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Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement
Karthik Balakrishnan1, Douglas R Sidell2, Nancy M Bauman3
1Department of Otorhinolaryngology and Mayo Clinic Children's Center, Rochester, Minnesota.
The Laryngoscope
|August 29, 2018
Summary
Pediatric airway reconstruction studies now have standardized reporting guidelines. This international consensus ensures consistent data collection for improved patient care and research in airway reconstruction.
Area of Science:
- Multidisciplinary collaboration in pediatric airway reconstruction research.
Background:
- Pediatric airway reconstruction lacks standardized reporting for patient, disease, procedural, and outcome measures.
- Variability in reporting hinders comparative analysis and quality improvement initiatives.
Framework:
- Developed international consensus on essential reporting elements for pediatric airway reconstruction.
- Established standardized criteria for patient, disease, procedural, and perioperative factors.
- Defined key outcome measures and complications for consistent data collection.
Implementation:
- Utilized standard Delphi methodology with 33 international pediatric airway experts.
- Included otolaryngology, pulmonology, general surgery, and cardiothoracic surgery specialists.
- Achieved consensus on 19 open and 3 endoscopic procedures, along with numerous specific reporting factors and outcome measures.
Implications:
- Provides a framework for consistent and reproducible communication of pediatric airway reconstruction results.
- Facilitates meta-analyses, quality improvement, information transfer, and surgeon self-assessment.
- Clarifies expert opinion on critical measures for pediatric airway reconstruction patients.
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