Pediatric interventional radiology - does it add value?
Children
Diagnostic value
Interventional radiology
Review
Therapeutic value
Journal
Pediatric radiology
ISSN: 1432-1998
Titre abrégé: Pediatr Radiol
Pays: Germany
ID NLM: 0365332
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
06
11
2020
accepted:
14
12
2020
revised:
06
11
2020
entrez:
20
3
2021
pubmed:
21
3
2021
medline:
16
10
2021
Statut:
ppublish
Résumé
Although attempts have been made to show that pediatric interventional radiology adds value in children's hospitals, none has been particularly persuasive. An analysis of individual procedures would seem to be the most scientific approach, but there are numerous problems, including the effects that different health care systems have on clinical practice and the difficulty of generalizing the results of a single-center study to other hospitals, even within the same type of health care system. It is unsurprising that there are no published randomized controlled trials comparing both the costs and outcomes of specific pediatric interventional radiology procedures with surgical alternatives, and in fact these may not be feasible. There is only anecdotal evidence of the value of pediatric interventional radiology in multidisciplinary teams in children's hospitals. Currently, the best justification may be the counterfactual: demonstrating what can go wrong if pediatric interventional radiology expertise is not available.
Identifiants
pubmed: 33743040
doi: 10.1007/s00247-020-04935-3
pii: 10.1007/s00247-020-04935-3
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
570-573Références
Margulis AR (1967) Interventional diagnostic radiology — a new subspecialty. AJR Am J Roentgenol 99:763–765
Diament MJ, Boechat MI, Kangarloo H (1985) Interventional radiology in infants and children: clinical and technical aspects. Radiology 154:359–361
doi: 10.1148/radiology.154.2.3966124
Towbin RB, Ball WS Jr (1988) Pediatric interventional radiology. Radiol Clin N Am 26:419–440
pubmed: 3277233
Harned RK 2nd, Heran MKS, Patel M et al (2018) Challenges and opportunities for continued success and growth of pediatric interventional radiology: a communique from the Society for Pediatric Interventional Radiology. AJR Am J Roentgenol 211:740–743
doi: 10.2214/AJR.18.19936
Roudsari B, McWilliams J, Bresnahan B, Padia SA (2016) Introduction to cost analysis in IR: challenges and opportunities. J Vasc Interv Radiol 27:539–545
Doherty MG (2019) Value of interventional radiology: past, present, and future. Semin Intervent Radiol 36:26–28
doi: 10.1055/s-0039-1679951
Charalel RA, McGinty G, Brant-Zawadzki M et al (2015) Interventional radiology delivers high-value health care and is an imaging 3.0 vanguard. J Am Coll Radiol 12:501–506
doi: 10.1016/j.jacr.2014.10.024
Hancock-Howard R, Connolly BL, McMahon M et al (2010) Cost-effectiveness analysis of implantable venous access device insertion using interventional radiologic versus conventional operating room methods in pediatric patients with cancer. J Vasc Interv Radiol 21:677–684
doi: 10.1016/j.jvir.2010.01.014
Nah SA, Narayanaswamy B, Eaton S et al (2010) Gastrostomy insertion in children: percutaneous endoscopic or percutaneous image-guided? J Pediatr Surg 45:1153–1158
doi: 10.1016/j.jpedsurg.2010.02.081
Singh RR, Nah SA, Roebuck DJ et al (2017) Double-blind randomized clinical trial of percutaneous endoscopic gastrostomy versus radiologically inserted gastrostomy in children. Br J Surg 104:1620–1627
doi: 10.1002/bjs.10687
Gupta A, Campion-Smith J, Hayes W et al (2016) Positive trends in paediatric renal biopsy service provision in the UK: a national survey and re-audit of paediatric renal biopsy practice. Pediatr Nephrol 31:613–621
doi: 10.1007/s00467-015-3247-7
McBride CA, Patel B (2017) Less is more: recent evolutions in paediatric surgery. Curr Pediatr Rep 5:58–63
doi: 10.1007/s40124-017-0127-6
Corrigan JJ, Feig SA, American Academy of Pediatrics (2004) Guidelines for pediatric cancer centers. Pediatrics 113:1833–1835
doi: 10.1542/peds.113.6.1833
Othman MY, Blair S, Nah SA et al (2020) Pediatric solid tumor care and multidisciplinary tumor boards in low- and middle-income countries in Southeast Asia. JCO Glob Oncol 6:1328–1345
Kocyildirim E, Kanani M, Roebuck D et al (2004) Long-segment tracheal stenosis: slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs. J Thorac Cardiovasc Surg 128:876–882
doi: 10.1016/j.jtcvs.2004.07.008