Citations 2
Competency‐Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus
Propst, Evan J. , Wolter, Nikolaus E. , Ishman, Stacey L. , Balakrishnan, Karthik , Deonarain, Ashley R. , Mehta, Deepak, Zalzal, George H., Pransky, Seth M. , Roy, Soham , Myer, Charles M. , Torre, Michele , Johnson, Romaine F. , Lüdemann, Jeffrey P. , Derkay, Craig S. , Hong, Paul , Molter, David, Prager, Jeremy D. , Nguyen, Lily H. P. , Rutter, Michael J. , Zur, Karen B. , Sidell, Douglas R. , Johnson, Liane B. , Cotton, Robin T., Willging, J. Paul, Zdanski, Carlton J. , Manoukian, John J. , Lam, Derek J. , Gantwerker, Eric A. , Husein, Murad , Inglis, Andrew F., Green, Glenn E. , Javia, Luv, Schraff, Scott A. , Soma, Marlene , Deutsch, Ellen S. , Sobol, Steven E., Ida, Jonathan B., Choi, Sukgi S. , Uwiera, Trina C., Shah, Udayan K. , White, David R. , Wootten, Christopher T. , El‐Hakim, Hamdy , Bromwich, Matthew, Richter, Gresham T. , Vijayasekaran, Shyan , Smith, Marshall E. , Vaccani, Jean‐Philippe , Hartnick, Christopher J. , Faucett, Erynne A. , Sidell, Douglas R. , Hong, Paul , Prager, Jeremy D , Nguyen, Lily H P , Zur, Karen , Sidell, Douglas R , Hart, Catherine K , Gantwerker, Eric A , Husein, Murad , Choi, Sukgi , Hartnick, Christopher J , Faucett, Erynne A , Johnson, Romaine F , Sidell, Douglas R , Ishman, Stacey L , Lam, Derek J , Balakrishnan, Karthik , Chun, Robert H. , Hart, Catherine K. , Bauman, Nancy M.
The Laryngoscope | December 10, 2019 | Volume: 130 | Issue: 11 | Pages: 2700-2707
Objectives/HypothesisCreate a competency‐based assessment tool for pediatric tracheotomy.Study DesignBlinded, modified, Delphi consensus process.MethodsUsing 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.ResultsThe 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.ConclusionsIt 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.Level of Evidence5 Laryngoscope, 130:2700–2707, 2020
Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement
Balakrishnan, Karthik , Sidell, Douglas R. , Bellia‐Munzon, Gaston F., Boesch, R. Paul , Bromwich, Matthew, Cofer, Shelagh A. , Daines, Cori , Alarcón, Alessandro de , Garabédian, N , Ida, Jonathan B., Leboulanger, Nicolas , Manning, Peter B., Mehta, Deepak, Monnier, Philippe, Myer, Charles M. , Prager, Jeremy D. , 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., Sidell, Douglas R. , Hart, Catherine K , Leboulanger, Nicolas , Prager, Jeremy D , Zur, Karen , Sidell, Douglas R , Bauman, Nancy M. , Bellía-Munzón, Gastón , Hart, Catherine K. , Preciado, Diego A.
The Laryngoscope | August 28, 2018 | Volume: 129 | Issue: 1 | Pages: 244-255
ObjectivesDevelop 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.MethodsStandard 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.ResultsThirty‐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.ConclusionThis 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 Evidence5 Laryngoscope, 129:244–255, 2019