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Article . 2021
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Journal of Pediatric Surgery
Article . 2021 . Peer-reviewed
License: Elsevier TDM
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Long-term core outcomes of patients with simple gastroschisis

Authors: De Bie, Felix; Swaminathan, Vishal; Johnson, Gabrielle; Monos, Stylianos; Adzick, N. Scott; Laje, Pablo;

Long-term core outcomes of patients with simple gastroschisis

Abstract

To report the long-term core outcome set of patients with simple gastroschisis.This was a retrospective chart review of all patients with simple gastroschisis managed at our hospital between August 2008 and July 2016. We collected all data included in the core outcome set developed for the standardization of gastroschisis outcomes reporting. We conducted a phone survey of the patients' parents using the PedsQL™ Pediatric Quality of Life Inventory, Cognitive Functioning Scale, and Gastrointestinal Symptoms Scale (GSS). Additionally, parents reported their subjective evaluation of the patients' cosmetic result and overall quality of life.There were 124 patients included in the study. The majority (76.5%) was born prematurely at a median gestational age of 36 (range 27.6-38) weeks. At neonatal discharge (median 36 days [18-150] days) most patients were below the 10th percentile for height (81.4%) and weight (87%). Their growth, however, normalized during early childhood. Seven patients (5.6%) required at some point an operation for acute abdominal complications. One-third of patients required long-term treatment for constipation and one-third of patients required long-term treatment for gastroesophageal reflux disease (GERD). Thirty-five parents participated in the phone survey. Mean parent-reported quality of life score was better than healthy controls (87.5% vs. 82.3%, p = 0.049). Cognitive functions and gastrointestinal symptoms scores were similar to healthy controls. All patients are alive.Growth restriction in patients with simple gastroschisis is common at birth and during the neonatal period, but it improves during the first three years of life. Abdominal operations are rarely needed in patients with simple gastroschisis. GERD and constipation, on the other hand, are common and often require long-term medical management. The overall parent-reported quality of life of patients with simple gastroschisis is excellent.Level II.

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Keywords

Parents, Complications, SYMPTOMS, INFANTS, Simple gastroschisis, Pediatrics, GASTROESOPHAGEAL-REFLUX, Outcome Assessment, Health Care, Humans, Core outcomes, Long-term outcomes, HEALTHY, Child, GESTATIONAL-AGE, Retrospective Studies, RISK, Gastroschisis, Science & Technology, MORTALITY, 3202 Clinical sciences, Infant, Newborn, Infant, 3213 Paediatrics, PEDSQL(TM)-4.0, Child, Preschool, RELIABILITY, Quality of Life, 1114 Paediatrics and Reproductive Medicine, Surgery, Life Sciences & Biomedicine, CHILDREN BORN

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    20
    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Top 10%
Average
Top 10%
Green