National centralization of biliary atresia care to an assigned multidisciplinary team provides high-quality outcomes
National centralization of biliary atresia care to an assigned multidisciplinary team provides high-quality outcomes
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DOI：
10.3109/00365521.2011.627446
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发表时间：
2012-01-01
影响因子：
1.9
通讯作者：
Pakarinen, Mikko
中科院分区：
文献类型：
--
作者：
Lampela, Hanna;Ritvanen, Annukka;Pakarinen, Mikko
背景和目标。病例量和护理组织对胆道闭锁 (BA) 结局的影响仍不清楚。我们比较了人口为 540 万、每年有 60,000 名活产婴儿的芬兰全国集中 BA 治疗前后的结果。方法。 1987 年至 2010 年在芬兰出生并获得文学学士的所有儿童都包括在内。完整的患者身份是通过国家先天畸形登记册确定的。审查医院记录以确认诊断、治疗和随访数据。清除黄疸（血清胆红素
Background and aims. Effects of caseload and organization of care on outcomes of biliary atresia (BA) remain unclear. We compared outcomes before and after national centralization of BA treatment in Finland with a population of 5.4 million people and 60,000 live births/year. Methods. All children born in Finland from 1987 to 2010 with BA were included. Complete patient identification was ascertained from the national Register of Congenital Malformations. Hospital records were reviewed for confirmation of the diagnosis, treatment, and follow-up data. Clearance of jaundice (serum bilirubin