Rates of Anti-Reflux Procedures Not Consistent Among Pediatric Hospitals

Published Online: Monday, June 9, 2014
Follow Pharmacy_Times:
A recent study found that rates of anti-reflux procedures vary greatly among pediatric hospitals and that there are no standardized guidelines for referrals for such procedures. 

While few children develop gastroesophageal reflux disease (GERD) that is severe enough to warrant surgery, those who aspirate, fail to respond to medical management, or have issues with medication dependence, tolerance, or adherence are generally good candidates for a procedure.

Although the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) recommends operative therapy for children with GERD who have intractable symptoms, as well as those at risk for life-threatening complications, pediatric hospitals report widely varying rates of anti-reflux procedures (ARP). Most quality-measuring organizations believe this inconsistency among institutions represents an opportunity to improve care and save money.

In a study published in the May 2014 issue of Surgery, researchers at the Indiana University School of Medicine and the Regenstrief Institute in Indianapolis revealed the lack of standardized referral guidelines for pediatric subspecialists is likely the cause of the variation in ARP rates across hospitals.

To read the rest of this article, click here.
Related Articles
While the FDA only recommends daily aspirin for patients who have experienced major cardiovascular events, about half of older adults in the United States take aspirin regularly.
Health-system pharmacists must not forget the importance of a strong working relationship with nurses.
Pharmacist-driven drug management programs best ensure atrial fibrillation patients adhere to the warfarin alternative, dabigatran (Pradaxa).
Gastroprotective agents may be needed in postmenopausal women taking bisphosphonates.
Latest Issues
  • photo
    Pharmacy Times
    photo
    Health-System Edition
    photo
    Directions in Pharmacy
    photo
    OTC Guide
    photo
    Generic Supplements
  • photo
    Pharmacy Careers
    photo
    Specialty Pharmacy Times
    photo
    Generic
$auto_registration$