Pituitary Society Delphi Survey: an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas

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Pituitary Society Delphi Survey : an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas. / Pituitary Society Delphi Collaborative Group.

In: Pituitary, 20.07.2021.

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@article{65c08ab7c6f840f197bee766d9a7d0d1,
title = "Pituitary Society Delphi Survey: an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas",
abstract = "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{\textquoteright}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{\textquoteright} 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{\textquoteright}s disease, represent areas where further research is needed.",
keywords = "Delphi process, Pituitary adenoma, Transsphenoidal surgery, Hypopituitarism, Perioperative, Postoperative assessment",
author = "{Pituitary Society Delphi Collaborative Group} and Tritos, {Nicholas A.} and Fazeli, {Pouneh K.} and Ann Mccormack and Mallea-gil, {Susana M.} and Pineyro, {Maria M.} and Mirjam Christ-crain and Stefano Frara and Artak Labadzhyan and Ioachimescu, {Adriana G.} and Ilan Shimon and Yutaka Takahashi and Mark Gurnell and Maria Fleseriu and Irina Bancos and Niki Karavitaki",
year = "2021",
month = jul,
day = "20",
doi = "10.1007/s11102-021-01170-3",
language = "English",
journal = "Pituitary",
issn = "1386-341X",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Pituitary Society Delphi Survey

T2 - an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas

AU - Pituitary Society Delphi Collaborative Group

AU - Tritos, Nicholas A.

AU - Fazeli, Pouneh K.

AU - Mccormack, Ann

AU - Mallea-gil, Susana M.

AU - Pineyro, Maria M.

AU - Christ-crain, Mirjam

AU - Frara, Stefano

AU - Labadzhyan, Artak

AU - Ioachimescu, Adriana G.

AU - Shimon, Ilan

AU - Takahashi, Yutaka

AU - Gurnell, Mark

AU - Fleseriu, Maria

AU - Bancos, Irina

AU - Karavitaki, Niki

PY - 2021/7/20

Y1 - 2021/7/20

N2 - 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.

AB - 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.

KW - Delphi process

KW - Pituitary adenoma

KW - Transsphenoidal surgery

KW - Hypopituitarism

KW - Perioperative

KW - Postoperative assessment

U2 - 10.1007/s11102-021-01170-3

DO - 10.1007/s11102-021-01170-3

M3 - Article

JO - Pituitary

JF - Pituitary

SN - 1386-341X

ER -