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Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas
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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294287/ https://www.ncbi.nlm.nih.gov/pubmed/34283370 http://dx.doi.org/10.1007/s11102-021-01170-3 |
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author | Tritos, Nicholas A. Fazeli, Pouneh K. McCormack, Ann Mallea-Gil, Susana M. Pineyro, Maria M. Christ-Crain, Mirjam Frara, Stefano Labadzhyan, Artak Ioachimescu, Adriana G. Shimon, Ilan Takahashi, Yutaka Gurnell, Mark Fleseriu, Maria |
author_facet | Tritos, Nicholas A. Fazeli, Pouneh K. McCormack, Ann Mallea-Gil, Susana M. Pineyro, Maria M. Christ-Crain, Mirjam Frara, Stefano Labadzhyan, Artak Ioachimescu, Adriana G. Shimon, Ilan Takahashi, Yutaka Gurnell, Mark Fleseriu, Maria |
author_sort | Tritos, Nicholas A. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8294287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-82942872021-07-21 Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas Tritos, Nicholas A. Fazeli, Pouneh K. McCormack, Ann Mallea-Gil, Susana M. Pineyro, Maria M. Christ-Crain, Mirjam Frara, Stefano Labadzhyan, Artak Ioachimescu, Adriana G. Shimon, Ilan Takahashi, Yutaka Gurnell, Mark Fleseriu, Maria Pituitary Article 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. Springer US 2021-07-20 2022 /pmc/articles/PMC8294287/ /pubmed/34283370 http://dx.doi.org/10.1007/s11102-021-01170-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Tritos, Nicholas A. Fazeli, Pouneh K. McCormack, Ann Mallea-Gil, Susana M. Pineyro, Maria M. Christ-Crain, Mirjam Frara, Stefano Labadzhyan, Artak Ioachimescu, Adriana G. Shimon, Ilan Takahashi, Yutaka Gurnell, Mark Fleseriu, Maria Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title | Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title_full | Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title_fullStr | Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title_full_unstemmed | Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title_short | Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
title_sort | pituitary society delphi survey: an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294287/ https://www.ncbi.nlm.nih.gov/pubmed/34283370 http://dx.doi.org/10.1007/s11102-021-01170-3 |
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