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 Vol. 10 No. 2, August 2003
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Right arrow Neurological Surgery

AAP Grand Rounds 10:17-18 (2003)
© 2003 American Academy of Pediatrics

NEUROSURGERY

Surgeon Experience and CSF Shunt Outcomes

Source: Cochrane DD, Kestle JRW. The influence of surgical Cochrane DD, Kestle JRW. The influence of surgical operative experience on the duration of first ventriculoperitoneal shunt function and infection. Pediatr Neurosurg. 2003;38:295–301.[Medline]

The first 20% of the full text of this article appears below.

In recent years there have been remarkable efforts to quantify the outcomes of frequently performed surgical procedures. These efforts have been driven by various professional, economic, and political forces, and they first addressed surgical enterprises that account for large health care expenditures, for instance, coronary artery surgery.1 Analytical eyes have now cast their gaze on the tiny field of pediatric neurosurgery and its most routine procedure, cerebrospinal fluid (CSF) shunt insertion.

The Canadian provincial health plans issue all subscribers —essentially the entire population of Canada —a unique health care number that allows tracking of all insured medical services by patient as well as by provider and facility. Data from inpatient services in most provinces find their way to a repository at the Canadian Institute for Health Information. The previous experiences of institutions . . . [Full Text of this Article]

Joseph H. Piatt, Jr., MD, FAAP
Neurological Surgery and Pediatrics, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PA

 



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J. H. Piatt Jr
Pediatric Brain Tumors: Provider Volume and Outcomes
AAP Grand Rounds, September 1, 2004; 12(3): 30 - 30.
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