Clinical Consensus Statement-Reference-Cited by-同舟云学术

Clinical Consensus Statement

Published:2014-10 Issue:4 Volume:151 Page:542-553
ISSN:0194-5998
Container-title:Otolaryngology–Head and Neck Surgery
language:en
Short-container-title:Otolaryngol Head Neck Surg

Author:

Brietzke Scott E.¹,Shin Jennifer J.²,Choi Sukgi³,Lee Jivianne T.⁴,Parikh Sanjay R.⁵,Pena Maria⁶,Prager Jeremy D.⁷,Ramadan Hassan⁸,Veling Maria⁹,Corrigan Maureen¹⁰,Rosenfeld Richard M.¹¹

Affiliation:

1. Walter Reed National Military Medical Center, Bethesda, Maryland, USA

2. Harvard Medical School, Boston, Massachusetts, USA

3. University of Pittsburgh/Children’s Hospital of Pittsburgh of UMPC, Pittsburgh, Pennsylvania, USA

4. David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, USA

5. University of Washington/Seattle Children’s Hospital, Seattle, Washington, USA

6. Children’s National Medical Center, Washington, DC, USA

7. University of Colorado/Children’s Hospital Colorado, Aurora, Colorado, USA

8. West Virginia University, Morgantown, West Virginia, USA

9. University of Texas–Southwestern Medical Center/Children’s Medical Center-Dallas, Dallas, Texas, USA

10. American Academy of Otolaryngology—Head and Neck Surgery Foundation, Alexandria, Virginia, USA

11. SUNY Downstate Medical Center, Brooklyn, New York, USA

Abstract

Objective To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS). Methods A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty. Conclusion Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/0194599814549302

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