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Year:: 2020
Contributor:: Nuss, Sarah (Author); Patterson, Robbie (Author); Cahill, Gabrielle (Author); Royer, Mickayla (Author); Wiedermann, Josh (Author); Salano, Valerie (Author); Xu Jue, Mary (Author); Alkire, Blake (Author); Okerosi, Samuel (Author); Brown University. Alpert Medical School. Scholarly Concentration Program. Global Health (research program)
Subject:: World health; Surgery; Otolaryngology; Delphi method
DOI: https://doi.org/10.26300/x01g-z675

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Abstract:: Introduction: An estimated five billion people lack access to safe, timely, and affordable surgical services. The scope of global otolaryngologic disease is broad and is likely responsible for significant disability and mortality. While global morbidity and mortality have been estimated for some conditions, the burden of otolaryngology-head and neck surgery (OHNS) conditions and surgical services required for adequate care globally remains ill-defined. Objective: The aim of this study was to conduct a Delphi method survey to develop an expert consensus on the 10 OHNS conditions which cause the highest disease burden globally and the top 10 OHNS procedures that should be provided in a national health system. Methods: A multi-round online Delphi method survey was administered to attending OHNS surgeons who were members of the Global OHNS Initiative. In round one, participants listed the top 15 otolaryngology conditions and procedures in their World Bank region. In the second round (currently ongoing) participants ranked the global importance of the round one responses on a five-point Likert scale. In subsequent rounds, participants will re-rank any conditions that do not meet requirements for consensus, defined as >70% participants ranking an item “important” or “very important,” or >70% ranking an item “not important at all.” Survey rounds will continue until 10 conditions meet the requirements for consensus. Descriptive statistics and agreement were calculated. Results: 22 (43%) OHNS surgeons responded to the round one survey. 55% of participants were from low- and middle-income countries, with at least one participant from each of the seven World Bank regions. In round one, a list of 48 conditions and 52 procedures were identified and used to formulate the round two survey. The most frequently listed conditions included head and neck cancers (33), chronic rhinosinusitis (21), and chronic suppurative otitis media (15). The most frequently listed essential procedures included tonsillectomy (17), functional endoscopic sinus surgery (14), and thyroidectomy (14). Conclusion: The final lists of essential procedures and priority conditions from this study will guide future research to evaluate the global burden of otolaryngologic disease and the provision of OHNS care.
Notes:: Scholarly concentration: Global Health

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Nuss, Sarah, Patterson, Robbie, Cahill, Gabrielle, et al., "Global Priorities in Otolaryngology Conditions and Procedures" (2020). Warren Alpert Medical School Academic Symposium. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/x01g-z675

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Warren Alpert Medical School Academic Symposium

The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …
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Global Priorities in Otolaryngology Conditions and Procedures