Passing the baton: The pediatric surgical perspective on transition

Journal of Pediatric Surgery
Emily T DurkinLaurie N Fishman

Abstract

Transition of care from pediatric to adult providers is garnering intense national interest in pediatrics but is largely driven by nonsurgeons. We sought to describe the preferences of pediatric surgeons and their current transition practice patterns for various populations and wondered whether gender, experience, or practice setting affected surgeons' perspectives. All American Pediatric Surgical Association (APSA) members were surveyed electronically. Responses were voluntary and confidential. Survey response rate was 22%. Most surgeons (95%) treated patients up to 22 years of age, and many cared for older patients (23-26 years, 49%; 27-30 years, 25%; 31-40 years, 18%; >40 years, 13%). Developmentally delayed adults comprised a significant portion of this population (54%). Congenital conditions such as Hirschsprung disease (25%), anorectal malformations (22%) and cystic fibrosis (22%) were most commonly reported. About half (52%) of respondents reported institutional limits for age. Lack of qualified adult surgeons was felt to be the greatest barrier to transition (p<0.001). Experience, gender and practice type did not significantly affect opinions of transition. Pediatric surgeons care for adult patients with a variety of su...Continue Reading

References

Jan 28, 2009·Journal of Pediatric Gastroenterology and Nutrition·Elizabeth J HaitLaurie N Fishman
Oct 20, 2011·Journal of Pediatric Surgery·Adam B GoldinUNKNOWN 2010 APSA Outcomes and Clinical Trials Committee
Feb 15, 2012·Child: Care, Health and Development·H M SonneveldA P Nieboer
Jun 15, 2012·Journal of Pediatric Urology·M van der ToornB B M Kortmann
Apr 4, 2013·JAMA Pediatrics·Jeffrey D EdwardsMegumi J Okumura
Mar 8, 2014·Academic Pediatrics·Niraj SharmaGregory S Sawicki

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Citations

Jan 21, 2016·The British Journal of Surgery·K Sampat, P D Losty
Apr 27, 2016·Journal of Pediatric Surgery·Stefano GiulianiPietro Bagolan
Oct 22, 2016·Journal of Pediatric Gastroenterology and Nutrition·Rachel BensenLaurie N Fishman
Feb 9, 2018·Diseases of the Colon and Rectum·Sarah B CairoUNKNOWN Delivery of Surgical Care Committee of the American Academy of Pediatrics Section on Surgery
Aug 22, 2015·Journal of Pediatric Orthopedics·Laurie N FishmanPeter M Waters
Nov 7, 2019·Molecular Genetics and Metabolism Reports·C LampeM Del Toro
Nov 26, 2019·Journal of Pediatric and Adolescent Gynecology·Christine OsborneSarah K McQuillan

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