Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations.

Adult Child Consensus Cystic Fibrosis Humans Otolaryngology Quality of Life Sinusitis
FESS chronic rhinosinusitis cystic fibrosis dysphonia evidence-based medicine sinus voice and allergy

Journal

International forum of allergy & rhinology
ISSN: 2042-6984
Titre abrégé: Int Forum Allergy Rhinol
Pays: United States
ID NLM: 101550261

Informations de publication

Date de publication:
09 2022
Historique:
revised: 05 01 2022
received: 06 10 2021
accepted: 07 01 2022
pubmed: 29 1 2022
medline: 31 8 2022
entrez: 28 1 2022
Statut: ppublish

Résumé

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. 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. 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. 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.

Sections du résumé

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.

Identifiants

DOI: 10.1002/alr.22974 PMID: 35089650 PMC: PMC9545592
pubmed: 35089650
doi: 10.1002/alr.22974
pmc: PMC9545592
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1089-1103

Informations de copyright

© 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.

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Auteurs

Adam J Kimple (AJ)

Department of Otolaryngology/Head & Neck Surgery, The University of North Carolina, Chapel Hill, North Carolina, USA.
ORCID: 0000-0003-1670-8401

Brent A Senior (BA)

Department of Otolaryngology/Head & Neck Surgery, The University of North Carolina, Chapel Hill, North Carolina, USA.

Edward T Naureckas (ET)

Department of Pulmonary Medicine, Critical Care Medicine, University of Chicago Medicine, Chicago, Illinois, USA.

David A Gudis (DA)

Department of Otolaryngology - Head and Neck Surgery, Columbia University Irving Medical Center/New York-Presbyterian Hospital, New York, New York, USA.
ORCID: 0000-0002-1938-9349

Ted Meyer (T)

Department of Otolaryngology/Head & Neck Surgery, The University of North Carolina, Chapel Hill, North Carolina, USA.
Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, South Carolina, USA.

Sarah E Hempstead (SE)

Cystic Fibrosis Foundation, Bethesda, Maryland, USA.

Helaine E Resnick (HE)

Resnick, Chodorow & Associates, USA.

Dana Albon (D)

Department of Internal Medicine, Division of Pulmonary and Critical Care, University of Virginia, Charlottesville, Virginia, USA.

Wayne Barfield (W)

Pediatric and Adult CF Center, Medical University of South Carolina, South Carolina, USA.

Margo McKenna Benoit (MM)

Department of Otolaryngology-Head and Neck Surgery, University of Rochester Medical Center, Rochester, New York, USA.

Daniel M Beswick (DM)

Department of Head and Neck Surgery, University of California, Los Angeles, California, USA.
ORCID: 0000-0001-8612-5442

Eliza Callard (E)

Community Advisor to the Cystic Fibrosis Foundation, Bethesda, Maryland, USA.

Shelagh Cofer (S)

Mayo Clinic-Otolaryngology (ENT)/Head and Neck Surgery, Rochester, Minnesota, USA.

Veronica Downer (V)

Michigan Medicine, University of Michigan, Michigan, USA.

E Claire Elson (EC)

Department of Pharmacy, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Angela Garinis (A)

Oregon Hearing Research Center, Oregon Health & Science University, Portland, Oregon, USA.

Ashleigh Halderman (A)

Department of Otolaryngology/Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Lisa Hamburger (L)

Community Advisor to the Cystic Fibrosis Foundation, Bethesda, Maryland, USA.

Meagan Helmick (M)

Community Advisor to the Cystic Fibrosis Foundation, Bethesda, Maryland, USA.
ORCID: 0000-0003-1422-8295

Michael McCown (M)

Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.

Cameron J McKinzie (CJ)

Department of Pharmacy, University of North Carolina Medical Center, Chapel Hill, North Carolina, USA.

Hanna Phan (H)

College of Pharmacy, Department of Clinical Pharmacy, The University of Michigan, C.S. Mott Children's Hospital, Michigan Medicine, Michigan, USA.

Kenneth Rodriguez (K)

Department of Otolaryngology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Ronald C Rubenstein (RC)

Allergy and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.

Ashley Severin (A)

Department of Social Work, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Gopi Shah (G)

Department of Otolaryngology/Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Ambika Shenoy (A)

Department of Pediatrics, Division of Pediatric Pulmonology, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.

Brittney Sprouse (B)

Department of Pediatrics, Division of Pediatric Pulmonology, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
University of Chicago Medicine, Chicago, Illinois, USA.

Frank Virgin (F)

Department of Otolaryngology - Head and Neck Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.

Bradford A Woodworth (BA)

Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
ORCID: 0000-0003-3292-9167

Stella E Lee (SE)

Brigham and Women's Hospital, Division of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Maladies néonatales › Mucoviscidose › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Oto-rhino-laryngologie › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Cystic Fibrosis Foundation otolaryngology care...
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Maladies du nez › Maladies des sinus › Sinusite › Cystic Fibrosis Foundation otolaryngology care...