GuidelinePediatric surgery international2024
Improving outcomes for uncomplicated gastroschisis: clinical practice guidelines from the American Pediatric Surgical Association Outcomes and Evidence-based Practice Committee.
Guideline in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed.
- GAIN: a multicenter pilot protocol for early initiation of enteral feeds in neonates with simple gastroschisis.Pilot and feasibility studies · 2026Article
- Feeding Practices in Simple Gastroschisis: Insights into Practice Variation from a Multidisciplinary Survey.Journal of pediatrics. Clinical practice · 2026Article
- Maternal risk factors and closure techniques in gastroschisis: a 16-year retrospective review from a UK tertiary centre.Pediatric surgery international · 2025Article
- Feeding practices for infants with gastroschisis: A survey of neonatal intensive care units in Canada.Journal of neonatal-perinatal medicine · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe authors sought better outcomes for uncomplicated gastroschisis through development of clinical practice guidelines.
methodsThe authors and the American Pediatric Surgical Association Outcomes and Evidenced-based Practice Committee used an iterative process and chose two questions to develop clinical practice guidelines regarding (1) standardized nutrition protocols and (2) postnatal management strategies. An English language search of PubMed, MEDLINE, OVID, SCOPUS, and the Cochrane Library Database identified literature published between January 1, 1970, and December 31, 2019, with snowballing to 2022. The Appraisal of Guideline, Research and Evaluation reporting checklist was followed.
resultsThirty-three studies were included with a Level of Evidence that ranged from 2 to 5 and recommendation Grades B-D. Nine evaluated standardized nutrition protocols and 24 examined postnatal management strategies. The adherence to gastroschisis-specific nutrition protocols promotes intestinal feeding and reduces TPN administration. The implementation of a standardized postnatal clinical management protocol is often significantly associated with shorter hospital stays, less mechanical ventilation use, and fewer infections.
conclusionsThere is a lack of comparative studies to guide practice changes that improve uncomplicated gastroschisis outcomes. The implementation of gastroschisis-specific feeding and clinical care protocols is recommended. Feeding protocols often significantly reduce TPN administration, although the length of hospital stay may not consistently decrease.
Indexed as
Identifiers
39222260What OpenQuestion holds
Registered trials
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