Outcomes and Evidence-Based Practice Committee

Introduction

The Outcomes and Evidence-based Practice Committee (OEBPC) will facilitate the efforts of APSA members either individually or as an organization to develop clinical outcomes data and evidence-based recommendations relevant to the practice of pediatric surgery. At the request of the APSA membership and/or the Board of Governors of APSA, the OEBPC will serve to identify important areas of clinical guidelines and research in order to formulate and disseminate appropriate recommendations to assist APSA members in their practices. The OEBPC will be a central resource for APSA members to help promote clinical and outcomes research in pediatric surgery. The OEBPC will work collaboratively with other existing APSA committees to identify and address educational and/or programmatic needs and opportunities for the APSA membership as they relate to clinical outcomes. At the request of the APSA membership and/or the BOG of APSA, the OEBPC will serve to identify important areas of clinical guidelines and research in order to formulate and disseminate appropriate recommendations to assist APSA members in their practices. The OEBPC will be a central resource for APSA members to help promote clinical and outcomes research in pediatric surgery. The OEBPC will work collaboratively with other existing APSA committees to identify and address educational and/or programmatic needs and opportunities for the APSA membership as they relate to clinical outcomes.

Outcomes and Evidence-based Practice Committee page link on eapsa.org

Resources

Systematic reviews

Appendicitis

  • Time to appendectomy for acute appendicitis: A systematic review, Cameron et al [1]
  • Appendicitis, Antibiotics for
    • Antibiotics and appendicitis in the pediatric population: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee Systematic Review, Lee et al [2]

Congenital diaphragmatic hernia

  • Management of congenital diaphragmatic hernia: A systematic review from the APSA outcomes and evidence based practice committee, Puligandla et al [3]

Congenital pulmonary airway malformations

Central venous catheter infection

Empyema and necrotizing enterocolitis

Gastroesophageal reflux disease

Gastroschisis and omphalocele

Necrotizing Enterocolitis

  • Necrotizing Enterocolitis
  • Treatment of necrotizing enterocolitis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review, Downard et al [7]

Pilonidal disease

Parenteral nutrition-associated cholestasis

Ovarian torsion

  • Ovarian torsion in pediatric and adolescent patients: A systematic review Dasgupta et al [9]

Cryptorchidism

Evidence-based medicine in pediatric surgery

The 97th Clinical Congress of the American College of Surgeons held in San Francisco, CA in October, 2011 included a session entitled, "Evidence-Based Medicine in Pediatric Surgery: Don’t Confuse Me with Facts, My Mind is Made Up." The session was moderated by Marjorie Arca and Daniel Ostlie. View the four presentations below which are made available at the request of the APSA membership. (The slides are the property of Drs. Moss, St. Peter, Abdullah and Oldham. They may not be altered or reproduced in any form.)

References

  1. Cameron DB, Williams R, Geng Y, et al. Time to appendectomy for acute appendicitis: A systematic review. J Pediatr Surg. 2018;53(3):396-405.  [PMID:29241958]
  2. Lee SL, Islam S, Cassidy LD, et al. Antibiotics and appendicitis in the pediatric population: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review. J Pediatr Surg. 2010;45(11):2181-5.  [PMID:21034941]
  3. Puligandla PS, Grabowski J, Austin M, et al. Management of congenital diaphragmatic hernia: A systematic review from the APSA outcomes and evidence based practice committee. J Pediatr Surg. 2015;50(11):1958-70.  [PMID:26463502]
  4. Downard CD, Calkins CM, Williams RF, et al. Treatment of congenital pulmonary airway malformations: a systematic review from the APSA outcomes and evidence based practice committee. Pediatr Surg Int. 2017;33(9):939-953.  [PMID:28589256]
  5. Islam S, Calkins CM, Goldin AB, et al. The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. J Pediatr Surg. 2012;47(11):2101-10.  [PMID:23164006]
  6. Jancelewicz T, Lopez ME, Downard CD, et al. Surgical management of gastroesophageal reflux disease (GERD) in children: A systematic review. J Pediatr Surg. 2017;52(8):1228-1238.  [PMID:27823773]
  7. Downard CD, Renaud E, St Peter SD, et al. Treatment of necrotizing enterocolitis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review. J Pediatr Surg. 2012;47(11):2111-22.  [PMID:23164007]
  8. Rangel SJ, Calkins CM, Cowles RA, et al. Parenteral nutrition-associated cholestasis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review. J Pediatr Surg. 2012;47(1):225-40.  [PMID:22244423]
  9. Dasgupta R, Renaud E, Goldin AB, et al. Ovarian torsion in pediatric and adolescent patients: A systematic review. J Pediatr Surg. 2018;53(7):1387-1391.  [PMID:29153467]

Last updated: May 7, 2019