The effect of surgical training and hospital characteristics on patient outcomes after pediatric surgery: a systematic review

Pediatric surgeon vs general surgeon: Does subspecialty training affect the outcome of appendicitis?

“…It is not clear whether minimum annual caseloads should exist for specific conditions or whether a minimum number of operations on children in general is most important . Although we found a shorter surgical time in the PS group, an effect of pediatric subspecialty training, this finding has not resulted in better outcomes for patients treated by subspecialty trained surgeons.…”

“…Acute appendicitis is the most common abdominal emergency in children between 0 and 14 years of age, with an estimated 81 000 appendectomies performed in the USA annually and perforation rates ranging between 25% and 50% . Many of these procedures are not performed by pediatric surgeons (PS), however, because the procedure is also performed on adults and it is often assumed that it is acceptable that general surgeons (GS) also operate on children . The absence of PS in many centers results in restriction of patient access to pediatric subspecialty care …”

“…Many of these procedures are not performed by pediatric surgeons (PS), however, because the procedure is also performed on adults and it is often assumed that it is acceptable that general surgeons (GS) also operate on children . The absence of PS in many centers results in restriction of patient access to pediatric subspecialty care …”

Trends in Pediatric Surgery Operative Volume among Residents and Fellows: Improving the Experience for All

“…It is plausible that with this proper training, general surgeons in rural practice can achieve equivalent outcomes in the more common pediatric operations. 26 Furthermore, we can reduce costs with appropriate care in the rural setting, both for states with large rural populations and for the patients and families themselves who must often coordinate and pay for long distance travel, lodging, and time off from work. In a population of often low economic status, these costs can be near prohibitive.…”

Hypertrophic pyloric stenosis in the Maritimes: examining the waves of change over time

“…[11][12][13] However, risk of complications, especially with pyloromyotomies, is still increased if not performed in a pediatric centre. 11 In addition to surgical experience, the comfort level of anesthesiologists who do not normally treat children must also be taken into account.…”