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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
Neurological sciences, 02/2022, Letnik: 43, Številka: 2Journal Article
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.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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