Evidence map›Paper›PMID 40553209›Full record

Observational studyPediatric surgery international2025

Integrating psychological support in the care of children and adolescents with anorectal malformation or Hirschsprung disease: a ten-year experience.

Francesca Bevilacqua, Chiara Iacusso, Lucia Aite, Laura Valfrè, Mariamichela D'Astore, Andrea Dotta, Stefano Vicari, Annabella Braguglia, Deny Menghini, Andrea Conforti and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Francesca BevilacquaChild and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy. francesca.bevilacqua@opbg.net.
Chiara IacussoNeonatal and Pediatric Surgery Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Lucia AiteChild and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Laura ValfrèSurgery and Rehabilitation for Intestinal Failure Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Mariamichela D'AstoreMedical and Neonatal Sub-Intensive Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Andrea DottaNeonatal Intensive Care Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Stefano VicariChild and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Annabella BragugliaMedical and Neonatal Sub-Intensive Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Deny MenghiniChild and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Andrea ConfortiNeonatal and Pediatric Surgery Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Fabio FusaroSurgery and Rehabilitation for Intestinal Failure Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.
Barbara D IacobelliNeonatal and Pediatric Surgery Unit, Bambino Gesù Children's Hospital IRCCS, Piazza Sant'Onofrio 4, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnorectal malformations (ARM) and Hirschsprung disease (HD) pose challenges not only in diagnosis and treatment but also in the psychological well-being of patients and their families. This study aims to report our single-center experience with psychological follow-up in these populations.

methodsWe conducted an observational, retrospective study by reviewing the clinical records of patients enrolled in our dedicated follow-up program who were born between 2009 and 2018. Neurodevelopmental assessments were performed during the first year of life, and psychological evaluations were conducted during childhood (ages 6-10) and adolescence (ages 13-18).

resultsThe study included 167 patients (101 with ARM, 66 with HD). A total of 120 patients underwent neurodevelopmental assessment at a median age of 11 months, yielding the following results (mean ± SD): cognitive: 105.4 ± 10.8; motor: 96.3 ± 9.5; language: 97.3 ± 9.2. Psychological follow-up was conducted in 139 children and 26 adolescents, with 35.3% of children and 38.5% of adolescents exhibiting psychopathological symptoms primarily of anxiety, depression, and attention deficit/hyperactivity disorder.

conclusionsAlthough early neurodevelopmental outcomes are generally within typical limits, a significant proportion of children and adolescents with ARM and HD demonstrate psychological vulnerabilities. These findings underscore the importance of early identification and continued psychological support throughout development.

Indexed as

Anorectal MalformationsHirschsprung DiseaseAdolescentChildFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesCongenital colorectal malformationNeurodevelopmental assessmentPsychological evaluation

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Registered trials

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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.