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Philipp Dammann, Adib A. Abla, Rustam Al-Shahi Salman, Hugo Andrade-Barazarte, Vladimir Benes, Marco Cenzato, E. Sander Connolly Jr., Jan F. Cornelius, William T. Couldwell, Rafael G. Sola, Santiago Gomez-Paz, Erik Hauck, Juha Hernesniemi, Juri Kivelev, Giuseppe Lanzino, R. Loch Macdonald, Jacques J. Morcos, Christopher S. Ogilvy, Hans-Jakob Steiger, Gary K. Steinberg, Alejandro N. Santos, Laurèl Rauschenbach, Marvin Darkwah Oppong, Börge Schmidt, Robert F. Spetzler, Karl Schaller, Michael T. Lawton, and Ulrich Sure

13 ), while an indication for resection after a single disabling SH is seen as more controversial (class IIb evidence, level C 13 ). Clinical decision-making and selection for BSCM surgery requires considering more variables than merely the history and frequency of SHs. Therefore, we sought to perform a survey using the Delphi method on multiple aspects of surgical treatment and management of BSCM among international experts to investigate the extent of current clinical consensus that could be achieved and identify questions and ambiguities that may drive future

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Praveen V. Mummaneni, John F. Burke, Andrew K. Chan, Julie Ann Sosa, Errol P. Lobo, Valli P. Mummaneni, Sheila Antrum, Sigurd H. Berven, Michael S. Conte, Sarah B. Doernberg, Andrew N. Goldberg, Christopher P. Hess, Steven W. Hetts, S. Andrew Josephson, Maureen P. Kohi, C. Benjamin Ma, Vaikom S. Mahadevan, Annette M. Molinaro, Andrew H. Murr, Sirisha Narayana, John P. Roberts, Marshall L. Stoller, Philip V. Theodosopoulos, Thomas P. Vail, Sandra Wienholz, Michael A. Gropper, Adrienne Green, and Mitchel S. Berger

this process until consensus is achieved. Here, we use this method to create consensus-based procedural triage protocols and checklists during the COVID-19 pandemic. Methods A multidisciplinary perioperative committee (MDPC) was tasked with the creation of a triage system and management protocols for patients requiring urgent and emergent procedures and surgeries during the COVID-19 pandemic. The MDPC is composed of 26 leaders from 10 academic departments, including 7 department chairpersons, the chief medical officer, the chief operating officer, infection control

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David S. Hersh, Jonathan E. Martin, Ruth E. Bristol, Samuel R. Browd, Gerald Grant, Nalin Gupta, Todd C. Hankinson, Eric M. Jackson, John R. W. Kestle, Mark D. Krieger, Abhaya V. Kulkarni, Casey J. Madura, Jonathan Pindrik, Ian F. Pollack, Jeffrey S. Raskin, Jay Riva-Cambrin, Curtis J. Rozzelle, Jodi L. Smith, and John C. Wellons III

surveillance practice patterns and the dearth of supporting literature, the Delphi method was proposed to identify areas of consensus and opportunities for further research. The Delphi technique uses a structured series of anonymous questionnaires to build consensus among a group of topic experts. In particular, the modified Delphi method, which culminates in a face-to-face meeting to facilitate open discussion and modification of the consensus statements, has been successfully used to address a range of pediatric neurosurgical topics, including pediatric cervical spine

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James M. Drake, Ash Singhal, Abhaya V. Kulkarni, Gabrielle DeVeber, D. Douglas Cochrane, and The Canadian Pediatric Neurosurgery Study Group

Pediatric and Congenital Heart Disease for complications after cardiac surgery for congenital heart disease, including consensus definitions. 2 There are, however, no standardized or consensus-driven definitions for complications or adverse events in pediatric neurosurgery. We recently reported the incidence of complications from all surgical procedures in a single pediatric neurosurgical center prospectively over a 2-year period. 12 It became clear that broadening this approach to other centers would require standardized definitions to ensure accuracy and

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Kristin J. Redmond, Simon S. Lo, Scott G. Soltys, Yoshiya Yamada, Igor J. Barani, Paul D. Brown, Eric L. Chang, Peter C. Gerszten, Samuel T. Chao, Robert J. Amdur, Antonio A. F. De Salles, Matthias Guckenberger, Bin S. Teh, Jason Sheehan, Charles R. Kersh, Michael G. Fehlings, Moon-Jun Sohn, Ung-Kyu Chang, Samuel Ryu, Iris C. Gibbs, and Arjun Sahgal

histologies. 1 , 5 , 11 , 16 , 27 , 30 NRG Oncology/RTOG (Radiation Therapy Oncology Group) 0631 (“Image-Guided Radiosurgery or Stereotactic Body Radiation Therapy in Treating Patients With Localized Spine Metastasis,” identifier NCT00922974) is an ongoing randomized controlled trial comparing spinal SBRT with conventional radiation therapy. Formal consensus guidelines have been developed to guide the treatment of intact vertebral bodies. 6 The practice of spinal SBRT in postoperative patients is similarly growing, and data are emerging to suggest

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Naif M. Alotaibi, Justin Z. Wang, Christopher R. Pasarikovski, Daipayan Guha, Fawaz Al-Mufti, Muhammad Mamdani, Gustavo Saposnik, Tom A. Schweizer, and R. Loch Macdonald

N eurocritical care of patients with aneurysmal subarachnoid hemorrhage (aSAH) requires collaborative efforts from multiple disciplines that treat and manage the consequences of both the primary hemorrhage and the secondary brain injury that may occur following rupture. 2 , 66 Elevated intracranial pressure (ICP) has been recognized as a consequence of aSAH that may contribute to a patient’s clinical decline. Despite significant advances in aSAH clinical research, there are no consensus guidelines devoted specifically to the management of elevated ICP in the

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Kristin Huntoon, Matthew J. Shepard, Rimas V. Lukas, Ian E. McCutcheon, Anthony B. Daniels, and Ashok R. Asthagiri

impact on our confidence in the estimate of effect and may change the estimate C Low Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate D Very low Any estimate of effect is very uncertain Quality of evidence and definitions quoted from Guyatt GH et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ . 2008 Apr 26;336(7650):924-6. These data were then used to develop recommendations that were

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James Guest, James S. Harrop, Bizhan Aarabi, Robert G. Grossman, James W. Fawcett, Michael G. Fehlings, and Charles H. Tator

input is invited. An effort is made to obtain input from all members, and interruptions are avoided unless the discussion goes off topic or is excessive in the view of the chair, who then interjects. At the close of discussion of the topic, 1 member provides a summary, and an action item is proposed. At this point, a consensus is sought and any significant objection results in additional discussion or re-tabling of the issue. Two committee members may be assigned to gather further data, or communicate with academic or industry sources, and report back to the committee

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Derya Burcu Hazer, Serhat Işık, Dilek Berker, Serdar Güler, Alper Gürlek, Taşkın Yücel, and Mustafa Berker

option as well. 19 , 22 , 30 , 39 The endoscopic approach has some obvious advantages, including improved surgical visualization, less nasal trauma, increased patient comfort, and potentially better results with respect to total tumor resection. 15 , 17 , 19 Important changes have been introduced to the cure criteria for acromegaly. A consensus statement in the year 2000 proposed that IGF-I levels within an age- and sex-adjusted normal range and a GH nadir of < 1 μg/L or GH levels < 1 μg/L after administration of the oral glucose tolerance test (OGTT) are the

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Robert C. Cantu

✓ More refereed publications on sports-related concussion have appeared since 2000 than in all previous years combined. Three international consensus statements, documents from the National Athletic Trainers' Association (NATA) and the American College of Sports Medicine (ACSM), and entire issues of the Clinical Journal of Sport Medicine and the Journal of Athletic Training have been devoted to this subject. The object of this article is to critique the consensus statements and NATA and ACSM documents, pointing out areas of controversy.