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Defining treatment success in children with surgical conditions

Oliver Rivero-Arias1,2, John Buckell2, Marian Knight3

  • 1Nuffield Department of Population Health, National Perinatal Epidemiology Unit (NPEU), University of Oxford, Oxford, UK oliver.rivero@npeu.ox.ac.uk.

Archives of Disease in Childhood
|December 22, 2023
PubMed

Insights

A new Children's Surgery Outcome Reporting Treatment Success Score (CSOR TSS) was developed to measure successful treatment for children with surgical conditions. Quality of life and survival duration are key factors, allowing for hospital outcome comparisons.

Area of Science:

  • Pediatric Surgery
  • Health Outcomes Research
  • Patient-Reported Outcomes

Background:

  • Assessing treatment success in pediatric surgery is complex.
  • Existing metrics may not fully capture patient and family priorities.
  • A standardized score is needed to evaluate surgical outcomes in children.

Purpose of the Study:

  • To develop a novel score for summarizing treatment success in children with any surgical condition.
  • To rigorously test the clinical validity of this new score.

Main Methods:

  • A discrete choice experiment (DCE) involving patients, caregivers, healthcare professionals, and the general population.
  • Secondary analysis of data from six UK-wide prospective cohort studies.
  • Utilized Normalized Importance Value of Attribute (NIVA) to weigh key outcome attributes.

Main Results:

  • Quality of life and duration of survival were identified as the most critical factors for treatment success.
  • Parents/carers and adults prioritized both equally, while healthcare professionals favored quality of life and the general population favored survival.
  • The developed Children's Surgery Outcome Reporting Treatment Success Score (CSOR TSS) demonstrated appropriate clinical variation in a cohort of infants.

Conclusions:

  • The CSOR TSS effectively summarizes treatment success for pediatric surgical patients.
  • This score can be utilized to compare observed versus expected outcomes across different hospitals.
  • The CSOR TSS provides a valuable tool for quality improvement in pediatric surgical care.
Abstract

Keywords:
health care economics and organizationshealth services researchpaediatrics

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