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Practice Patterns in Pediatric Cardiothoracic Presurgical Conferences: A Multicenter Survey Study.

Britney Reed1, Poonam Puranik2, Andrew Rodenbarger2

  • 1IU School of Medicine, Indianapolis IN, Indianapolis, USA. bklotzsc@iu.edu.

Pediatric Cardiology
|August 29, 2025
PubMed
Summary
This summary is machine-generated.

Pediatric cardiothoracic presurgical conferences are common and valued for collaboration, influencing patient management. However, varying satisfaction and infrequent quality improvement highlight areas for process enhancement.

Keywords:
Cardiac surgeryCongenital heart diseaseMultidisciplinary conferencePediatric cardiology

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Education

Background:

  • Pediatric cardiothoracic surgeries are complex and require multidisciplinary review.
  • Presurgical conferences are standard practice in US pediatric cardiology centers.

Purpose of the Study:

  • To evaluate the current practice patterns of presurgical multidisciplinary conferences in US pediatric cardiothoracic surgery.
  • To identify variations in conference logistics, fellow involvement, quality improvement (QI) integration, and satisfaction.

Main Methods:

  • A survey was distributed to directors at 124 US pediatric cardiology centers.
  • Data collected on conference frequency, duration, format, fellow roles, QI processes, and satisfaction.
  • Statistical analysis compared practices between high-volume and low-volume centers.

Main Results:

  • All 47 responding centers hold weekly presurgical conferences, predominantly hybrid.
  • Fellows present diverse clinical data, influencing patient management in most cases.
  • High-volume centers were more likely to hold multiple conferences but less likely to have a designated moderator.
  • While rated as important (median 10/10), satisfaction was more moderate (median 7/10).
  • Formal QI processes were infrequent (17%), with concerns about discussion length and efficiency.

Conclusions:

  • Pediatric cardiothoracic presurgical conferences are a collaborative and impactful component of patient care.
  • Opportunities exist for standardizing conference structure and enhancing efficiency.
  • Integrating formal quality improvement initiatives could further optimize these critical multidisciplinary meetings.