دورية أكاديمية
Development of a multidisciplinary colorectal and pelvic health program: Program implementation and clinical impact.
| العنوان: | Development of a multidisciplinary colorectal and pelvic health program: Program implementation and clinical impact. |
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| المؤلفون: | Style CC; Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX., Hsu DM; Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX., Verla MA; Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX., Mittal AG; Division of Urology, Baylor College of Medicine, Houston, TX., Austin P; Division of Urology, Baylor College of Medicine, Houston, TX., Seth A; Division of Urology, Baylor College of Medicine, Houston, TX., Dietrich JE; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX., Adeyemi-Fowode OA; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX., Bercaw-Pratt JL; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX., Chiou EH; Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Houston, TX., Chumpitazi BP; Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Houston, TX., Akalonu A; Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Houston, TX., Victorian VA; Texas Children's Hospital, Baylor College of Medicine, Houston, TX., Denner FR; Texas Children's Hospital, Baylor College of Medicine, Houston, TX., Borden AN; Division of Urology, Baylor College of Medicine, Houston, TX., Levitt MA; Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH., Grooms JR; Texas Children's Hospital, Baylor College of Medicine, Houston, TX., Frazier GG; Texas Children's Hospital, Baylor College of Medicine, Houston, TX., Rialon KL; Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX., Lee TC; Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX. Electronic address: tclee@bcm.edu. |
| المصدر: | Journal of pediatric surgery [J Pediatr Surg] 2020 Nov; Vol. 55 (11), pp. 2397-2402. Date of Electronic Publication: 2020 May 06. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Saunders Original Publication: New York. |
| مواضيع طبية MeSH: | Constipation/*therapy , Hirschsprung Disease/*therapy, Child ; Cloaca/pathology ; Humans ; Pelvic Floor ; Program Development ; Retrospective Studies |
| مستخلص: | Introduction: Pediatric patients with complex colorectal and genitourinary conditions often require coordinated multidisciplinary care; however, this coordinated care can be hard to structure and deliver. The purpose of this paper is to review the development and implementation of a multidisciplinary colorectal and pelvic health program, one year after the program's initiation. Methods: This is an observational retrospective 1-year study (10/1/2017 to 9/30/2018). In fiscal year (FY) 2018, a multidisciplinary colorectal and pelvic health program was initiated. The program development incorporated bimonthly team meetings, educational conferences, and initiation of three clinics: a complex colorectal and genitourinary reconstruction clinic, a bowel management clinic, and a colonic motility clinic. Conditions treated included complex anorectal and cloacal malformations, Hirschsprung disease, and idiopathic constipation. The fiscal year was selected to provide comparative administrative data after program implementation. Results: During the study period, 121 patients underwent comprehensive collaborative evaluation of which 58 (47%) were new to the institution compared to 12 (19%) new patients in the previous year (p < 0.001). In FY 2018, there were 130 procedures performed and 512 collaborative visits with an average of 47 visits per month. This was a 3.4-fold increase in visits compared to FY2017 (171 visits). Of the new patients, 60% (35/58), traveled a median of 181 miles, representing 33 statewide counties, and 4 states compared to a median of 93 miles in the previous fiscal year (p = 0.004). Conclusion: The development of a colorectal and pelvic health program is feasible and requires a collaborative approach, necessitating multiple service lines within an institution. Program creation and implementation can result in rapid institutional clinical growth by filling a local and regional need through coordinated multidisciplinary care. Level of Evidence: IV. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Anorectal malformation; Cost analysis; Multidisciplinary care team; Pediatric surgery; Pelvic malformation |
| تواريخ الأحداث: | Date Created: 20200531 Date Completed: 20210520 Latest Revision: 20210520 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jpedsurg.2020.05.002 |
| PMID: | 32471759 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1531-5037 |
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| DOI: | 10.1016/j.jpedsurg.2020.05.002 |