Pituitary Society Delphi Survey : An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas
Tritos, Nicholas (Massachusetts General Hospital/Harvard Medical School (Estats Units d'Amèrica))
Fazeli, Pouneh (University of Pittsburgh School of Medicine (Estats Units d'Amèrica))
McCormack, Ann (Garvan Institute of Medical Research (Darlinghurst, Austràlia))
Mallea-Gil, María Susana (Hospital Militar Central (Argentina))
Pineyro, Maria M. (Universidad de la República (Uruguai))
Christ-Crain, Mirjam (University Hospital Basel (Basilea, Suïssa))
Frara, Stefano (Università Vita-Salute San Raffaele (Itàlia))
Labadzhyan, Artak (Cedars-Sinai Medical Center (Estats Units d'Amèrica))
Ioachimescu, Adriana Gabriela (Emory University School of Medicine (Estats Units d'Amèrica))
Shimon, Ilan (Rabin Medical Center (Petah-Tikva, Israel))
Takahashi, Yutaka (Nara Medical University (Japó))
Valassi, Elena (Institut d'Investigació Biomèdica Sant Pau)
Gurnell, Mark (University of Cambridge and NIHR Cambridge Biomedical Research Centre (Regne Unit))
Fleseriu, Maria (Oregon Health & Science University (Estats Units d'Amèrica))
Bancos, Irina (Mayo Clinic (Rochester, Estats Units d'Amèrica))
Bidlingmaier, Martin (Klinikum der Universität München)
Biermasz, Nienke Ruurdje (Leiden University Medical Center)
Boguszewski, Cesar Luiz (Federal University of Parana (Brasil))
Brzana, Jessica (Swedish Medical Center (Estats Units d'Amèrica))
Carmichael, John (Keck School of Medicine at USC (Estats Units d'Amèrica))
Chanson, Philippe (Bicetre University Hospital (França))
Drincic, Andjela T. (University of Nebraska Medical Center (Estats Units d'Amèrica))
Eisenberg, Yuval (University of Illinois (Estats Units d'Amèrica))
Fukuoka, Hidenori (Kobe University School of Medicine (Japó))
Gadelha, Monica (Federal University of Rio de Janeiro (Brasil))
Ghalib, Luma Mudhafar (Ohio State University (Estats Units d'Amèrica))
Gordon, Murray (Allegheny General Hospital (Estats Units d'Amèrica))
Greenman, Yona (Tel Aviv-Sourasky Medical Center (Israel))
Guarda, Francisco J. (Pontificia Universidad Católica de Chile)
Hinojosa-Amaya, Miguel (Universidad Autónoma de Nuevo León (Mèxic))
Ho, Ken Y. (Garvan Institute of Medical Research (Austràlia))
Ilie, Mirela Diana (National Institute of Endocrinology (Romania))
Karavitaki, Niki (University of Birmingham)
Katznelson, Larry (Stanford University School of Medicine (Estats Units d'Amèrica))
Keleştimur, Fahrettin (Erciyes University (Turquia))
Lacroix, André (University of Montreal Health Centre (Canadà))
Langlois, Fabienne (Centre Hospitalier Universitaire de Sherbrooke (Canadà))
Lim, Dawn (Singapore General Hospital (Singapur))
Neggers, Sebastian (Erasmus University Medical Center (Països Baixos))
Niculescu, Dan Alexandru (C. I. Parhon National Institute of Endocrinology (Romania))
Petersenn, Stephan (ENDOC Center for Endocrine Tumors (Alemanya))
Pivonello, Rosario (Università Federico II (Itàlia))
Raverot, Gérald (Hospices Civils de Lyon (França))
Ross, Richard John M. (University of Sheffield (Regne Unit))
Salvatori, Roberto (Johns Hopkins University (Estats Units d'Amèrica))
Scaroni, Carla (Azienda Ospedale Università Padova (Itàlia))
Shafiq, Ismat (University of Rochester Medical Center (Estats Units d'Amèrica))
Sharma, Susmeeta T. (MedStar Washington Hospital Center (Estats Units d'Amèrica))
Tabarin, Antoine (CHU de Bordeaux)
Tsagarakis, Stylianos (Evangelismos General Hospital (Grècia))
Vila, Greisa (Medical University of Vienna)
Wierman, Margaret E. (University of Colorado (Estats Units d'Amèrica))
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Purpose: In adults and children, transsphenoidal surgery (TSS) represents the cornerstone of management for most large or functioning sellar lesions with the exception of prolactinomas. Endocrine evaluation and management are an essential part of perioperative care. However, the details of endocrine assessment and care are not universally agreed upon. Methods: To build consensus on the endocrine evaluation and management of adults undergoing TSS, a Delphi process was used. Thirty-five statements were developed by the Pituitary Society's Education Committee. Fifty-five pituitary endocrinologists, all members of the Pituitary Society, were invited to participate in two Delphi rounds and rate their extent of agreement with statements pertaining to perioperative endocrine evaluation and management, using a Likert-type scale. Anonymized data on the proportion of panelists' agreeing with each item were summarized. A list of items that achieved consensus, based on predefined criteria, was tabulated. Results: Strong consensus (≥ 80% of panelists rating their agreement as 6-7 on a scale from 1 to 7) was achieved for 68. 6% (24/35) items. If less strict agreement criteria were applied (ratings 5-7 on the Likert-type scale), consensus was achieved for 88% (31/35) items. Conclusions: We achieved consensus on a large majority of items pertaining to perioperative endocrine evaluation and management using a Delphi process. This provides an international real-world clinical perspective from an expert group and facilitates a framework for future guideline development. Some of the items for which consensus was not reached, including the assessment of immediate postoperative remission in acromegaly or Cushing's disease, represent areas where further research is needed.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Delphi process ; Hypopituitarism ; Perioperative ; Pituitary adenoma ; Postoperative assessment ; Transsphenoidal surgery
Publicat a:	Pituitary, Vol. 25 Núm. 1 (february 2022) , p. 64-73, ISSN 1573-7403

DOI: 10.1007/s11102-021-01170-3
PMID: 34283370

10 p, 590.1 KB

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