Evidence map›Paper›PMID 29442164›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Diagnostic flexible pharyngo-laryngoscopy: development of a procedure specific assessment tool using a Delphi methodology.

Jacob Melchiors, Mikael Johannes Vuokko Henriksen, Frederik G Dikkers, Javier Gavilán, J Pieter Noordzij, Marvin P Fried, Daniel Novakovic, Johannes Fagan, Birgitte W Charabi, Lars Konge and 1 more

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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Designing self-assessment tools for learning five instrumental clinical procedures in ENT: A modified Delphi consensus approach.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Article
  5. Procedure-specific assessment tool for flexible pharyngo-laryngoscopy: gathering validity evidence and setting pass-fail standards.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2018
    Article
  6. An Advanced Boot Camp for Pediatric Anesthesiology Fellows.The journal of education in perioperative medicine : JEPM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 6 countries.

Jacob MelchiorsDepartment of Otorhinolaryngology-Head and Neck Surgery and Audiology, Rigshospitalet, Blegdamsvej 9, 2200, Copenhagen E, Denmark. jacob.melchiors@gmail.com.ORCID http://orcid.org/0000-0002-9929-9350
Mikael Johannes Vuokko HenriksenCopenhagen Academy for Medical Education and Simulation, Copenhagen, Capital Region, Denmark.
Frederik G DikkersDepartment of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Javier GavilánDepartment of Otolaryngology, La Paz University Hospital, Madrid, Spain.
J Pieter NoordzijDepartment of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, MA, USA.
Marvin P FriedDepartment of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, NY, USA.
Daniel NovakovicCanterbury Hospital, University of Sydney Medical School, St. Leonards, NSW, Australia.
Johannes FaganDivision of Otolaryngology, University of Cape Town, Cape Town, South Africa.
Birgitte W CharabiDepartment of Otorhinolaryngology-Head and Neck Surgery and Audiology, Rigshospitalet, Blegdamsvej 9, 2200, Copenhagen E, Denmark.
Lars KongeCopenhagen Academy for Medical Education and Simulation, Copenhagen, Capital Region, Denmark.
Christian von BuchwaldDepartment of Otorhinolaryngology-Head and Neck Surgery and Audiology, Rigshospitalet, Blegdamsvej 9, 2200, Copenhagen E, Denmark.
Rigshospitalet · DKCopenhagen Academy for Medical Education and Simulation · DKAmsterdam UMC Location University of Amsterdam · NLBoston University · USHospital Universitario La Paz · ESMontefiore Medical Center · USThe University of Sydney · AUUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProper training and assessment of skill in flexible pharyngo-laryngoscopy are central in the education of otorhinolaryngologists. To facilitate an evidence-based approach to curriculum development in this field, a structured analysis of what constitutes flexible pharyngo-laryngoscopy is necessary. Our aim was to develop an assessment tool based on this analysis.

methodsWe conducted an international Delphi study involving experts from twelve countries in five continents. Utilizing reiterative assessment, the panel defined the procedure and reached consensus (defined as 80% agreement) on the phrasing of an assessment tool.

resultsFIFTY PANELISTS COMPLETED THE DELPHI PROCESS. THE MEDIAN AGE OF THE PANELISTS WAS 44 YEARS (RANGE 33-64 YEARS). MEDIAN EXPERIENCE IN OTORHINOLARYNGOLOGY WAS 15 YEARS (RANGE 6-35 YEARS). TWENTY-FIVE WERE SPECIALIZED IN LARYNGOLOGY, 16 WERE HEAD AND NECK SURGEONS, AND NINE WERE GENERAL OTORHINOLARYNGOLOGISTS. AN ASSESSMENT TOOL WAS CREATED CONSISTING OF TWELVE DISTINCT ITEMS.: Conclusion The gathering of validity evidence for assessment of core procedural skills within Otorhinolaryngology is central to the development of a competence-based education. The use of an international Delphi panel allows for the creation of an assessment tool which is widely applicable and valid. This work allows for an informed approach to technical skills training for flexible pharyngo-laryngoscopy and as further validity evidence is gathered allows for a valid assessment of clinical performance within this important skillset.

Indexed as

LaryngoscopyAdultClinical CompetenceDelphi TechniqueEducational MeasurementFemaleHumansInservice TrainingMaleMiddle AgedOtolaryngologyReproducibility of ResultsAssessment toolDelphi-studyEducationFlexible laryngoscopyTechnical skills

Identifiers

PMID29442164
OpenAlexW2789908741

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.