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Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations

BACKGROUND: Cystic fibrosis (CF) is a multisystem disease that often requires otolaryngology care. Individuals with CF commonly have chronic rhinosinusitis but also present with hearing loss and dysphonia. Given these manifestations of CF, otolaryngologists are frequently involved in the care of pat...

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Autores principales: Kimple, Adam J., Senior, Brent A., Naureckas, Edward T., Gudis, David A., Meyer, Ted, Hempstead, Sarah E., Resnick, Helaine E., Albon, Dana, Barfield, Wayne, Benoit, Margo McKenna, Beswick, Daniel M., Callard, Eliza, Cofer, Shelagh, Downer, Veronica, Elson, E. Claire, Garinis, Angela, Halderman, Ashleigh, Hamburger, Lisa, Helmick, Meagan, McCown, Michael, McKinzie, Cameron J., Phan, Hanna, Rodriguez, Kenneth, Rubenstein, Ronald C., Severin, Ashley, Shah, Gopi, Shenoy, Ambika, Sprouse, Brittney, Virgin, Frank, Woodworth, Bradford A., Lee, Stella E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545592/
https://www.ncbi.nlm.nih.gov/pubmed/35089650
http://dx.doi.org/10.1002/alr.22974
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author Kimple, Adam J.
Senior, Brent A.
Naureckas, Edward T.
Gudis, David A.
Meyer, Ted
Hempstead, Sarah E.
Resnick, Helaine E.
Albon, Dana
Barfield, Wayne
Benoit, Margo McKenna
Beswick, Daniel M.
Callard, Eliza
Cofer, Shelagh
Downer, Veronica
Elson, E. Claire
Garinis, Angela
Halderman, Ashleigh
Hamburger, Lisa
Helmick, Meagan
McCown, Michael
McKinzie, Cameron J.
Phan, Hanna
Rodriguez, Kenneth
Rubenstein, Ronald C.
Severin, Ashley
Shah, Gopi
Shenoy, Ambika
Sprouse, Brittney
Virgin, Frank
Woodworth, Bradford A.
Lee, Stella E.
author_facet Kimple, Adam J.
Senior, Brent A.
Naureckas, Edward T.
Gudis, David A.
Meyer, Ted
Hempstead, Sarah E.
Resnick, Helaine E.
Albon, Dana
Barfield, Wayne
Benoit, Margo McKenna
Beswick, Daniel M.
Callard, Eliza
Cofer, Shelagh
Downer, Veronica
Elson, E. Claire
Garinis, Angela
Halderman, Ashleigh
Hamburger, Lisa
Helmick, Meagan
McCown, Michael
McKinzie, Cameron J.
Phan, Hanna
Rodriguez, Kenneth
Rubenstein, Ronald C.
Severin, Ashley
Shah, Gopi
Shenoy, Ambika
Sprouse, Brittney
Virgin, Frank
Woodworth, Bradford A.
Lee, Stella E.
author_sort Kimple, Adam J.
collection PubMed
description BACKGROUND: Cystic fibrosis (CF) is a multisystem disease that often requires otolaryngology care. Individuals with CF commonly have chronic rhinosinusitis but also present with hearing loss and dysphonia. Given these manifestations of CF, otolaryngologists are frequently involved in the care of patients with CF; however, there is limited consensus on optimal management of sinonasal, otologic, and laryngologic symptoms. METHODS: The Cystic Fibrosis Foundation convened a multidisciplinary team of otolaryngologists, pulmonologists, audiologists, pharmacists, a social worker, a nurse coordinator, a respiratory therapist, two adults with CF, and a caregiver of a child with CF to develop consensus recommendations. Workgroups developed draft recommendation statements based on a systematic literature review, and a ≥80% consensus was required for acceptance of each recommendation statement. RESULTS: The committee voted on 25 statements. Eleven statements were adopted recommending a treatment or intervention, while five statements were formulated recommending against a specific treatment or intervention. The committee recommended eight statements as an option for select patients in certain circumstances, and one statement did not reach consensus. CONCLUSION: These multidisciplinary consensus recommendations will help providers navigate decisions related to otolaryngology consultation, medical and surgical management of CF‐CRS, hearing, and voice in individuals with CF. A collaborative and multidisciplinary approach is advocated to best care for our patients with CF. Future clinical research is needed utilizing standardized, validated outcomes with comprehensive reporting of patient outcome, effects of modulator therapies, and genetic characteristics to help continue to advance care, decrease morbidity, and improve the quality of life for individuals with CF.
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spelling pubmed-95455922022-10-14 Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations Kimple, Adam J. Senior, Brent A. Naureckas, Edward T. Gudis, David A. Meyer, Ted Hempstead, Sarah E. Resnick, Helaine E. Albon, Dana Barfield, Wayne Benoit, Margo McKenna Beswick, Daniel M. Callard, Eliza Cofer, Shelagh Downer, Veronica Elson, E. Claire Garinis, Angela Halderman, Ashleigh Hamburger, Lisa Helmick, Meagan McCown, Michael McKinzie, Cameron J. Phan, Hanna Rodriguez, Kenneth Rubenstein, Ronald C. Severin, Ashley Shah, Gopi Shenoy, Ambika Sprouse, Brittney Virgin, Frank Woodworth, Bradford A. Lee, Stella E. Int Forum Allergy Rhinol Original Articles BACKGROUND: Cystic fibrosis (CF) is a multisystem disease that often requires otolaryngology care. Individuals with CF commonly have chronic rhinosinusitis but also present with hearing loss and dysphonia. Given these manifestations of CF, otolaryngologists are frequently involved in the care of patients with CF; however, there is limited consensus on optimal management of sinonasal, otologic, and laryngologic symptoms. METHODS: The Cystic Fibrosis Foundation convened a multidisciplinary team of otolaryngologists, pulmonologists, audiologists, pharmacists, a social worker, a nurse coordinator, a respiratory therapist, two adults with CF, and a caregiver of a child with CF to develop consensus recommendations. Workgroups developed draft recommendation statements based on a systematic literature review, and a ≥80% consensus was required for acceptance of each recommendation statement. RESULTS: The committee voted on 25 statements. Eleven statements were adopted recommending a treatment or intervention, while five statements were formulated recommending against a specific treatment or intervention. The committee recommended eight statements as an option for select patients in certain circumstances, and one statement did not reach consensus. CONCLUSION: These multidisciplinary consensus recommendations will help providers navigate decisions related to otolaryngology consultation, medical and surgical management of CF‐CRS, hearing, and voice in individuals with CF. A collaborative and multidisciplinary approach is advocated to best care for our patients with CF. Future clinical research is needed utilizing standardized, validated outcomes with comprehensive reporting of patient outcome, effects of modulator therapies, and genetic characteristics to help continue to advance care, decrease morbidity, and improve the quality of life for individuals with CF. John Wiley and Sons Inc. 2022-02-22 2022-09 /pmc/articles/PMC9545592/ /pubmed/35089650 http://dx.doi.org/10.1002/alr.22974 Text en © 2022 The Authors. International Forum of Allergy & Rhinology published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngic Allergy and American Rhinologic Society. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Kimple, Adam J.
Senior, Brent A.
Naureckas, Edward T.
Gudis, David A.
Meyer, Ted
Hempstead, Sarah E.
Resnick, Helaine E.
Albon, Dana
Barfield, Wayne
Benoit, Margo McKenna
Beswick, Daniel M.
Callard, Eliza
Cofer, Shelagh
Downer, Veronica
Elson, E. Claire
Garinis, Angela
Halderman, Ashleigh
Hamburger, Lisa
Helmick, Meagan
McCown, Michael
McKinzie, Cameron J.
Phan, Hanna
Rodriguez, Kenneth
Rubenstein, Ronald C.
Severin, Ashley
Shah, Gopi
Shenoy, Ambika
Sprouse, Brittney
Virgin, Frank
Woodworth, Bradford A.
Lee, Stella E.
Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title_full Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title_fullStr Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title_full_unstemmed Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title_short Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
title_sort cystic fibrosis foundation otolaryngology care multidisciplinary consensus recommendations
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545592/
https://www.ncbi.nlm.nih.gov/pubmed/35089650
http://dx.doi.org/10.1002/alr.22974
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