Evidence map›Paper›PMID 36562256›Full record

ArticleCardiology in the young2023

Development of the Residual Lesion Score for congenital heart surgery: the RAND Delphi methodology.

Meena Nathan, Jane W Newburger, Margaret Bell, Alexander Tang, Russell Gongwer, Carolyn Dunbar-Masterson, Andrew M Atz, Emile Bacha, Steven Colan, J William Gaynor and 10 more

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Article in Cardiology in the young, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

20 authors.

Meena NathanDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0003-0186-1382
Jane W NewburgerDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Margaret BellDepartment of Cardiac Psychiatry Research Program, Massachusetts General Hospital, Boston, MA, USA.
Alexander TangDepartment of Pediatrics, Johns Hopkins University, Baltimore, MD, USA.
Russell GongwerHealthCore, Watertown, MA, USA.
Carolyn Dunbar-MastersonDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Andrew M AtzDivision of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC, USA.
Emile BachaDivision of Cardiothoracic Surgery, New York-Presbyterian/Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY, USA.
Steven ColanDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
J William GaynorDivision of Cardiac Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kirk KanterDivision of Pediatric Cardiac Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Jami C LevineDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-5477-5851
Richard OhyeDivision of Pediatric Cardiac Surgery, C. S. Mott Children's Hospital, Ann Arbor, MI, USA.
Christian PizarroDivision of Cardiac Surgery, Nemours Cardiac Center, Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Steven SchwartzDivision of Cardiac Critical Care Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Girish ShiraliHeart Center, Children's Mercy Hospital, Kansas City, MO, USA.
Lloyd TaniDivision of Pediatric Cardiology, University of Utah and Primary Children's Hospital, Salt Lake City, UT, USA.
James TweddellDivision of Pediatric Cardiac Thoracic Surgery, Cincinnati Children's Hospital and Medical Center (Posthumous), Cincinnati, OH, USA.
Michelle GurvitzDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Pediatric Heart Network Investigators

Funding

Ventricular Volumes and Varability (VVV)U01HL068270 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI SLEEPER, LYNN A · 2001 to 2010
$40.3M
Technical Performance Score-Quality Assessment Tool in Congenital Cardiac SurgeryK23HL119600 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI NATHAN, MEENA · 2014 to 2018
$675k
NHLBI NIH HHS K23 HL119600NHLBI NIH HHS U01 HL068270
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe Residual Lesion Score is a novel tool for assessing the achievement of surgical objectives in congenital heart surgery based on widely available clinical and echocardiographic characteristics. This article describes the methodology used to develop the Residual Lesion Score from the previously developed Technical Performance Score for five common congenital cardiac procedures using the RAND Delphi methodology.

methodsA panel of 11 experts from the field of paediatric and congenital cardiology and cardiac surgery, 2 co-chairs, and a consultant were assembled to review and comment on validity and feasibility of measuring the sub-components of intraoperative and discharge Residual Lesion Score for five congenital cardiac procedures. In the first email round, the panel reviewed and commented on the Residual Lesion Score and provided validity and feasibility scores for sub-components of each of the five procedures. In the second in-person round, email comments and scores were reviewed and the Residual Lesion Score revised. The modified Residual Lesion Score was scored independently by each panellist for validity and feasibility and used to develop the "final" Residual Lesion Score.

resultsThe Residual Lesion Score sub-components with a median validity score of ≥7 and median feasibility score of ≥4 that were scored without disagreement and with low absolute deviation from the median were included in the "final" Residual Lesion Score.

conclusionUsing the RAND Delphi methodology, we were able to develop Residual Lesion Score modules for five important congenital cardiac procedures for the Pediatric Heart Network's Residual Lesion Score study.

Indexed as

Congenital Heart DiseaseconsensusRAND Delphi methodologyResidual Lesion Score

Identifiers

PMID36562256
PMCPMC13006890

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