A Delphi Consensus report from the "Prolonged Air Leak: A Survey" study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections
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A Delphi Consensus report from the "Prolonged Air Leak : A Survey" study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections. / Zaraca, Francesco; Brunelli, Alessandro; Pipitone, Marco Damiano; Abdellateef, Amr; Abu Akar, Firas; Augustin, Florian; Batchelor, Tim; Bertani, Alessandro; Crisci, Roberto; D'amico, Thomas; D'journo, Xavier Benoit; Droghetti, Andrea; Fang, Wentao; Gonfiotti, Alessandro; Janík, Miroslav; Jimenez, Marcelo; Kirschbaum, Andreas; Kostic, Marko; Lazzaro, Richard; Lucchi, Marco; Marra, Alessandro; Murthy, Sudish; Ng, Calvin S.H.; Nachira, Dania; Pardolesi, Alessandro; Perkmann, Reinhold; Petersen, Rene Horsleben; Pischik, Vadim; Russo, Michele Dario; Opitz, Isabelle; Spaggiari, Lorenzo; Ugalde, Paula A.; Vannucci, Fernando; Veronesi, Giulia; Bertolaccini, Luca.
In: European Journal of Cardio-Thoracic Surgery, Vol. 62, No. 3, ezac211, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - A Delphi Consensus report from the "Prolonged Air Leak
T2 - A Survey" study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections
AU - Zaraca, Francesco
AU - Brunelli, Alessandro
AU - Pipitone, Marco Damiano
AU - Abdellateef, Amr
AU - Abu Akar, Firas
AU - Augustin, Florian
AU - Batchelor, Tim
AU - Bertani, Alessandro
AU - Crisci, Roberto
AU - D'amico, Thomas
AU - D'journo, Xavier Benoit
AU - Droghetti, Andrea
AU - Fang, Wentao
AU - Gonfiotti, Alessandro
AU - Janík, Miroslav
AU - Jimenez, Marcelo
AU - Kirschbaum, Andreas
AU - Kostic, Marko
AU - Lazzaro, Richard
AU - Lucchi, Marco
AU - Marra, Alessandro
AU - Murthy, Sudish
AU - Ng, Calvin S.H.
AU - Nachira, Dania
AU - Pardolesi, Alessandro
AU - Perkmann, Reinhold
AU - Petersen, Rene Horsleben
AU - Pischik, Vadim
AU - Russo, Michele Dario
AU - Opitz, Isabelle
AU - Spaggiari, Lorenzo
AU - Ugalde, Paula A.
AU - Vannucci, Fernando
AU - Veronesi, Giulia
AU - Bertolaccini, Luca
N1 - Publisher Copyright: © 2022 The Author(s). Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
PY - 2022
Y1 - 2022
N2 - OBJECTIVES: This study reports the results of an international expert consensus process evaluating the assessment of intraoperative air leaks (IAL) and treatment of postoperative prolonged air leaks (PAL) utilizing a Delphi process, with the aim of helping standardization and improving practice. METHODS: A panel of 45 questions was developed and submitted to an international working group of experts in minimally invasive lung cancer surgery. Modified Delphi methodology was used to review responses, including 3 rounds of voting. The consensus was defined a priori as >50% agreement among the experts. Clinical practice standards were graded as recommended or highly recommended if 50-74% or >75% of the experts reached an agreement, respectively. RESULTS: A total of 32 experts from 18 countries completed the questionnaires in all 3 rounds. Respondents agreed that PAL are defined as >5 days and that current risk models are rarely used. The consensus was reached in 33/45 issues (73.3%). IAL were classified as mild (<100 ml/min; 81%), moderate (100-400 ml/min; 71%) and severe (>400 ml/min; 74%). If mild IAL are detected, 68% do not treat; if moderate, consensus was not; if severe, 90% favoured treatment. CONCLUSIONS: This expert consensus working group reached an agreement on the majority of issues regarding the detection and management of IAL and PAL. In the absence of prospective, randomized evidence supporting most of these clinical decisions, this document may serve as a guideline to reduce practice variation.
AB - OBJECTIVES: This study reports the results of an international expert consensus process evaluating the assessment of intraoperative air leaks (IAL) and treatment of postoperative prolonged air leaks (PAL) utilizing a Delphi process, with the aim of helping standardization and improving practice. METHODS: A panel of 45 questions was developed and submitted to an international working group of experts in minimally invasive lung cancer surgery. Modified Delphi methodology was used to review responses, including 3 rounds of voting. The consensus was defined a priori as >50% agreement among the experts. Clinical practice standards were graded as recommended or highly recommended if 50-74% or >75% of the experts reached an agreement, respectively. RESULTS: A total of 32 experts from 18 countries completed the questionnaires in all 3 rounds. Respondents agreed that PAL are defined as >5 days and that current risk models are rarely used. The consensus was reached in 33/45 issues (73.3%). IAL were classified as mild (<100 ml/min; 81%), moderate (100-400 ml/min; 71%) and severe (>400 ml/min; 74%). If mild IAL are detected, 68% do not treat; if moderate, consensus was not; if severe, 90% favoured treatment. CONCLUSIONS: This expert consensus working group reached an agreement on the majority of issues regarding the detection and management of IAL and PAL. In the absence of prospective, randomized evidence supporting most of these clinical decisions, this document may serve as a guideline to reduce practice variation.
KW - Consensus
KW - Delphi methodology
KW - Lobectomy
KW - Lung cancer
KW - Postoperative air leaks
KW - Segmentectomy
U2 - 10.1093/ejcts/ezac211
DO - 10.1093/ejcts/ezac211
M3 - Journal article
C2 - 35373816
AN - SCOPUS:85138459795
VL - 62
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 3
M1 - ezac211
ER -
ID: 343580057