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Bringing Clarity to Complex Pediatric Perioperative Care: Development of a Novel Pathway to Support Goal-Directed,

Tiffany Lin1, Neveada Raventhiranathan2, Myra Ahmad3

  • 1Stony Brook University Renaissance School of Medicine, Stony Brook, NY 11794, USA.

Cancers
|May 14, 2025
PubMed

Insights

Pediatric perioperative care for complex cases needs better alignment of surgical outcomes with patient goals. A new process using palliative care and multidisciplinary planning ensures patient-centered, goal-directed care for children with complex conditions.

Area of Science:

  • Pediatric surgery
  • Palliative care
  • Healthcare process improvement

Background:

  • Pediatric perioperative care has advanced, enabling complex surgeries for children with serious illnesses.
  • Increased surgical complexity can lead to a mismatch between potential outcomes and patient/family goals of care.
  • This misalignment poses challenges in delivering truly patient-centered care.

Purpose of the Study:

  • To develop and describe a novel process for pediatric perioperative care.
  • To ensure perioperative care is patient-centered and goal-directed for all children.
  • To specifically address the needs of children with complex baseline diseases.

Main Methods:

  • Longitudinal engagement of pediatric palliative care consultants.
  • Multidisciplinary care planning sessions.
  • Integration of palliative care expertise into surgical planning and execution.

Main Results:

  • Development of a structured, integrated care process.
  • Improved alignment between surgical interventions and patient/family goals.
  • Enhanced patient-centeredness in perioperative decision-making for complex pediatric cases.

Conclusions:

  • The novel process effectively addresses a critical gap in pediatric perioperative care.
  • This approach enhances care coordination and goal alignment for vulnerable pediatric surgical patients.
  • Implementation of this process is recommended for improving care quality.
Abstract

Keywords:
pediatric oncologypediatric palliative carepediatric surgerypediatrics

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