Evidence map›Paper›PMID 31201486›Full record

ReviewPediatric surgery international2019

Guidelines for the management of postoperative soiling in children with Hirschsprung disease.

P Saadai, A F Trappey, A M Goldstein, R A Cowles, L De La Torre, M M Durham, E Y Huang, M A Levitt, K Rialon, M Rollins and 3 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Moving toward the Development and Effective Implementation of High-Quality Guidelines in Pediatric Surgery: A Review of the Literature.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
  14. Hirschsprung disease: common and uncommon variants.World journal of pediatric surgery · 2024
    Review
  15. Article
  16. Pullthrough pitfalls in treating Hirschsprung disease.World journal of pediatric surgery · 2024
    Article
  17. Controversies in Hirschsprung surgery.World journal of pediatric surgery · 2024
    Review
  18. Review
  19. Hirschsprung disease.Nature reviews. Disease primers · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 2 countries.

P SaadaiDivision of Pediatric Surgery, Department of Surgery, University of California, Davis, CA, USA. psaadai@ucdavis.edu.ORCID http://orcid.org/0000-0003-0767-6890
A F TrappeyDivision of Pediatric Surgery, Department of Surgery, University of California, Davis, CA, USA.
A M GoldsteinDepartment of Pediatric Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
R A CowlesSection of Pediatric Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
L De La TorreColorectal Center for Children At Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
M M DurhamDivision of Pediatric Surgery, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA.
E Y HuangDepartment of Surgery and Pediatrics, The University of Tennessee Health Science Center, Memphis, TN, USA.
M A LevittCenter for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH, USA.
K RialonDivision of General and Thoracic Surgery, Department of Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.
M RollinsPrimary Children's Hospital, University of Utah School of Medicine, Salt Lake City, UT, USA.
D H RothsteinDepartment of Pediatric Surgery, Women and Children's Hospital of Buffalo, Buffalo, NY, USA.
J C LangerDivision of General and Thoracic Surgery, Department of Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.
American Pediatric Surgical Association Hirschsprung Disease Interest Group
University of Toronto · CACenter for Children · USEmory University · USHarvard University · USNationwide Children's Hospital · USPrimary Children's Hospital · USShriners Hospitals for Children - Northern California · USUniversity of California System · USUniversity of Tennessee Health Science Center · USWomen & Children's Hospital of Buffalo · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although most children with Hirschsprung disease ultimately achieve functional and comfortable stooling, some will experience a variety of problems after pull-through surgery. The most common problems include soiling, obstructive symptoms, enterocolitis, and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative soiling in children with Hirschsprung disease. The American Pediatric Surgical Association Hirschsprung Disease Interest Group engaged in a literature review and group discussions. Expert consensus was then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with soiling symptoms following pull-through for Hirschsprung disease. Causes of soiling after pull-through are broadly categorized as abnormalities in sensation, abnormalities in sphincter control, and "pseudo-incontinence." A stepwise algorithm for the diagnosis and management of soiling after a pull-through for Hirschsprung disease is presented; it is our hope that this rational approach will facilitate treatment and optimize outcomes.

Indexed as

AlgorithmsPractice Guidelines as TopicChildDigestive System Surgical ProceduresFecal IncontinenceHirschsprung DiseaseHumansPostoperative ComplicationsPostoperative PeriodTreatment OutcomeBowel managementHirschsprung diseaseIncontinencePseudo-incontinencePull-throughSoiling

Identifiers

PMID31201486
OpenAlexW2950791661

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.