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Expert surgical consensus for prenatal counseling using the Delphi method.

Loren Berman1, Jordan Jackson2, Kristen Miller3

  • 1Sidney Kimmel Medical College of Thomas Jefferson University, 1025 Walnut St. #100, Philadelphia, PA 19107, USA; Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE 19899, USA.

Journal of Pediatric Surgery
|December 25, 2017
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Summary
This summary is machine-generated.

Pediatric surgeons lack consensus on managing congenital pulmonary airway malformation (CPAM) and congenital diaphragmatic hernia (CDH). A Delphi study established expert guidelines for perinatal care of these conditions.

Keywords:
Congenital diaphragmatic herniaCongenital pulmonary airway malformationDelphi methodExpert opinionPrenatal counseling

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Area of Science:

  • Pediatric Surgery
  • Fetal Medicine
  • Neonatal Care

Background:

  • Lack of evidence-based guidelines for prenatal counseling in CPAM and CDH.
  • Need for expert consensus on best practices for these congenital anomalies.
  • Prenatal consultation is common but lacks standardized approaches.

Purpose of the Study:

  • To establish expert consensus on perinatal management guidelines for CPAM and CDH.
  • To address discrepancies in current literature regarding these conditions.
  • To inform prenatal decision-making and counseling.

Main Methods:

  • Delphi consensus process involving pediatric surgical experts in fetal therapy.
  • Online surveys to identify and resolve discrepancies in CPAM and CDH management.
  • Two rounds of surveys to achieve consensus on key questions.

Main Results:

  • Consensus reached on 61% of initial questions (54/89) in round one.
  • 88% consensus achieved on 60 questions in the second round (53/60).
  • 54 surgeons participated across two survey rounds.

Conclusions:

  • Expert consensus was achieved for perinatal management guidelines of CPAM and CDH.
  • These guidelines will aid pediatric surgeons in providing perinatal care.
  • The study provides a foundation for evidence-based counseling and intervention.