Chinese guideline for the diagnosis and treatment of juvenile-onset recurrent respiratory papillomatosis (2024)

被引：0

作者：

Zhang, Jie

Wang, Jun ^{[2
]}

Ni, Xin ^{[3
]}

Huang, Zhigang ^{[2
]}

Zheng, Hongliang ^{[4
]}

Zhang, Yamei ^{[3
]}

Chen, Bobei ^{[5
,6
]}

Chen, Yanqiu ^{[7
]}

Fang, Yuxin ^{[8
]}

Gui, Jingang ^{[9
]}

Jiao, Anxia ^{[10
]}

Lei, Wenbin ^{[11
]}

Li, Lan ^{[12
]}

Li, Lei ^{[13
]}

Li, Xiaoyan ^{[14
]}

Li, Yun ^{[15
]}

Liu, Yali ^{[16
]}

Lu, Yuanyuan ^{[17
]}

Ma, Jing ^{[18
]}

Ma, Lijing ^{[19
]}

Peng, Xiaoxia ^{[16
]}

Ren, Xiaoyong ^{[19
]}

Tang, Liang ^{[20
]}

Wang, Guixiang ^{[1
]}

Wu, Haitao ^{[21
]}

Xiao, Yang ^{[2
]}

Yang, Hui ^{[22
]}

Yang, Lishi ^{[23
]}

Yu, Zhenkun ^{[17
]}

Zhang, Tiesong ^{[18
]}

Zhao, Jing ^{[3
]}

Zhao, Xin ^{[3
]}

Li, Shilan ^{[3
]}

Zhang, Fengzhen ^{[3
]}

Duan, Qingchuan ^{[3
]}

Guo, Lining ^{[3
]}

Liu, Yuxin ^{[3
]}

Zhang, Shengnan ^{[3
]}

Zhen, Junsong ^{[3
]}

Niu, Zijie ^{[2
]}

Song, Jialu ^{[2
]}

Guo, Yi-hui ^{[2
]}

Pang, Wei ^{[3
]}

Tian, Enxia ^{[3
]}

Liu, Yifan ^{[3
]}

Chen, Yaolong ^{[24
]}

Lei, Dapeng ^{[25
]}

Li, Jinrang ^{[26
]}

Wu, Hao ^{[27
]}

Xu, Wen ^{[2
]}

机构：

[1] Capital Med Univ, Beijing Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Natl Ctr Childrens Hlth,Henan Childrens Hosp, Beijing, Peoples R China

[2] Beijing Tongren Hosp, Capital Med Univ, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China

[3] Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, Dept Otolaryngol Head & Neck Surg, Beijing 100045, Peoples R China

[4] Naval Med Univ, Changhai Hosp, Shanghai, Peoples R China

[5] Wenzhou Med Univ, Affiliated Hosp 2, Dept Otolaryngol, Wenzhou, Peoples R China

[6] Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou, Peoples R China

[7] Guangzhou Women & Childrens Med Ctr, Dept Otolaryngol Head & Neck Surg, Guangzhou, Peoples R China

[8] Minist Elect, Editorial Board Chinese Journal Otorhinolaryngol, Beijing, Peoples R China

[9] Capital Med Univ, Beijing Childrens Hosp, Beijing Pediat Res Inst, Lab Tumor Immunol,Natl Ctr Childrens Hlth, Beijing, Peoples R China

[10] Capital Med Univ, Beijing Childrens Hosp, Intervent Pulmonol Dept, Beijing, Peoples R China

[11] Sun Yat sen Univ, Affiliated Hosp 1, Dept Otorhinolaryngol Head & Neck Surg, Guangzhou, Peoples R China

[12] Shenzhen Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Shenzhen, Peoples R China

[13] Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Dept Otolaryngol Head & Neck Surg, Shanghai, Peoples R China

[14] Shanghai Jiao Tong Univ, Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Sch Med, Shanghai, Peoples R China

[15] Hunan Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Changsha, Peoples R China

[16] Capital Med Univ, Beijing Childrens Hosp, Clin Epidemiol & Evidence Based Med Ctr, Natl Ctr Childrens Hlth, Beijing, Peoples R China

[17] Nanjing Med Univ, BenQ Med Ctr, Dept Otolaryngol Head & Neck Surg, Nanjing, Peoples R China

[18] Kunming Med Univ, Kunming Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Kunming, Peoples R China

[19] Xi An Jiao Tong Univ, Affiliated Hosp 2, Dept Otolaryngol Head & Neck Surg, Xian, Peoples R China

[20] Peoples Hosp Xinjiang Uygur Autonomous Reg, Treatment Ctr Otolaryngol, Urumqi, Peoples R China

[21] Fudan Univ, Eye & ENT Hosp, Dept Otolaryngol, Shanghai, Peoples R China

[22] Sichuan Univ, West China Hosp, Dept Otolaryngol Head & Neck Surg, Chengdu, Peoples R China

[23] Editorial Board Chinese Journal Otolaryngol Head, Beijing, Peoples R China

[24] Lanzhou Univ, Chinese GRADE Ctr, Lanzhou, Peoples R China

[25] Shandong Univ, Qilu Hosp, Dept Otolaryngol, Jinan, Peoples R China

[26] Chinese Peoples Liberat Army Gen Hosp, Dept Otolaryngol Head & Neck Surg, Med Ctr 6, Beijing, Peoples R China

[27] Shanghai Jiao Tong Univ, Sch Med, Shanghai Peoples Hosp 9, Dept Otolaryngol Head & Neck Surg, Shanghai, Peoples R China

来源：

WORLD JOURNAL OF OTORHINOLARYNGOLOGY-HEAD & NECK SURGERY | 2025年

基金：

中国国家自然科学基金;

关键词：

consensus; guidelines; juvenile-onset recurrent respiratory papillomatosis; management; SUSPENSION LARYNGOSCOPIC SURGERY; STAGING ASSESSMENT SYSTEM; RISK-FACTORS; LARYNGEAL PAPILLOMATOSIS; HUMAN-PAPILLOMAVIRUS; GENERAL-ANESTHESIA; PEDIATRIC-PATIENTS; NATIONAL REGISTRY; CLINICAL-COURSE; MANAGEMENT;

D O I：

10.1002/wjo2.223

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The incidence of juvenile-onset recurrent respiratory papillomatosis (JORRP) varies worldwide, and the lack of well-adopted guidelines for use in China suggests that patients with JORRP do not receive optimal care. In America, where data are available, pediatric patients undergo an average of 4 surgeries annually and a total of >40 surgeries in their lifetimes primarily due to this condition. It is widely accepted that timely diagnosis and implementation of scientifically sound and effective interventions can prevent JORRP progression and mitigate serious complications. Notably, evidence-based guidelines to coordinate care are lacking, and there is a need to standardize clinical practice to improve outcomes for patients. The International Pediatric Otolaryngology Group issued guidelines in 2020 to improve care for patients with JORRP. However, this guideline was majorly tailored to the healthcare system in Europe and America, posing a challenge to its adoption in China. To this effect, we assembled a guideline development working group to formulate guidelines for the diagnosis and treatment of JORRP tailored to the Chinese context. The working group consisting of multidisciplinary experts with experience in managing patients with JORRP undertook qualitative and quantitative studies, conducted two rounds of Delphi consensus, and carried out multiple systematic reviews/meta-analyses to provide 24 key recommendations to 12 questions of clinical interest. We anticipate that healthcare workers, including primary care physicians and specialists managing JORRP, will find the guidelines useful, and their utilization will translate to improved outcomes for patients with the disease.

引用

页数：23

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