TY - JOUR
T1 - The Management of Asymptomatic Congenital Pulmonary Airway Malformation
T2 - Results of a European Delphi Survey
AU - Kersten, Casper M
AU - Hermelijn, Sergei M
AU - Mullassery, Dhanya
AU - Muthialu, Nagarajan
AU - Cobanoglu, Nazan
AU - Gartner, Silvia
AU - Bagolan, Pietro
AU - Mesas Burgos, Carmen
AU - Sgrò, Alberto
AU - Heyman, Stijn
AU - Till, Holger
AU - Suominen, Janne
AU - Schurink, Maarten
AU - Desender, Liesbeth
AU - Losty, Paul
AU - Steyaert, Henri
AU - Terheggen-Lagro, Suzanne
AU - Metzelder, Martin
AU - Bonnard, Arnaud
AU - Sfeir, Rony
AU - Singh, Michael
AU - Yardley, Iain
AU - Rikkers-Mutsaerts, Noor R V M
AU - van der Ent, Cornelis K
AU - Qvist, Niels
AU - Cox, Des W
AU - Peters, Robert
AU - Bannier, Michiel A G E
AU - Wessel, Lucas
AU - Proesmans, Marijke
AU - Stanton, Michael
AU - Hannon, Edward
AU - Zampoli, Marco
AU - Morini, Francesco
AU - Tiddens, Harm A W M
AU - Wijnen, René M H
AU - Schnater, Johannes M
N1 - Publisher Copyright:
© 2022 by the authors.
PY - 2022/7/30
Y1 - 2022/7/30
N2 - Consensus on the optimal management of asymptomatic congenital pulmonary airway malformation (CPAM) is lacking, and comparison between studies remains difficult due to a large variety in outcome measures. We aimed to define a core outcome set (COS) for pediatric patients with an asymptomatic CPAM. An online, three-round Delphi survey was conducted in two stakeholder groups of specialized caregivers (surgeons and non-surgeons) in various European centers. Proposed outcome parameters were scored according to level of importance, and the final COS was established through consensus. A total of 55 participants (33 surgeons, 22 non-surgeons) from 28 centers in 13 European countries completed the three rounds and rated 43 outcome parameters. The final COS comprises seven outcome parameters: respiratory insufficiency, surgical complications, mass effect/mediastinal shift (at three time-points) and multifocal disease (at two time-points). The seven outcome parameters included in the final COS reflect the diversity in priorities among this large group of European participants. However, we recommend the incorporation of these outcome parameters in the design of future studies, as they describe measurable and validated outcomes as well as the accepted age at measurement.
AB - Consensus on the optimal management of asymptomatic congenital pulmonary airway malformation (CPAM) is lacking, and comparison between studies remains difficult due to a large variety in outcome measures. We aimed to define a core outcome set (COS) for pediatric patients with an asymptomatic CPAM. An online, three-round Delphi survey was conducted in two stakeholder groups of specialized caregivers (surgeons and non-surgeons) in various European centers. Proposed outcome parameters were scored according to level of importance, and the final COS was established through consensus. A total of 55 participants (33 surgeons, 22 non-surgeons) from 28 centers in 13 European countries completed the three rounds and rated 43 outcome parameters. The final COS comprises seven outcome parameters: respiratory insufficiency, surgical complications, mass effect/mediastinal shift (at three time-points) and multifocal disease (at two time-points). The seven outcome parameters included in the final COS reflect the diversity in priorities among this large group of European participants. However, we recommend the incorporation of these outcome parameters in the design of future studies, as they describe measurable and validated outcomes as well as the accepted age at measurement.
U2 - 10.3390/children9081153
DO - 10.3390/children9081153
M3 - Article
C2 - 36010044
SN - 2227-9067
VL - 9
JO - Children-Basel
JF - Children-Basel
IS - 8
M1 - 1153
ER -