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Data on experience-related outcomes limited in children’s surgery, study finds

Date:
March 25, 2013
Source:
American Medical Association (AMA)
Summary:
A review of the available medical literature suggests that data on experience-related outcomes in children’s surgery are limited and vary widely in methodologic quality, according to a new report.

A review of the available medical literature suggests that data on experience-related outcomes in children’s surgery are limited and vary widely in methodologic quality, according to a report published Online First by JAMA Pediatrics, a JAMA Network publication.

Hospital and surgeon characteristics are often examined in terms of outcomes. Studies in adults have been numerous but the quality and quantity of similar data in children are less consistent, according to the study background.

Jarod P. McAteer, M.D., of Seattle Children’s Hospital, Washington, and colleagues reviewed 63 studies evaluating 25 procedures to review the association between surgeon or hospital experience and outcomes in children’s surgery.

“The most important point manifested by the results of these studies is that hospital-level characteristics are often strongly associated with improved outcomes in less common, more complex problems (e.g., CDH [congenital diaphragmatic hernia] and congenital heart surgery), whereas surgeon-level factors appear to be more important in more common, less resource-demanding procedures (e.g., appendectomy, pyloromyotomy, ureteral reimplantation, and cleft lip repair) as well as in procedures commonly encountered in adult surgery (thyroidectomy, inguinal herniorrhaphy and cholecystectomy). These results highlight the importance of surgeon- vs. system-level factors, depending on the condition of interest,” the authors conclude.


Story Source:

The above story is based on materials provided by American Medical Association (AMA). Note: Materials may be edited for content and length.


Journal Reference:

  1. McAteer JP, LaRiviere CA, Drugas GT, Abdullah F, Oldham KT, Goldin AB. Influence of Surgeon Experience, Hospital Volume, and Specialty Designation on Outcomes in Pediatric SurgeryA Systematic ReviewFactors Affecting Outcomes in Pediatric Surgery. JAMA Pediatrics, 2013; DOI: 10.1001/jamapediatrics.2013.25

Cite This Page:

American Medical Association (AMA). "Data on experience-related outcomes limited in children’s surgery, study finds." ScienceDaily. ScienceDaily, 25 March 2013. <www.sciencedaily.com/releases/2013/03/130325183824.htm>.
American Medical Association (AMA). (2013, March 25). Data on experience-related outcomes limited in children’s surgery, study finds. ScienceDaily. Retrieved April 20, 2014 from www.sciencedaily.com/releases/2013/03/130325183824.htm
American Medical Association (AMA). "Data on experience-related outcomes limited in children’s surgery, study finds." ScienceDaily. www.sciencedaily.com/releases/2013/03/130325183824.htm (accessed April 20, 2014).

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