Beyond image defined risk factors (IDRFs): a delphi survey highlighting definition of the surgical complexity index (SCI) in neuroblastoma
Issued Date
2023-12-01
Resource Type
ISSN
01790358
eISSN
14379813
Scopus ID
2-s2.0-85158047318
Journal Title
Pediatric Surgery International
Volume
39
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatric Surgery International Vol.39 No.1 (2023)
Suggested Citation
Avanzini S., Dall’Igna P., Bjornland K., Braungart S., Cross K., Flores P., Gabra H.O.S., Gomez-Chacon J., Irtan S., Lobos P., Loh A., Matthyssens L.E., Metzelder M., Parodi S., Pio L., Van de Ven C.P., Fuchs J., Losty P.D., Sarnacki S. Beyond image defined risk factors (IDRFs): a delphi survey highlighting definition of the surgical complexity index (SCI) in neuroblastoma. Pediatric Surgery International Vol.39 No.1 (2023). doi:10.1007/s00383-023-05477-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/81999
Title
Beyond image defined risk factors (IDRFs): a delphi survey highlighting definition of the surgical complexity index (SCI) in neuroblastoma
Author's Affiliation
Princess Máxima Center for Pediatric Oncology
Ramathibodi Hospital
Oslo Universitetssykehus
Universitair Ziekenhuis Gent
Hospital Universitari i Politècnic La Fe
Hôpital Necker Enfants Malades
University of Liverpool
St. Jude Children's Research Hospital
Great Ormond Street Hospital for Children NHS Foundation Trust
Eberhard Karls Universität Tübingen
Istituto Giannina Gaslini
KK Women's And Children's Hospital
Hôpital Armand-Trousseau
Leeds Teaching Hospitals NHS Trust
Medizinische Universität Wien
Instituto Universitario del Hospital Italiano de Buenos Aires
Newcastle University
Fundacion Hospital de Pediatria Professor Dr. Juan P. Garrahan
Azienda Ospedaliera‐Universitaria Consorziale “Policlinico‐Ospedale Pediatrico Giovanni XXIII”
Ramathibodi Hospital
Oslo Universitetssykehus
Universitair Ziekenhuis Gent
Hospital Universitari i Politècnic La Fe
Hôpital Necker Enfants Malades
University of Liverpool
St. Jude Children's Research Hospital
Great Ormond Street Hospital for Children NHS Foundation Trust
Eberhard Karls Universität Tübingen
Istituto Giannina Gaslini
KK Women's And Children's Hospital
Hôpital Armand-Trousseau
Leeds Teaching Hospitals NHS Trust
Medizinische Universität Wien
Instituto Universitario del Hospital Italiano de Buenos Aires
Newcastle University
Fundacion Hospital de Pediatria Professor Dr. Juan P. Garrahan
Azienda Ospedaliera‐Universitaria Consorziale “Policlinico‐Ospedale Pediatrico Giovanni XXIII”
Other Contributor(s)
Abstract
Purpose: Preoperative evaluation of Image Defined Risk Factors (IDRFs) in neuroblastoma (NB) is crucial for determining suitability for upfront resection or tumor biopsy. IDRFs do not all carry the same weighting in predicting tumor complexity and surgical risk. In this study we aimed to assess and categorize a surgical complexity (Surgical Complexity Index, SCI) in NB resection. Methods: A panel of 15 surgeons was involved in an electronic Delphi consensus survey to identify and score a set of shared items predictive and/or indicative of surgical complexity, including the number of preoperative IDRFs. A shared agreement included the achievement of at least 75% consensus focused on a single or two close risk categories. Results: After 3 Delphi rounds, agreement was established on 25/27 items (92.6%). A severity score was established for each item ranging from 0 to 3 with an overall SCI range varying from a minimum score of zero to a maximum score of 29 points for any given patient. Conclusions: A consensus on a SCI to stratify the risks related to neuroblastoma tumor resection was established by the panel experts. This index will now be deployed to critically assign a better severity score to IDRFs involved in NB surgery.