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In search of "optimal care": where should congenital diaphragmatic hernia be managed?
Jessica C Pollack1, Tim Jancelewicz1, Yigit S Guner2
1Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.
Abstract:
Management of congenital diaphragmatic hernia (CDH) varies widely between institutions, and emerging data suggest that these center-specific practices influence patient outcomes. Given the resource-intensive nature of extracorporeal life support (ECLS) and its reliance on multidisciplinary expertise, regional and hospital level factors are likely critical in optimizing outcomes for this high-risk population. This review synthesizes the existing literature on institutional factors contributing to observed differences in outcomes across centers, explores the complexity of center-level variation in CDH management, and describes targeted research and quality improvement initiatives aimed at enhancing outcomes for neonates affected by this condition.
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