Publications by authors named "L BERMAN"
Background: Gastrostomy tube (GT) placement is one of the most common procedures performed by pediatric surgeons; however, no current national clinical data registry exists to assess GT-specific care processes and morbidity. The American College of Surgeons (ACS) National Surgical Quality Improvement Program-Pediatric (NSQIPPed) GT Pilot was created to provide participants with these data. This study aims to analyze these data to identify variability in perioperative practices and post-operative morbidity in pediatric GT operations and to provide targets for future quality improvement (QI) interventions.
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- There is a significant risk of reinforcing existing health inequalities in AI health technologies due to biases, primarily stemming from the datasets used.
- The STANDING Together recommendations focus on transparency in health datasets and proactive evaluation of their impacts on different population groups, informed by a comprehensive research process with over 350 global contributors.
- The 29 recommendations are divided into guidance for documenting health datasets and strategies for using them, aiming to identify and reduce algorithmic biases while promoting awareness of the inherent limitations in all datasets.
Importance: Conclusions vary substantially among studies examining associations between area-based social determinants of health (SDOH) and pediatric health disparities based on the selected patient population and SDOH index. Most national studies use zip codes, which encompass a wide distribution of communities, limiting the generalizability of findings.
Objectives: To characterize the distributions of composite SDOH indices for pediatric surgical patients within a national sample of academic children's hospitals and to assess SDOH index precision in classifying patients at similar levels of disadvantage.
Article Synopsis
- The obesity epidemic has increased the need for metabolic and bariatric surgery (MBS) among adolescents, but there's limited data on the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols for improving outcomes.
- A comprehensive ERAS pathway was implemented for adolescents undergoing laparoscopic sleeve gastrectomy (LSG), focusing on pre-operative carbohydrate loading, pain management, and early mobilization; various outcome measures were tracked.
- Results showed that the post-ERAS group had significant improvements in time to oral intake, lower usage of rescue anti-emetics, and shorter hospital stays compared to the pre-ERAS group, while overall opioid use and post-operative pain levels remained unaffected.