Pituitary Society Delphi Survey

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...

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Autores: Tritos, Nicholas|||0000-0001-8867-607X, Fazeli, Pouneh|||0000-0003-1731-2927, McCormack, Ann|||0000-0002-2859-5566, Mallea-Gil, María Susana|||0000-0002-3654-9877, Pineyro, Maria M., Christ-Crain, Mirjam|||0000-0002-6336-0965, Frara, Stefano|||0000-0002-1308-5598, Labadzhyan, Artak, Ioachimescu, Adriana Gabriela, Shimon, Ilan|||0000-0002-9188-3894, Takahashi, Yutaka, Valassi, Elena|||0000-0002-3864-0105, Gurnell, Mark|||0000-0001-5745-6832, Fleseriu, Maria|||0000-0001-9284-6289, Bancos, Irina|||0000-0001-9332-2524, Bidlingmaier, Martin, Biermasz, Nienke Ruurdje, Boguszewski, Cesar Luiz|||0000-0001-7285-7941, Brzana, Jessica, Carmichael, John, Chanson, Philippe|||0000-0001-5096-5722, Drincic, Andjela T., Eisenberg, Yuval, Fukuoka, Hidenori, Gadelha, Monica, Ghalib, Luma Mudhafar, Gordon, Murray, Greenman, Yona, Guarda, Francisco J.|||0000-0001-9104-9499, Hinojosa-Amaya, Miguel, Ho, Ken Y., Ilie, Mirela Diana, Karavitaki, Niki, Katznelson, Larry, Keleştimur, Fahrettin, Lacroix, André, Langlois, Fabienne, Lim, Dawn, Neggers, Sebastian, Niculescu, Dan Alexandru, Petersenn, Stephan, Pivonello, Rosario, Raverot, Gérald|||0000-0002-9517-338X, Ross, Richard John M., Salvatori, Roberto|||0000-0001-6495-2244, Scaroni, Carla|||0000-0001-9396-3815, Shafiq, Ismat|||0000-0002-1367-5053, Sharma, Susmeeta T., Tabarin, Antoine, Tsagarakis, Stylianos, Vila, Greisa|||0000-0003-1918-1959, Wierman, Margaret E.
Formato: artículo
Fecha de publicación:2022
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:290536
Acesso em linha:https://ddd.uab.cat/record/290536
https://dx.doi.org/urn:doi:10.1007/s11102-021-01170-3
Access Level:acceso abierto
Palavra-chave:Delphi process
Hypopituitarism
Perioperative
Pituitary adenoma
Postoperative assessment
Transsphenoidal surgery
Descrição
Resumo: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.

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