Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement

Balakrishnan, Karthik; Sidell, Douglas; Bauman, Nancy M.; Bellía-Munzón, Gastón; Boesch, R. Paul; Bromwich, Matthew; Cofer, Shelagh A.; Daines, Cori; Alarcón, Alessandro de; Garabédian, N.; Hart, Catherine K.; Ida, Jonathan B.; Leboulanger, Nicolas; Manning, Peter B.; Mehta, Deepak; 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; Wood, Robert E.; Wootten, Christopher T.; Zur, Karen B.; Cotton, Robin T.

doi:10.1002/lary.27445

Cited by 39 publications

(41 citation statements)

References 18 publications

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“…Anonymous results were exported to an Excel file and a mean score was calculated for each item. Based on previous consensus statements in otolaryngology, consensus for the task‐specific list and the global rating scale were calculated as 1) Reaching consensus (individual responses fall within two Likert points of mean with only one outlier); 2) Near consensus (individual responses fall within two Likert points of mean with only two outliers); 3) No consensus (not meeting criteria one or two) 12,13 . Based on previous Task‐Specific OSATS tools (mean ± standard deviation [SD]), we determined that an ideal Task‐Specific list should have 7 to 25 items for inclusiveness and ease of use 6 …”

Section: Methodsmentioning

confidence: 99%

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

et al. 2020

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Objectives/Hypothesis Create a competency‐based assessment tool for pediatric esophagoscopy with foreign body removal. Study Design Blinded modified Delphi consensus process. Setting Tertiary care center. Methods A list of 25 potential items was sent via the Research Electronic Data Capture database to 66 expert surgeons who perform pediatric esophagoscopy. In the first round, items were rated as “keep” or “remove” and comments were incorporated. In the second round, experts rated the importance of each item on a seven‐point Likert scale. Consensus was determined with a goal of 7 to 25 final items. Results The response rate was 38/64 (59.4%) in the first round and returned questionnaires were 100% complete. Experts wanted to “keep” all items and 172 comments were incorporated. Twenty‐four task‐specific and 7 previously‐validated global rating items were distributed in the second round, and the response rate was 53/64 (82.8%) with questionnaires returned 97.5% complete. Of the task‐specific items, 9 reached consensus, 7 were near consensus, and 8 did not achieve consensus. For global rating items that were previously validated, 6 reached consensus and 1 was near consensus. Conclusions It is possible to reach consensus about the important steps involved in rigid esophagoscopy with foreign body removal using a modified Delphi consensus technique. These items can now be considered when evaluating trainees during this procedure. This tool may allow trainees to focus on important steps of the procedure and help training programs standardize how trainees are evaluated. Level of Evidence 5. Laryngoscope, 131:1168–1174, 2021

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Section: Methodsmentioning

confidence: 99%

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

et al. 2020

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“…Based on previous consensus statements in otolaryngology, consensus for both the task-specific list and the Global Rating Scale were calculated as: 1) reaching consensus (individual responses fall within two Likert points of mean with only one outlier), 2) near consensus (individual responses fall within two Likert points of mean with only two outliers), 3) no consensus (not meeting criteria 1 or 2). 12,13 We determined, based on review of the literature of previous task-specific OSATS tools (mean AE standard deviation [SD]), that an ideal task-specific list should have 7 to 25 items for inclusiveness and ease of use. 6 We therefore decided a priori that if initial results from the second round returned 7 to 25 items meeting consensus, we would not require another iteration.…”

Section: Methodsmentioning

confidence: 99%

“…We determined a priori that anonymous results would be exported to an Excel file, and a mean score would be determined for each item, with inclusion dependent on the degree of consensus reached. Based on previous consensus statements in otolaryngology, consensus for both the task‐specific list and the Global Rating Scale were calculated as: 1) reaching consensus (individual responses fall within two Likert points of mean with only one outlier), 2) near consensus (individual responses fall within two Likert points of mean with only two outliers), 3) no consensus (not meeting criteria 1 or 2) . We determined, based on review of the literature of previous task‐specific OSATS tools (mean ± standard deviation [SD]), that an ideal task‐specific list should have 7 to 25 items for inclusiveness and ease of use …”

Section: Methodsmentioning

confidence: 99%

Competency‐Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus

et al. 2019

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Objectives/Hypothesis: Create a competency-based assessment tool for pediatric tracheotomy. Study Design: Blinded, modified, Delphi consensus process. Methods: Using the REDCap database, a list of 31 potential items was circulated to 65 expert surgeons who perform pediatric tracheotomy. In the first round, items were rated as "keep" or "remove," and comments were incorporated. In the second round, experts were asked to rate the importance of each item on a seven-point Likert scale. Consensus criteria were determined a priori with a goal of 7 to 25 final items. Results: The first round achieved a response rate of 39/65 (60.0%), and returned questionnaires were 99.5% complete. All items were rated as "keep," and 137 comments were incorporated. In the second round, 30 task-specific and seven previously validated global rating items were distributed, and the response rate was 44/65 (67.7%), with returned questionnaires being 99.3% complete. Of the Task-Specific Items, 13 reached consensus, 10 were near consensus, and 7 did not achieve consensus. For the 7 previously validated global rating items, 5 reached consensus and two were near consensus. Conclusions: It is feasible to reach consensus on the important steps involved in pediatric tracheotomy using a modified Delphi consensus process. These items can now be considered to create a competency-based assessment tool for pediatric tracheotomy. Such a tool will hopefully allow trainees to focus on the important aspects of this procedure and help teaching programs standardize how they evaluate trainees during this procedure.

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“…The major advantage of this procedure is complete resection of the pathological stenotic segment, and re-anastomosis between healthy proximal and distal airway stumps. 6 The success rates of cricotracheal resection anastomosis are usually high; [6][7][8][9] however, it is not without complications. Anastomotic complications include granulation tissue formation, anastomotic dehiscence, air leakage and restenosis.…”

Section: Introductionmentioning

confidence: 99%

“…The success rates of cricotracheal resection anastomosis are usually high; 6‐9 however, it is not without complications. Anastomotic complications include granulation tissue formation, anastomotic dehiscence, air leakage and restenosis 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Surgiflo^®may have a potential impact on the healing process in cricotracheal resection anastomosis

El-Fattah

Ebada

Tawfik

2020

Clinical Otolaryngology

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Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement

Abstract: 5. Laryngoscope, 2018.

Cited by 39 publications

References 18 publications

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

Competency‐Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus

Surgiflo^®may have a potential impact on the healing process in cricotracheal resection anastomosis

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Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement

Abstract: 5. Laryngoscope, 2018.

Cited by 39 publications

References 18 publications

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

Competency‐Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus

Surgiflo®may have a potential impact on the healing process in cricotracheal resection anastomosis

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Surgiflo^®may have a potential impact on the healing process in cricotracheal resection anastomosis