Journal article
Management of long gap esophageal atresia: A systematic review and evidence-based guidelines from the APSA Outcomes and Evidence Based Practice Committee
Journal of pediatric surgery, v 54(4), pp 675-687
Apr 2019
PMID: 30853248
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Treatment of the neonate with long gap esophageal atresia (LGEA) is one of the most challenging scenarios facing pediatric surgeons today. Contributing to this challenge is the variability in case definition, multiple approaches to management, and heterogeneity of the reported outcomes. This necessitates a clear summary of existing evidence and delineation of treatment controversies.
The American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee drafted four consensus-based questions regarding LGEA. These questions concerned the definition and determination of LGEA, the optimal method of surgical management, expected long-term outcomes, and novel therapeutic techniques. A comprehensive search strategy was crafted and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized to identify, review and report salient articles.
More than 3000 publications were reviewed, with 178 influencing final recommendations. In total, 18 recommendations are provided, primarily based on level 4–5 evidence. These recommendations provide detailed descriptions of the definition of LGEA, treatment techniques, outcomes and future directions of research.
Evidence supporting best practices for LGEA is currently low quality. This review provides best recommendations based on a critical evaluation of the available literature. Based on the lack of strong evidence, prospective and comparative research is clearly needed.
Treatment study, prognosis study and study of diagnostic test.
Level II–V.
Metrics
Details
- Title
- Management of long gap esophageal atresia: A systematic review and evidence-based guidelines from the APSA Outcomes and Evidence Based Practice Committee
- Creators
- Robert Baird - University of British ColumbiaDave R. Lal - Medical College of WisconsinRobert L. Ricca - Naval Medical Center PortsmouthKaren A. Diefenbach - Nationwide Children's HospitalCynthia D. Downard - University of LouisvilleJulia Shelton - University of Iowa Children’s HospitalStig Sømme - Division of Pediatric Surgery, Children's Hospital Colorado, University of Colorado, Aurora, COJulia Grabowski - Children's Memorial HospitalTolulope A Oyetunji - University of Missouri–Kansas CityRegan F. Williams - Le Bonheur Children's HospitalTim Jancelewicz - Le Bonheur Children's HospitalRoshni Dasgupta - Cincinnati Children's Hospital Medical CenterL. Grier Arthur - St. Christopher's Hospital for ChildrenAkemi L. Kawaguchi - The University of Texas Health Science Center at HoustonYigit S. Guner - Children's Hospital of Orange CountyAnkush Gosain - Le Bonheur Children's HospitalRobert L. Gates - University of South CarolinaJuan E. Sola - Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FLLorraine I. Kelley-Quon - Children's Hospital of Los AngelesShawn D. St. Peter - Children's Mercy Hospital, 2401 Gillham Rd, Kansas City, MO 64108Adam Goldin - Department of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Seattle, WA.
- Publication Details
- Journal of pediatric surgery, v 54(4), pp 675-687
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000463173300010
- Scopus ID
- 2-s2.0-85062469019
- Other Identifier
- 991019201218804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Pediatrics
- Surgery