Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement

Karthik Balakrishnan, Douglas R. Sidell, Nancy M. Bauman, Gaston F. Bellia-Munzon, R. Paul Boesch, Matthew Bromwich, Shelagh A. Cofer, Cori L 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. PropstReza Rahbar, John Russell, Michael J. Rutter, 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, Robin T. Cotton

Research output: Contribution to journalArticle

1 Citation (Scopus)

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, 2018.

Original languageEnglish (US)
JournalLaryngoscope
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Consensus
Outcome Assessment (Health Care)
Pediatrics
Otolaryngology
Laryngoscopes
Pulmonary Medicine
South Australia
South America
Expert Testimony
Bronchi
Larynx
North America
Quality Improvement
Trachea
Tongue
Meta-Analysis
Comorbidity
Pathologic Constriction
Thorax

Keywords

  • Airway reconstruction
  • consensus
  • Delphi
  • larynx
  • pediatric
  • stenosis
  • trachea

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Balakrishnan, K., Sidell, D. R., Bauman, N. M., Bellia-Munzon, G. F., Boesch, R. P., Bromwich, M., ... Cotton, R. T. (Accepted/In press). Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement. Laryngoscope. https://doi.org/10.1002/lary.27445

Outcome measures for pediatric laryngotracheal reconstruction : International consensus statement. / Balakrishnan, Karthik; Sidell, Douglas R.; Bauman, Nancy M.; Bellia-Munzon, Gaston F.; Boesch, R. Paul; Bromwich, Matthew; Cofer, Shelagh A.; Daines, Cori L; 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.

In: Laryngoscope, 01.01.2018.

Research output: Contribution to journalArticle

Balakrishnan, K, Sidell, DR, Bauman, NM, Bellia-Munzon, GF, Boesch, RP, Bromwich, M, Cofer, SA, Daines, CL, de Alarcon, A, Garabedian, N, Hart, CK, Ida, JB, Leboulanger, N, Manning, PB, Mehta, DK, Monnier, P, Myer, CM, Prager, JD, Preciado, D, Propst, EJ, Rahbar, R, Russell, J, Rutter, MJ, Thierry, B, Thompson, DM, Torre, M, Varela, P, Vijayasekaran, S, White, DR, Wineland, AM, Wood, RE, Wootten, CT, Zur, K & Cotton, RT 2018, 'Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement', Laryngoscope. https://doi.org/10.1002/lary.27445
Balakrishnan K, Sidell DR, Bauman NM, Bellia-Munzon GF, Boesch RP, Bromwich M et al. Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement. Laryngoscope. 2018 Jan 1. https://doi.org/10.1002/lary.27445
Balakrishnan, Karthik ; Sidell, Douglas R. ; Bauman, Nancy M. ; Bellia-Munzon, Gaston F. ; Boesch, R. Paul ; Bromwich, Matthew ; Cofer, Shelagh A. ; Daines, Cori L ; 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. / Outcome measures for pediatric laryngotracheal reconstruction : International consensus statement. In: Laryngoscope. 2018.
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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, 2018.",
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author = "Karthik Balakrishnan and Sidell, {Douglas R.} and Bauman, {Nancy M.} and Bellia-Munzon, {Gaston F.} and Boesch, {R. Paul} and Matthew Bromwich and Cofer, {Shelagh A.} and Daines, {Cori L} and {de Alarcon}, Alessandro and N{\"o}el Garabedian and Hart, {Catherine K.} and Ida, {Jonathan B.} and Nicolas Leboulanger and Manning, {Peter B.} and Mehta, {Deepak K.} and Philippe Monnier and Myer, {Charles M.} and Prager, {Jeremy D.} and Diego Preciado and Propst, {Evan J.} and Reza Rahbar and John Russell and Rutter, {Michael J.} and Briac Thierry and Thompson, {Dana M.} and Michele Torre and Patricio Varela and Shyan Vijayasekaran and White, {David R.} and Wineland, {Andre M.} and Wood, {Robert E.} and Wootten, {Christopher T.} and Karen Zur and Cotton, {Robin T.}",
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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 L

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.

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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, 2018.

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, 2018.

KW - Airway reconstruction

KW - consensus

KW - Delphi

KW - larynx

KW - pediatric

KW - stenosis

KW - trachea

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