Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas.
Authors
McCormack, Ann
Mallea-Gil, Susana M
Pineyro, Maria M
Christ-Crain, Mirjam
Labadzhyan, Artak
Ioachimescu, Adriana G
Shimon, Ilan
Takahashi, Yutaka
“Pituitary Society Delphi Collaborative Group”
Publication Date
2022-02Journal Title
Pituitary
ISSN
1386-341X
Publisher
Springer Science and Business Media LLC
Volume
25
Issue
1
Pages
64-73
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Tritos, N. A., Fazeli, P. K., McCormack, A., Mallea-Gil, S. M., Pineyro, M. M., Christ-Crain, M., Frara, S., et al. (2022). Pituitary Society Delphi Survey: An international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomas.. Pituitary, 25 (1), 64-73. https://doi.org/10.1007/s11102-021-01170-3
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'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.
Keywords
Article, Delphi process, Pituitary adenoma, Transsphenoidal surgery, Hypopituitarism, Perioperative, Postoperative assessment
Identifiers
s11102-021-01170-3, 1170
External DOI: https://doi.org/10.1007/s11102-021-01170-3
This record's URL: https://www.repository.cam.ac.uk/handle/1810/333715
Rights
Licence:
http://creativecommons.org/licenses/by/4.0/
Statistics
Total file downloads (since January 2020). For more information on metrics see the
IRUS guide.
Recommended or similar items
The current recommendation prototype on the Apollo Repository will be turned off on 03 February 2023. Although the pilot has been fruitful for both parties, the service provider IKVA is focusing on horizon scanning products and so the recommender service can no longer be supported. We recognise the importance of recommender services in supporting research discovery and are evaluating offerings from other service providers. If you would like to offer feedback on this decision please contact us on: support@repository.cam.ac.uk