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Editorial Opinion reach consensus of how best to measure the impact of treat- Make no mistake; this will be a formidable undertaking and ment with respect to fiscal end points, clinically relevant out- success will require a fundamental paradigm shift in how we comes, and quality-of-life measures that take into account both have historically collaborated across our clinical disciplines. the needs of patients as well as their caregivers. The sandbox is open and it’s time to play. ARTICLE INFORMATION 4. Srivastava R, Berry JG, Hall M, et al. Reflux JAMA Pediatr. doi:10.1001 related hospital admissions after fundoplication in /jamapediatrics.2013.334. Author Affiliation: Department of Surgery, children with neurological impairment: Children’s Hospital Boston, Harvard Medical School, 11. Goldin AB, Sawin R, Seidel KD, Flum DR. Do retrospective cohort study. BMJ. 2009;339:b4411. Boston, Massachusetts. antireflux operations decrease the rate of 5. Srivastava R, Downey EC, Feola P, et al. Quality of reflux-related hospitalizations in children? Corresponding Author: Shawn J. Rangel, MD, life of children with neurological impairment who Pediatrics. 2006;118(6):2326-2333. MSCE, Department of Surgery, Children’s Hospital receive a fundoplication for gastroesophageal Boston, Harvard Medical School, 300 Longwood 12. Kawahara H, Okuyama H, Nose K, et al. reflux disease. JHospMed. 2007;2(3):165-173. Ave, Fegan
JAMA Pediatrics – American Medical Association
Published: Oct 1, 2013
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