TY - JOUR
T1 - Best Practices in Treatment of Laryngopharyngeal Reflux Disease
T2 - A Multidisciplinary Modified Delphi Study
AU - Kamal, Afrin N.
AU - Dhar, Shumon I.
AU - Bock, Jonathan M.
AU - Clarke, John O.
AU - Lechien, Jerome R.
AU - Allen, Jacqueline
AU - Belafsky, Peter C.
AU - Blumin, Joel H.
AU - Chan, Walter W.
AU - Fass, Ronnie
AU - Fisichella, P. Marco
AU - Marohn, Michael
AU - O’Rourke, Ashli K.
AU - Postma, Gregory
AU - Savarino, Edoardo V.
AU - Vaezi, Michael F.
AU - Carroll, Thomas L.
AU - Akst, Lee M.
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/4
Y1 - 2023/4
N2 - Background: Laryngopharyngeal reflux (LPR) is a common otolaryngologic diagnosis. Treatment of presumed LPR remains challenging, and limited frameworks exist to guide treatment. Methods: Using RAND/University of California, Los Angeles (UCLA) Appropriateness Methods, a modified Delphi approach identified consensus statements to guide LPR treatment. Experts independently and blindly scored proposed statements on importance, scientific acceptability, usability, and feasibility in a four-round iterative process. Accepted measures reached scores with ≥ 80% agreement in the 7–9 range (on a 9-point Likert scale) across all four categories. Results: Fifteen experts rated 36 proposed initial statements. In round one, 10 (27.8%) statements were rated as valid. In round two, 8 statements were modified based on panel suggestions, and experts subsequently rated 5 of these statements as valid. Round three’s discussion refined statements not yet accepted, and in round four, additional voting identified 2 additional statements as valid. In total, 17 (47.2%) best practice statements reached consensus, touching on topics as varied as role of empiric treatment, medication use, lifestyle modifications, and indications for laryngoscopy. Conclusion: Using a well-tested methodology, best practice statements in the treatment of LPR were identified. The statements serve to guide physicians on LPR treatment considerations.
AB - Background: Laryngopharyngeal reflux (LPR) is a common otolaryngologic diagnosis. Treatment of presumed LPR remains challenging, and limited frameworks exist to guide treatment. Methods: Using RAND/University of California, Los Angeles (UCLA) Appropriateness Methods, a modified Delphi approach identified consensus statements to guide LPR treatment. Experts independently and blindly scored proposed statements on importance, scientific acceptability, usability, and feasibility in a four-round iterative process. Accepted measures reached scores with ≥ 80% agreement in the 7–9 range (on a 9-point Likert scale) across all four categories. Results: Fifteen experts rated 36 proposed initial statements. In round one, 10 (27.8%) statements were rated as valid. In round two, 8 statements were modified based on panel suggestions, and experts subsequently rated 5 of these statements as valid. Round three’s discussion refined statements not yet accepted, and in round four, additional voting identified 2 additional statements as valid. In total, 17 (47.2%) best practice statements reached consensus, touching on topics as varied as role of empiric treatment, medication use, lifestyle modifications, and indications for laryngoscopy. Conclusion: Using a well-tested methodology, best practice statements in the treatment of LPR were identified. The statements serve to guide physicians on LPR treatment considerations.
KW - Delphi
KW - Gastroesophageal reflux
KW - Laryngopharyngeal reflux
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U2 - 10.1007/s10620-022-07672-9
DO - 10.1007/s10620-022-07672-9
M3 - Article
C2 - 35995882
AN - SCOPUS:85136562050
SN - 0163-2116
VL - 68
SP - 1125
EP - 1138
JO - Digestive diseases and sciences
JF - Digestive diseases and sciences
IS - 4
ER -