of Pediatrics, University of Arizona Health Sciences, Tucson, Arizona. 8. Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio. 9. Department of Otorhinolaryngology, Hôpital Universitaire Necker-Enfants Malades, Paris, France. 10. Department of Otolaryngology, Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois. 11. Section of Pediatric Cardiothoracic Surgery, St. Louis Children's Hospital and Washington University School of Medicine, St. Louis, Missouri. 12. Department of Pediatric Otolaryngology, Texas Children's Hospital, Houston, Texas. 13. Department of Otolaryngology, Head and Neck Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland. 14. Department of Otolaryngology, University of Colorado, Aurora, Colorado. 15. Department of Otolaryngology-Head & Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. 16. Department of Otolaryngology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. 17. Department of Paediatric Otolaryngology, Our Lady's Hospital for Sick Children, Dublin, Ireland. 18. Airway Team and Surgical Department, Instituto Giannina Gaslini, Genoa, Italy. 19. Pediatric Surgery Department, University of Chile, Clinical Las Condes Medical Center, Santiago, Chile. 20. Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, Australia. 21. Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina. 22. University of Arkansas School for Medical Sciences, Department of Otolaryngology-Head & Neck Surgery, Arkansas Children's Hospital, Little Rock, Arkansas. 23. Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio. 24. Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee. 25. Center for Pediatric Airway Disorders, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
Abstract
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.
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.
Authors: Douglas R Sidell; Karthik Balakrishnan; Simon R Best; Karen Zur; Julia Buckingham; Alessandro De Alarcon; Fuad M Baroody; Jonathan M Bock; Emily F Boss; Charles M Bower; Paolo Campisi; Sharon F Chen; Jeffrey M Clarke; Kevin D Clarke; Alejandro Cocciaglia; Robin T Cotton; Giselle Cuestas; Kara L Davis; Victor H DeFago; Frederik G Dikkers; Ines Dossans; Walter Florez; Elizabeth Fox; Aaron D Friedman; Nazaneen Grant; Osama Hamdi; Norman D Hogikyan; Kaalan Johnson; Liane B Johnson; Romaine F Johnson; Peggy Kelly; Adam M Klein; Claire M Lawlor; Nicolas Leboulanger; Alejandro G Levy; Derek Lam; Greg R Licameli; Steve Long; David G Lott; Dayse Manrique; James Scott McMurray; Kara D Meister; Anna H Messner; Michael Mohr; Pamela Mudd; Anthony J Mortelliti; Daniel Novakovic; Julian Ongkasuwan; Shazia Peer; Krysztof Piersiala; Jeremy D Prager; Seth M Pransky; Diego Preciado; Tiffany Raynor; Rico N P M Rinkel; Hugo Rodriguez; Verónica P Rodríguez; John Russell; María Laura Scatolini; Patrick Scheffler; David F Smith; Lee P Smith; Marshall E Smith; Richard J H Smith; Abraham Sorom; Amalia Steinberg; John A Stith; Dana Thompson; Jerome W Thompson; Patricio Varela; David R White; Andre M Wineland; Christina J Yang; Carlton J Zdanski; Craig S Derkay Journal: Laryngoscope Date: 2021-01-06 Impact factor: 2.970
Authors: Roulla Katiri; Deborah A Hall; Derek J Hoare; Kathryn Fackrell; Adele Horobin; Nicholas Hogan; Nóra Buggy; Paul H Van de Heyning; Jill B Firszt; Iain A Bruce; Pádraig T Kitterick Journal: Trials Date: 2022-09-08 Impact factor: 2.728