Developing Consensus on Priority Pediatric Otolaryngology-Head and Neck Surgery Conditions and Procedures

Area of Science:

• Pediatric Otolaryngology-Head and Neck Surgery (OHNS)
• Global Health Systems
• Medical Education

Background:

• Developing a global standard for pediatric otolaryngology-head and neck surgery (OHNS) is crucial for equitable healthcare.
• International collaboration is needed to define essential OHNS services for all national health systems.

Purpose of the Study:

• To establish an international expert consensus on priority pediatric OHNS conditions and procedures.
• To identify a core list of OHNS services that all national health systems should be capable of managing.

Main Methods:

• A Delphi method was employed, utilizing a multiround online questionnaire administered to international pediatric otolaryngologists.
• Participants ranked conditions and procedures based on global importance using a 5-point Likert scale.

Main Results:

• A total of 35 experts participated, with a 40% response rate, including representation from low- and middle-income countries.
• The consensus identified 28 surgical procedures and 11 medical conditions as priorities for pediatric OHNS.

Conclusions:

• The Delphi survey successfully identified a core list of pediatric OHNS conditions and procedures.
• This consensus serves as a benchmark for national health systems' clinical goals in treatment, research, and capacity building for pediatric OHNS.