International Pediatric Otolaryngology group (IPOG) consensus on the diagnosis and management of pediatric obstructive sleep apnea (OSA)

Pálma Benedek; Karthik Balakrishnan; Michael J Cunningham; Norman R Friedman; Steven L Goudy; Stacey L Ishman; Gábor Katona; Erin M Kirkham; Derek J Lam; Nicolas Leboulanger; Gi Soo Lee; Claire Le Treut; Ron B Mitchell; Harlan R Muntz; Mary Fances Musso; Sanjay R Parikh; Reza Rahbar; Soham Roy; John Russell; Douglas R Sidell; Kathleen C Y Sie; Richard Jh Smith; Marlene A Soma; Michelle E Wyatt; George Zalzal; Karen B Zur; An Boudewyns

doi:10.1016/j.ijporl.2020.110276

International Pediatric Otolaryngology group (IPOG) consensus on the diagnosis and management of pediatric obstructive sleep apnea (OSA)

Int J Pediatr Otorhinolaryngol. 2020 Nov:138:110276. doi: 10.1016/j.ijporl.2020.110276. Epub 2020 Aug 5.

Authors

Pálma Benedek¹, Karthik Balakrishnan², Michael J Cunningham³, Norman R Friedman⁴, Steven L Goudy⁵, Stacey L Ishman⁶, Gábor Katona¹, Erin M Kirkham⁷, Derek J Lam⁸, Nicolas Leboulanger⁹, Gi Soo Lee³, Claire Le Treut¹⁰, Ron B Mitchell¹¹, Harlan R Muntz¹², Mary Fances Musso¹³, Sanjay R Parikh¹⁴, Reza Rahbar³, Soham Roy¹⁵, John Russell¹⁶, Douglas R Sidell², Kathleen C Y Sie¹⁴, Richard Jh Smith¹⁷, Marlene A Soma¹⁸, Michelle E Wyatt¹⁹, George Zalzal²⁰, Karen B Zur²¹, An Boudewyns²²

Affiliations

¹ Heim Pal National Pediatric Institute, Ear Nose Throat Department, Budapest, Hungary.
² Stanford University, Department of Otolaryngology Head and Neck Surgery, Lucile Packard Children's Hospital Aerodigestive and Airway Reconstruction Center, Stanford, CA, USA.
³ Boston Children's Hospital, Department of Otolaryngology and Communication Enhancement, Harvard Medical School, Boston, MA, USA.
⁴ Children's Hospital Colorado, Department of Pediatric Otolaryngology, University of Colorado Anschutz Medical Campus, Colorado, Canada.
⁵ Emory University and Children's Healthcare of Atlanta, Department of Otolaryngology Head and Neck Surgery, Atlanta, USA.
⁶ Cincinnati Children's Hospital Medical Center, Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
⁷ Michigan Medicine, Pediatric Otolaryngology, Ann Harbor, MI, USA.
⁸ Oregon Health and Science University, Department of Otolaryngology Head and Neck Surgery, Portland, OR, USA.
⁹ Necker Enfants Malade Hospital, Pediatric Otolaryngology Head and Neck Department, Université de Paris, Paris, France.
¹⁰ Pediatric Otolaryngology Head and Neck Surgery, La Timone Children's Hospital, Aix-Marseille University, Marseille, France.
¹¹ UT Southwestern and Children's Medical Center Dallas, Department of Otolaryngology Head and Neck Surgery, Dallas, USA.
¹² University of Utah and Primary Children's Hospital, Department of Otorhinolaryngology Head and Neck Surgery, Salt Lake City, UT, USA.
¹³ Texas Children's Hospital, Division of Pediatric Otolaryngology, Bobby R Alford Department of Otolaryngology, Baylor College of Medicine, Houston, TX, USA.
¹⁴ Seattle Children's Hospital, Department of Otolaryngology Head and Neck Surgery, University of Washington, Seattle, USA.
¹⁵ University of Texas, Houston McGovern Medical School, Department of Otolaryngology, Division of Pediatric Otolaryngology, Houston, TX, USA.
¹⁶ Department of Pediatric Otolaryngology Children's Health Ireland (Crumlin), Dublin, Ireland.
¹⁷ Carver College of Medicine, Department of Otolaryngology Head and Neck Surgery, University of Iowa, Iowa City, IA, USA.
¹⁸ Sydney Children's Hospital, Pediatric Otolaryngology, Sydney, Australia.
¹⁹ Great Ormond Street Hospital, Department of Paediatric Otolaryngology, London, UK.
²⁰ Children's National Medical Center, Department of Otolaryngology Head and Neck Surgery, George Washington University, Washington DC, USA.
²¹ Children's Hospital Philadelphia, Department of Otolaryngology Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
²² Antwerp University of Antwerp, Department of Otolaryngology Head and Neck Surgery, University of Antwerp, Antwerp, Belgium. Electronic address: an.boudewyns@uza.be.

PMID: 32810686
DOI: 10.1016/j.ijporl.2020.110276

Abstract

Objective: To develop an expert-based consensus of recommendations for the diagnosis and management of pediatric obstructive sleep apnea.

Methods: A two-iterative Delphi method questionnaire was used to formulate expert recommendations by the members of the International Pediatric Otolaryngology Group (IPOG).

Results: Twenty-six members completed the survey. Consensus recommendations (>90% agreement) are formulated for 15 different items related to the clinical evaluation, diagnosis, treatment, postoperative management and follow-up of children with OSA.

Conclusion: The recommendations formulated in this IPOG consensus statement may be used along with existing clinical practice guidelines to improve the quality of care and to reduce variation in care for children with OSA.

Keywords: Adenotonsillectomy; Endoscopy; Obstructive sleep apnea; Pediatric; Polysomnography; Treatment.

MeSH terms

Adenoidectomy
Child
Consensus
Humans
Otolaryngology*
Polysomnography
Sleep Apnea, Obstructive* / surgery
Sleep Apnea, Obstructive* / therapy
Surveys and Questionnaires
Tonsillectomy*