Pubblicazioni

Autori:

Massimi, Luca; Peretta, Paola; Erbetta, Alessandra; Solari, Alessandra; Farinotti, Mariangela; Ciaramitaro, Palma; Saletti, Veronica; Caldarelli, Massimo; Canheu, Alexandre Casagrande; Celada, Carlo; Chiapparini, Luisa; Chieffo, Daniela; Cinalli, Giuseppe; Di Rocco, Federico; Furlanetto, Marika; Giordano, Flavio; Jallo, George; James, Syril; Lanteri, Paola; Lemarchand, Christian; Messing-Jünger, Martina; Parazzini, Cecilia; Paternoster, Giovanna; Piatelli, Gianluca; Poca, Maria A; Prabahkar, Prab; Ricci, Federica; Righini, Andrea; Sala, Francesco; Sahuquillo, Juan; Stoodley, Marcus; Talamonti, Giuseppe; Thompson, Dominic; Triulzi, Fabio; Zucchelli, Mino; Valentini, Laura

Titolo:

Diagnosis and treatment of Chiari malformation type 1 in children: the International Consensus Document

Anno:

2022

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

A Stampa

Referee:

Sì

Nome rivista:

NEUROLOGICAL SCIENCES

ISSN Rivista:

1590-1874

N° Volume:

43

Numero o Fascicolo:

2

Intervallo pagine:

1311-1326

Parole chiave:

Chiari 1 malformation; Children; Consensus; Craniovertebral decompression; Management; Syringomyelia

Breve descrizione dei contenuti:

Background: Chiari malformation type 1 (CM1) is a rare condition where agreed classification and treatment are still missing. The goal of this study is to achieve a consensus on the diagnosis and treatment of CM1 in children. Methods: A multidisciplinary panel formulated 57 provisional statements based on a review of the literature. Thirty-four international experts (IE) participated in a Delphi study by independently rating each statement on a 4-point Likert scale ("strongly disagree," "disagree," "agree," "strongly agree"). Statements that were endorsed ("agree" or "strongly agree") by < 75% of raters were re-formulated, or new statements were added, and another Delphi round followed (up to a maximum of three). Results: Thirty-five IE were contacted and 34 agreed to participate. A consensus was reached on 30/57 statements (52.6%) after round 1. Three statements were added, and one removed. After round 2, agreement was reached on 56/59 statements (94.9%). Finally, after round 3, which took place during the 2019 Chiari Consensus Conference (Milan, Italy), agreement was reached on 58/59 statements (98.3%) about four main sections (Definition and Classification, Planning, Surgery, Isolated Syringomyelia). Only one statement did not gain a consensus, which is the "definition of radiological failure 24 month post-surgery." Conclusions: The consensus document consists of 58 statements (24 on diagnosis, 34 on treatment), serving clinicians and researchers following children with CM1. There is a clear need for establishing an international network and registry and to promote collaborative studies to increase the evidence base and optimize the long-term care of this patient population.

Pagina Web:

https://doi.org/10.1007/s10072-021-05317-9

Id prodotto:

121319

Handle IRIS:

11562/1044579

ultima modifica:

14 novembre 2022

Citazione bibliografica:

Massimi, Luca; Peretta, Paola; Erbetta, Alessandra; Solari, Alessandra; Farinotti, Mariangela; Ciaramitaro, Palma; Saletti, Veronica; Caldarelli, Massimo; Canheu, Alexandre Casagrande; Celada, Carlo; Chiapparini, Luisa; Chieffo, Daniela; Cinalli, Giuseppe; Di Rocco, Federico; Furlanetto, Marika; Giordano, Flavio; Jallo, George; James, Syril; Lanteri, Paola; Lemarchand, Christian; Messing-Jünger, Martina; Parazzini, Cecilia; Paternoster, Giovanna; Piatelli, Gianluca; Poca, Maria A; Prabahkar, Prab; Ricci, Federica; Righini, Andrea; Sala, Francesco; Sahuquillo, Juan; Stoodley, Marcus; Talamonti, Giuseppe; Thompson, Dominic; Triulzi, Fabio; Zucchelli, Mino; Valentini, Laura, Diagnosis and treatment of Chiari malformation type 1 in children: the International Consensus Document «NEUROLOGICAL SCIENCES» , vol. 43 , n. 2 , 2022 , pp. 1311-1326

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo