National centralization of Hirschsprung’s disease in Sweden: a comparison of postoperative outcome
Topic overview
This Swedish retrospective study compared outcomes of 197 Hirschsprung's disease patients before and after national centralization from four to two pediatric surgery centers. While laparoscopic techniques increased significantly, centralization did not reduce severe complications, readmissions, or time to definitive surgery, though mild HAEC cases increased possibly due to heightened awareness.
Key takeaways
- Centralization of Hirschsprung's surgery in Sweden (4→2 centers) did not reduce severe complications or readmissions within 90 days post-op.
- Laparoscopic-assisted endorectal pull-through increased significantly after centralization (8.8% to 39.8%, p<0.001).
- HAEC treated with antibiotics rose from 10.5% to 24.1% post-centralization, likely reflecting heightened clinical awareness of mild cases.
- Age at pull-through and stoma rates remained unchanged, suggesting centralization did not delay definitive surgical management.
- Pediatric surgical centralization for rare diseases may not yield the same quality improvements observed in adult complex care.
Keywords
Hashtags
Full article text
Full article text not available for this entry
How to cite: GlobalCastMD. National centralization of Hirschsprung’s disease in Sweden: a comparison of postoperative outcome. GlobalCastMD Medical Library. 2024-10-05. https://dev.library.globalcastmd.com/article/9252?via_space=staycurrentmd
Comments