Pediatric surgeons' attitudes toward regionalization of neonatal surgical care

Stephanie K. Bezner, Ira H. Bernstein, Keith T. Oldham, Adam B. Goldin, Anne C. Fischer, Li Ern Chen

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Background/Purpose Research has suggested that high-risk pediatric surgical patients have better outcomes when treated in resource-rich children's environments. Surgical neonates are a particularly high-risk population and some suggest that regionalization might be a strategy to improve clinical outcomes in neonatal surgical patients. We conducted a national survey of pediatric surgeons in the United States to explore their attitudes toward regionalization of neonatal surgical care.

Methods Members of the American Pediatric Surgical Association were asked to participate in an anonymous online survey to assess both attitudes toward regionalization, as well as perceptions of the importance of various resources in providing optimal care for surgical neonates.

Results Overall, 56.2% of participants favored regionalization. Surgeons whose practice was part of a training program tended to favor regionalization more, as did those from larger group practices and those who practiced at free-standing children's hospital. In addition, surgeons from larger groups and those involved with training programs more strongly favored the premise that a higher level of resource commitment should be available to treat surgical neonates.

Conclusions The impact of any national strategy to improve neonatal surgical outcomes will be large and multi-faceted. While the majority of pediatric surgeons favor regionalization, our findings demonstrate variation in this view and highlight the necessity for surgeon involvement and education that will be critical in this effort.

Original languageEnglish (US)
Pages (from-to)1475-1479
Number of pages5
JournalJournal of Pediatric Surgery
Issue number10
StatePublished - Oct 1 2014


  • Neonatal surgery
  • Pediatric surgeons
  • Regionalization
  • Resources
  • Survey
  • words

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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