Clinical consensus statement: Pediatric chronic rhinosinusitis

Scott E. Brietzke; Jennifer J. Shin; Sukgi Choi; Jivianne T. Lee; Sanjay R. Parikh; Maria Pena; Jeremy D. Prager; Hassan Ramadan; Maria Veling; Maureen Corrigan; Richard M. Rosenfeld

doi:10.1177/0194599814549302

Clinical consensus statement: Pediatric chronic rhinosinusitis

Scott E. Brietzke
, Jennifer J. Shin
, Sukgi Choi
, Jivianne T. Lee
, Sanjay R. Parikh
, Maria Pena
, Jeremy D. Prager
, Hassan Ramadan
, Maria Veling
, Maureen Corrigan
, Richard M. Rosenfeld

Otolaryngology

SUNY Downstate Health Sciences University

Walter Reed National Military Medical Center
Harvard University
University of Pittsburgh
University of California at Los Angeles
University of Washington
Children's National Medical Center
University of Colorado Anschutz Medical Campus
West Virginia University
University of Texas Southwestern Medical Center
American Academy of Otolaryngology

Research output: Contribution to journal › Article › peer-review

179 Scopus citations

Abstract

Objective. To develop a clinical consensus statement on theoptimal diagnosis and management of pediatric chronic rhinosinusitis(PCRS).

Methods. A representative 9-member panel of otolaryngologistswith no relevant conflicts of interest was assembled toconsider opportunities to optimize the diagnosis and managementof PCRS. A working definition of PCRS andthe scope of pertinent otolaryngologic practice werefirst established. Patients of ages 6 months to 18 yearswithout craniofacial syndromes or immunodeficiency weredefined as the targeted population of interest. A modifiedDelphi method was then used to distill expert opinion intoclinical statements that met a standardized definition ofconsensus.

Results. After 2 iterative Delphi method surveys, 22 statementsmet the standardized definition of consensus while12 statements did not. Four statements were omitted dueto redundancy. The clinical statements were grouped into 4categories for presentation and discussion: (1) definition anddiagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery(ESS)/turbinoplasty.

Conclusion. Expert panel consensus may provide helpful informationfor the otolaryngologist in the diagnosis and managementof PCRS in uncomplicated pediatric patients.

Original language	English
Pages (from-to)	542-553
Number of pages	12
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	151
Issue number	4
DOIs	https://doi.org/10.1177/0194599814549302
State	Published - Oct 12 2014

Keywords

Delphi method
chronic rhinosinusitis
evidence-based medicine
pediatric otolaryngology
review
rhinosinusitis

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Cite this

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title = "Clinical consensus statement: Pediatric chronic rhinosinusitis",

abstract = "Objective. To develop a clinical consensus statement on theoptimal diagnosis and management of pediatric chronic rhinosinusitis(PCRS).Methods. A representative 9-member panel of otolaryngologistswith no relevant conflicts of interest was assembled toconsider opportunities to optimize the diagnosis and managementof PCRS. A working definition of PCRS andthe scope of pertinent otolaryngologic practice werefirst established. Patients of ages 6 months to 18 yearswithout craniofacial syndromes or immunodeficiency weredefined as the targeted population of interest. A modifiedDelphi method was then used to distill expert opinion intoclinical statements that met a standardized definition ofconsensus.Results. After 2 iterative Delphi method surveys, 22 statementsmet the standardized definition of consensus while12 statements did not. Four statements were omitted dueto redundancy. The clinical statements were grouped into 4categories for presentation and discussion: (1) definition anddiagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery(ESS)/turbinoplasty.Conclusion. Expert panel consensus may provide helpful informationfor the otolaryngologist in the diagnosis and managementof PCRS in uncomplicated pediatric patients.",

keywords = "Delphi method, chronic rhinosinusitis, evidence-based medicine, pediatric otolaryngology, review, rhinosinusitis",

author = "Brietzke, \{Scott E.\} and Shin, \{Jennifer J.\} and Sukgi Choi and Lee, \{Jivianne T.\} and Parikh, \{Sanjay R.\} and Maria Pena and Prager, \{Jeremy D.\} and Hassan Ramadan and Maria Veling and Maureen Corrigan and Rosenfeld, \{Richard M.\}",

note = "Publisher Copyright: {\textcopyright} American Academy of Otolaryngology-Head and Neck Surgery Foundation 2014 Reprints and permission.",

year = "2014",

month = oct,

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doi = "10.1177/0194599814549302",

language = "English",

volume = "151",

pages = "542--553",

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T1 - Clinical consensus statement

T2 - Pediatric chronic rhinosinusitis

AU - Brietzke, Scott E.

AU - Shin, Jennifer J.

AU - Choi, Sukgi

AU - Lee, Jivianne T.

AU - Parikh, Sanjay R.

AU - Pena, Maria

AU - Prager, Jeremy D.

AU - Ramadan, Hassan

AU - Veling, Maria

AU - Corrigan, Maureen

AU - Rosenfeld, Richard M.

N1 - Publisher Copyright: © American Academy of Otolaryngology-Head and Neck Surgery Foundation 2014 Reprints and permission.

PY - 2014/10/12

Y1 - 2014/10/12

N2 - Objective. To develop a clinical consensus statement on theoptimal diagnosis and management of pediatric chronic rhinosinusitis(PCRS).Methods. A representative 9-member panel of otolaryngologistswith no relevant conflicts of interest was assembled toconsider opportunities to optimize the diagnosis and managementof PCRS. A working definition of PCRS andthe scope of pertinent otolaryngologic practice werefirst established. Patients of ages 6 months to 18 yearswithout craniofacial syndromes or immunodeficiency weredefined as the targeted population of interest. A modifiedDelphi method was then used to distill expert opinion intoclinical statements that met a standardized definition ofconsensus.Results. After 2 iterative Delphi method surveys, 22 statementsmet the standardized definition of consensus while12 statements did not. Four statements were omitted dueto redundancy. The clinical statements were grouped into 4categories for presentation and discussion: (1) definition anddiagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery(ESS)/turbinoplasty.Conclusion. Expert panel consensus may provide helpful informationfor the otolaryngologist in the diagnosis and managementof PCRS in uncomplicated pediatric patients.

AB - Objective. To develop a clinical consensus statement on theoptimal diagnosis and management of pediatric chronic rhinosinusitis(PCRS).Methods. A representative 9-member panel of otolaryngologistswith no relevant conflicts of interest was assembled toconsider opportunities to optimize the diagnosis and managementof PCRS. A working definition of PCRS andthe scope of pertinent otolaryngologic practice werefirst established. Patients of ages 6 months to 18 yearswithout craniofacial syndromes or immunodeficiency weredefined as the targeted population of interest. A modifiedDelphi method was then used to distill expert opinion intoclinical statements that met a standardized definition ofconsensus.Results. After 2 iterative Delphi method surveys, 22 statementsmet the standardized definition of consensus while12 statements did not. Four statements were omitted dueto redundancy. The clinical statements were grouped into 4categories for presentation and discussion: (1) definition anddiagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery(ESS)/turbinoplasty.Conclusion. Expert panel consensus may provide helpful informationfor the otolaryngologist in the diagnosis and managementof PCRS in uncomplicated pediatric patients.

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KW - pediatric otolaryngology

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Clinical consensus statement: Pediatric chronic rhinosinusitis

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