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Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations

dc.contributor.authorKimple, Adam J.
dc.contributor.authorSenior, Brent A.
dc.contributor.authorNaureckas, Edward T.
dc.contributor.authorGudis, David A.
dc.contributor.authorMeyer, Ted
dc.contributor.authorHempstead, Sarah E.
dc.contributor.authorResnick, Helaine E.
dc.contributor.authorAlbon, Dana
dc.contributor.authorBarfield, Wayne
dc.contributor.authorBenoit, Margo McKenna
dc.contributor.authorBeswick, Daniel M.
dc.contributor.authorCallard, Eliza
dc.contributor.authorCofer, Shelagh
dc.contributor.authorDowner, Veronica
dc.contributor.authorElson, E. Claire
dc.contributor.authorGarinis, Angela
dc.contributor.authorHalderman, Ashleigh
dc.contributor.authorHamburger, Lisa
dc.contributor.authorHelmick, Meagan
dc.contributor.authorMcCown, Michael
dc.contributor.authorMcKinzie, Cameron J.
dc.contributor.authorPhan, Hanna
dc.contributor.authorRodriguez, Kenneth
dc.contributor.authorRubenstein, Ronald C.
dc.contributor.authorSeverin, Ashley
dc.contributor.authorShah, Gopi
dc.contributor.authorShenoy, Ambika
dc.contributor.authorSprouse, Brittney
dc.contributor.authorVirgin, Frank
dc.contributor.authorWoodworth, Bradford A.
dc.contributor.authorLee, Stella E.
dc.date.accessioned2022-09-26T16:01:34Z
dc.date.available2023-10-26 12:01:33en
dc.date.available2022-09-26T16:01:34Z
dc.date.issued2022-09
dc.identifier.citationKimple, Adam J.; Senior, Brent A.; Naureckas, Edward T.; Gudis, David A.; Meyer, Ted; Hempstead, Sarah E.; Resnick, Helaine E.; Albon, Dana; Barfield, Wayne; Benoit, Margo McKenna; Beswick, Daniel M.; Callard, Eliza; Cofer, Shelagh; Downer, Veronica; Elson, E. Claire; Garinis, Angela; Halderman, Ashleigh; Hamburger, Lisa; Helmick, Meagan; McCown, Michael; McKinzie, Cameron J.; Phan, Hanna; Rodriguez, Kenneth; Rubenstein, Ronald C.; Severin, Ashley; Shah, Gopi; Shenoy, Ambika; Sprouse, Brittney; Virgin, Frank; Woodworth, Bradford A.; Lee, Stella E. (2022). "Cystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations." International Forum of Allergy & Rhinology 12(9): 1089-1103.
dc.identifier.issn2042-6976
dc.identifier.issn2042-6984
dc.identifier.urihttps://hdl.handle.net/2027.42/174767
dc.description.abstractBackgroundCystic fibrosis (CF) is a multisystem disease that often requires otolaryngology care. Individuals with CF commonly have chronic rhinosinusitis but also present with hearing loss and dysphonia. Given these manifestations of CF, otolaryngologists are frequently involved in the care of patients with CF; however, there is limited consensus on optimal management of sinonasal, otologic, and laryngologic symptoms.MethodsThe Cystic Fibrosis Foundation convened a multidisciplinary team of otolaryngologists, pulmonologists, audiologists, pharmacists, a social worker, a nurse coordinator, a respiratory therapist, two adults with CF, and a caregiver of a child with CF to develop consensus recommendations. Workgroups developed draft recommendation statements based on a systematic literature review, and a ≥80% consensus was required for acceptance of each recommendation statement.ResultsThe committee voted on 25 statements. Eleven statements were adopted recommending a treatment or intervention, while five statements were formulated recommending against a specific treatment or intervention. The committee recommended eight statements as an option for select patients in certain circumstances, and one statement did not reach consensus.ConclusionThese multidisciplinary consensus recommendations will help providers navigate decisions related to otolaryngology consultation, medical and surgical management of CF‐CRS, hearing, and voice in individuals with CF. A collaborative and multidisciplinary approach is advocated to best care for our patients with CF. Future clinical research is needed utilizing standardized, validated outcomes with comprehensive reporting of patient outcome, effects of modulator therapies, and genetic characteristics to help continue to advance care, decrease morbidity, and improve the quality of life for individuals with CF.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherchronic rhinosinusitis
dc.subject.othervoice and allergy
dc.subject.othersinus
dc.subject.otherFESS
dc.subject.otherevidence‐based medicine
dc.subject.otherdysphonia
dc.subject.othercystic fibrosis
dc.titleCystic Fibrosis Foundation otolaryngology care multidisciplinary consensus recommendations
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelAllergy and Clinical Immunology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174767/1/alr22974_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174767/2/alr22974.pdf
dc.identifier.doi10.1002/alr.22974
dc.identifier.sourceInternational Forum of Allergy & Rhinology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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