Development of a multidisciplinary colorectal and pelvic health program: Program implementation and clinical impact

Area of Science:

• Pediatric Surgery
• Colorectal Surgery
• Pediatric Urology
• Gastroenterology

Background:

• Coordinated multidisciplinary care is essential for pediatric patients with complex colorectal and genitourinary conditions.
• Structuring and delivering this integrated care presents significant challenges.
• This study evaluates the initial year of a newly implemented multidisciplinary program.

Purpose of the Study:

• To review the development and implementation of a multidisciplinary colorectal and pelvic health program.
• To assess the program's impact on patient care and institutional growth one year post-initiation.

Main Methods:

• Observational retrospective 1-year study (FY 2018).
• Program development included bimonthly team meetings and educational conferences.
• Initiated specialized clinics: complex reconstruction, bowel management, and colonic motility.

Main Results:

• A 3.4-fold increase in collaborative visits (512 vs. 171) compared to the previous year.
• Significant increase in new patient evaluations (47% vs. 19%), with greater travel distances indicating regional reach.
• 121 patients received comprehensive collaborative evaluation during the study period.

Conclusions:

• Development of a colorectal and pelvic health program is feasible through a collaborative, multidisciplinary approach.
• Such programs can lead to rapid institutional clinical growth.
• The program effectively addresses unmet local and regional needs for coordinated care.