Medical Professional Publications

Innovation and Discovery

(From the February 2018 Issue of MedStat)

Adolescents who Undergo Bariatric Surgery Show Decreased Risk for Cardiovascular Disease

Employing bariatric surgery on adolescents has been controversial among the public and health care professionals, but a new study shows that significant improvements in cardiovascular disease risk factors are evident three years after surgery. The greatest risk reduction is associated with weight loss and younger age at the time of surgery. Race and sex also appear to be factors. White females fared best in the study, published online in Pediatrics. Marc P. Michalsky, MD, surgical director of the Center for Healthy Weight and Nutrition at Nationwide Children’s is lead author of the multicenter study. The research suggests that surgery during adolescence may reduce the probability children will develop impaired glucose metabolism, atherosclerosis and other cardiovascular issues later in life.

Read more in this Pediatrics Nationwide article.

Researchers Publish First Consensus Guidelines for Evaluation of Pediatric Pancreatitis

Pediatric gastroenterologists have published the first consensus guidelines on causal evaluation of recurrent pancreatitis and chronic pancreatitis. Just five years ago, specialists considered them adult conditions but they are now regularly seen in children. Cheryl Gariepy, MD a member of the Division of Gastroenterology, Hepatology and Nutrition at Nationwide Children’s and director of its Pancreatic Center, led an international group of experts in pancreatitis that reached consensus on definitions, evaluation of etiology and long-term monitoring. The consensus guidelines are published in the Journal of Pediatric Gastroenterology and Nutrition.

Read more in this PediatricsOnline article.

Using Clinical Care Indexes to Measure and Improve Overall Program Performance

Clinical care indexes can help hospital departments to define and pursue optimal care for children across a spectrum of diseases by considering, among other things, all that should and shouldn’t happen during the course of treatment. By tracking undesirable patient events — preventable harm and failures to provide optimal care — three departments a Nationwide Children’s made significant improvement to clinical performance. Staff used the events to modify care delivery and measure performance changes. A study in, The Journal of Pediatrics, explains how the indexes work. Wallace Crandall, MD, medical director for Quality at Nationwide Children’s, is the lead author.

Read more in this Research Now article.

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