Presenter Status
Resident/Ph.D/Post graduate (> 1 month of dedicated research time)
Abstract Type
Research
Primary Mentor
Rebecca M. Rentea
Start Date
15-5-2024 11:30 AM
End Date
15-5-2024 1:30 PM
Presentation Type
Poster-Restricted Access
Description
Background:
Anorectal malformations (ARMs) result in constipation and/or soiling post-primary reconstruction in up to 79% of cases. Postoperative management protocols vary across institutions with the universal goal of achieving stool cleanliness.
Objectives/Goal:
To delineate these variations in postoperative strategies on a global scale.
Methods/Design:
A survey on postoperative management of ARM patients was distributed to the International Pediatric Endosurgery Group (IPEG) members. Participants were categorized based on their practice location: high (HICs) and low- or middle-income (LMICs) countries.
Results:
The survey generated responses from 233 participants across 75 countries: 36% (n=83) from HICs and 64% (n=150) from LMICs (Table 1). LMICs reported a markedly higher annual volume of ARM patients versus HICs (median of 8 vs. 15; p < 0.01). Of the respondents, 77% had undergone pediatric colorectal surgery training through conferences/workshops, observerships, and/or fellowships. Of those who consistently monitored ARM patients, 51% did so for over a year with 23% utilizing digital technologies and 70% having access to anesthesia for anorectal exams. Collaboration with urologists and/or gynecologists was more prevalent in HICs noted by 59% (vs. 37% in LMICs). In HICs, a notably higher prevalence rate was reported for transition program integration (37% vs. 15%; p < 0.01) and quality of life tracking (19% vs. 9%; p=0.02).
Conclusions:
Postoperative care strategies for ARM patients display significant global differences. While the majority prioritize pediatric colorectal surgery training, the approach to postoperative management differs markedly. The findings underscore the necessity for standardized global guidelines to optimize patient outcomes.
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Diverse Global Strategies for Postoperative Management and Follow-Up in Patients with Anorectal Malformations
Background:
Anorectal malformations (ARMs) result in constipation and/or soiling post-primary reconstruction in up to 79% of cases. Postoperative management protocols vary across institutions with the universal goal of achieving stool cleanliness.
Objectives/Goal:
To delineate these variations in postoperative strategies on a global scale.
Methods/Design:
A survey on postoperative management of ARM patients was distributed to the International Pediatric Endosurgery Group (IPEG) members. Participants were categorized based on their practice location: high (HICs) and low- or middle-income (LMICs) countries.
Results:
The survey generated responses from 233 participants across 75 countries: 36% (n=83) from HICs and 64% (n=150) from LMICs (Table 1). LMICs reported a markedly higher annual volume of ARM patients versus HICs (median of 8 vs. 15; p < 0.01). Of the respondents, 77% had undergone pediatric colorectal surgery training through conferences/workshops, observerships, and/or fellowships. Of those who consistently monitored ARM patients, 51% did so for over a year with 23% utilizing digital technologies and 70% having access to anesthesia for anorectal exams. Collaboration with urologists and/or gynecologists was more prevalent in HICs noted by 59% (vs. 37% in LMICs). In HICs, a notably higher prevalence rate was reported for transition program integration (37% vs. 15%; p < 0.01) and quality of life tracking (19% vs. 9%; p=0.02).
Conclusions:
Postoperative care strategies for ARM patients display significant global differences. While the majority prioritize pediatric colorectal surgery training, the approach to postoperative management differs markedly. The findings underscore the necessity for standardized global guidelines to optimize patient outcomes.
