دورية أكاديمية
أعرض في EDS

Classification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-based Guideline From the APSA Outcomes and Evidence-based Practice Committee.

التفاصيل البيبلوغرافية
العنوان: Classification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-based Guideline From the APSA Outcomes and Evidence-based Practice Committee.
المؤلفون: Smith CA; Department of General Surgery, Seattle Children's Hospital, University of Washington, 4800 Sandpoint Way NE, Seattle, WA 98105, USA. Electronic address: caitlin.smith@seattlechildrens.org., Rialon KL; Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA., Kawaguchi A; Department of Pediatric Surgery, McGovern Medical School at the Unversity of Texas Health Science Center at Houston, Houston, TX, USA., Dellinger MB; Department of General Surgery, Seattle Children's Hospital, University of Washington, 4800 Sandpoint Way NE, Seattle, WA 98105, USA., Goldin AB; Department of General Surgery, Seattle Children's Hospital, University of Washington, 4800 Sandpoint Way NE, Seattle, WA 98105, USA., Acker S; Children's Hospital Colorado, Aurora, CO, USA., Kulaylat AN; Penn State Children's Hospital, Division of Pediatric Surgery, Hershey, PA, USA., Chang H; Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA., Russell K; University of Utah Health, Primary Children's Hospital, Salt Lake City, UT, USA., Wakeman D; University of Rochester, Rochester, NY, USA., Derderian SC; Children's Hospital Colorado, Aurora, CO, USA., Englum BR; University of Maryland Children's Hospital, Baltimore, MD, USA., Polites SF; Mayo Clinic, Rochester, MN, USA., Lucas DJ; Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Naval Medical Center San Diego, CA, USA., Ricca R; University of South Carolina, Greenville, SC, USA., Levene TL; Joe DiMaggio Children's Hospital, Hollywood, FL, USA., Sulkowski JP; Children's Hospital of Richmond at VCU, Richmond, VA, USA., Kelley-Quon LI; Children's Hospital Los Angeles, Los Angeles, CA, USA., Tashiro J; Hassenfeld Children's Hospital at NYU Langone Health, New York, NY, USA., Christison-Lagay ER; Yale-New Haven Children's Hospital, New Haven, CT, USA., Mansfield SA; Nationwide Children's Hospital, Columbus, OH, USA., Beres AL; St. Christopher's Hospital for Children, Philadelphia PA, USA., Huerta CT; University of Miami Department of Surgery, Miami, FL, USA., Ben Ham P 3rd; University at Buffalo, John R. Oishei Children's Hospital, Buffalo, NY, USA., Yousef Y; McGill University, Montreal Children's Hospital, Montreal, QC, USA., Rentea RM; Department of Surgery, Children's Mercy Hospital, University of Missouri-Kansas City, 2401 Gillham Rd, Kansas City, MO 64108, USA.
مؤلفون مشاركون: APSA Outcomes and Evidence Based Practice Committee
المصدر: Journal of pediatric surgery [J Pediatr Surg] 2024 Jun 14. Date of Electronic Publication: 2024 Jun 14.
Publication Model: Ahead of Print
نوع المنشور: Journal Article; Review
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.
مستخلص: Objective: Treatment of neonates with anorectal malformations (ARMs) can be challenging due to variability in anatomic definitions, multiple approaches to surgical management, and heterogeneity of reported outcomes. The purpose of this systematic review is to summarize existing evidence, identify treatment controversies, and provide guidelines for perioperative care.
Methods: The American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee (OEBP) drafted five consensus-based questions regarding management of children with ARMs. These questions were related to categorization of ARMs and optimal methods and timing of surgical management. A comprehensive search strategy was performed, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to perform the systematic review to attempt to answer five questions related to surgical care of ARM.
Results: A total of 10,843 publications were reviewed, of which 90 were included in final recommendations, and some publications addressed more than one question (question: 1 n = 6, 2 n = 63, n = 15, 4 n = 44). Studies contained largely heterogenous groups of ARMs, making direct comparison for each subtype challenging and therefore, no specific recommendation for optimal surgical approach based on outcomes can be made. Both loop and divided colostomy may be acceptable methods of fecal diversion for patients with a diagnosis of anorectal malformation, however, loop colostomies have higher rates of prolapse in the literature reviewed. In terms of timing of repair, there did not appear to be significant differences in outcomes between early and late repair groups. Clear and uniform definitions are needed in order to ensure similar populations of patients are compared moving forward. Recommendations are provided based primarily on A-D levels of evidence.
Conclusions: Evidence-based best practices for ARMs are lacking for many aspects of care. Multi-institutional registries have made progress to address some of these gaps. Further prospective and comparative studies are needed to improve care and provide consensus guidelines for this complex patient population.
Competing Interests: Conflict of interest None of the authors have a financial or other conflicts of interest related to the issues addressed in this manuscript.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Anorectal malformation; Imperforate anus; Outcome; Systematic review
تواريخ الأحداث: Date Created: 20240713 Latest Revision: 20240713
رمز التحديث: 20240713
DOI: 10.1016/j.jpedsurg.2024.06.007
PMID: 38997855
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-5037
DOI:10.1016/j.jpedsurg.2024.06.007