Optimizing resources for the surgical care of children: An American Pediatric Surgical Association Outcomes and Clinical Trials Committee Consensus Statement

Adam B. Goldin, Roshni Dasgupta, Li Ern Chen, Martin L. Blakely, Saleem Islam, Cynthia D. Downard, Shawn J. Rangel, Shawn D. St. Peter, Casey M. Calkins, Marjorie J. Arca, Douglas C. Barnhart, Jacqueline M. Saito, Keith T. Oldham, Fizan Abdullah

Research output: Contribution to journalArticle

Abstract

The United States' healthcare system is facing unprecedented pressures: the healthcare cost curve is not sustainable while the bar of standards and expectations for the quality of care continues to rise. Systems committed to the surgical treatment of children will likely require changes and reorganization. Regardless of these mounting pressures, hospitals must remain focused on providing the best possible care to each child at every encounter. Available clinical expertise and hospital resources should be optimized to match the complexity of the treated condition. Although precise criteria are lacking, there is a growing consensus that the optimal combination of clinical experience and hospital resources must be defined, and efforts toward this goal have been supported by the Regents of the American College of Surgeons, the members of the American Pediatric Surgical Association, and the Society for Pediatric Anesthesia (SPA) Board of Directors. The topic of optimizing outcomes and the discussion of the concepts involved have unfortunately become divisive. Our goals, therefore, are 1) to provide a review of the literature that can provide context for the discussion of regionalization, volume, and optimal resources and promote mutual understanding of these important terms, 2) to review the evidence that has been published to date in pediatric surgery associated with regionalization, volume, and resource, 3) to focus on a specific resource (anesthesia), and the association that this may have with outcomes, and 4) to provide a framework for future research and policy efforts.

Original languageEnglish (US)
Pages (from-to)818-822
Number of pages5
JournalJournal of Pediatric Surgery
Volume49
Issue number5
DOIs
StatePublished - 2014

Fingerprint

Child Care
Clinical Trials
Pediatrics
Pressure
Quality of Health Care
Health Care Costs
Anesthesia
Delivery of Health Care
Therapeutics

Keywords

  • Clinical outcomes
  • Optimization
  • Quality
  • Resources
  • Safety
  • Volume-related outcomes

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Optimizing resources for the surgical care of children : An American Pediatric Surgical Association Outcomes and Clinical Trials Committee Consensus Statement. / Goldin, Adam B.; Dasgupta, Roshni; Chen, Li Ern; Blakely, Martin L.; Islam, Saleem; Downard, Cynthia D.; Rangel, Shawn J.; St. Peter, Shawn D.; Calkins, Casey M.; Arca, Marjorie J.; Barnhart, Douglas C.; Saito, Jacqueline M.; Oldham, Keith T.; Abdullah, Fizan.

In: Journal of Pediatric Surgery, Vol. 49, No. 5, 2014, p. 818-822.

Research output: Contribution to journalArticle

Goldin, AB, Dasgupta, R, Chen, LE, Blakely, ML, Islam, S, Downard, CD, Rangel, SJ, St. Peter, SD, Calkins, CM, Arca, MJ, Barnhart, DC, Saito, JM, Oldham, KT & Abdullah, F 2014, 'Optimizing resources for the surgical care of children: An American Pediatric Surgical Association Outcomes and Clinical Trials Committee Consensus Statement', Journal of Pediatric Surgery, vol. 49, no. 5, pp. 818-822. https://doi.org/10.1016/j.jpedsurg.2014.02.085
Goldin, Adam B. ; Dasgupta, Roshni ; Chen, Li Ern ; Blakely, Martin L. ; Islam, Saleem ; Downard, Cynthia D. ; Rangel, Shawn J. ; St. Peter, Shawn D. ; Calkins, Casey M. ; Arca, Marjorie J. ; Barnhart, Douglas C. ; Saito, Jacqueline M. ; Oldham, Keith T. ; Abdullah, Fizan. / Optimizing resources for the surgical care of children : An American Pediatric Surgical Association Outcomes and Clinical Trials Committee Consensus Statement. In: Journal of Pediatric Surgery. 2014 ; Vol. 49, No. 5. pp. 818-822.
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