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您的检索式：作者名="Victoria Larocca"
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| 1 | Development and evaluation of a patient decision aid for pediatric interval appendectomy显示文摘Objective One option for the treatment of perforated appendicitis in pediatric patients is interval appendectomy(IA).A patient decision aid(PDA)can be useful in the decision-making process regarding IA.The purpose of this study was to evaluate parents’decisional conflict before and after engaging with a developed PDA.Methods Participants included(a)parents who are considering IA surgery for their child,(b)have not yet had their follow-up appointment postdischarge,and(c)were fluent in either the official languages of English or French.This study used a pretest and post-test design to measure participants’decisional conflict and treatment option choice.Perceptions and acceptability of the PDA were also assessed.Results A total of 18 participants completed the study(16 mothers).Major findings include significant decreases in all Decisional Conflict Scale items from pre-PDA to post-PDA engagement,except for one item.The majority of participants perceived the PDA to be useful,easy to find information regarding risks and provided enough information to help them make a decision regarding their child’s treatment.Conclusions This is the first study to develop and evaluate a PDA among parents who are making a decision regarding IA surgery.The results showed a significant decrease in decisional conflict after using the PDA.The results also showed that the PDA was generally accepted among parents and had positive perceptions regarding length,content,and balance.The use of PDA for this population can help ease feelings of decisional conflict and equip parents with the information to make informed decisions. | Victoria Larocca Irina Oltean Viviane Grandpierre Ahmed Nasr | 2022 | World Journal of Pediatric Surgery2022，5，4： | 1 |
| 2 | Quality of life outcomes in children after surgery for Hirschsprung disease and anorectal malformations:a systematic review and meta-analysis显示文摘Background No systematic review and meta-analysis to date has examined multiple child and parent-reported social and physical quality of life(QoL)in pediatric populations affected by Hirschsprung’s disease(HD)and anorectal malformations(ARM).The objective of this systematic review is to quantitatively summarize the parent-reported and child-reported psychosocial and physical functioning scores of such children.Methods Records were sourced from the CENTRAL,EMBASE,and MEDLINE databases.Studies that reported child and parent reported QoL in children with HD and ARM,regardless of surgery intervention,versus children without HD and ARM,were included.The primary outcome was the psychosocial functioning scores,and the secondary outcomes were the presence of postoperative constipation,postoperative obstruction symptoms,fecal incontinence,and enterocolitis.A random effects meta-analysis was used.Results Twenty-three studies were included in the systematic review,with 11 studies included in the meta-analysis.Totally,1678 total pediatric patients with HD and ARM underwent surgery vs 392 healthy controls.Pooled parent-reported standardized mean(SM)scores showed better social functioning after surgery(SM 91.79,95%CI(80.3 to 103.3),I2=0).The pooled standardized mean difference(SMD)showed evidence for parent-reported incontinence but not for constipation in children with HD and ARM after surgery that had a lower mean QoL score compared with the normal population(SMD−1.24(-1.79 to–0.69),I2=76%and SMD−0.45,95%CI(−1.12 to 0.21),I2=75%).The pooled prevalence of child-reported constipation was 22%(95%CI(16%to 28%),I2=0%).The pooled prevalence of parent-reported postoperative obstruction symptoms was 61%(95%CI(41%to 81%),I2=41%).Conclusion The results demonstrate better social functioning after surgery,lower QoL scores for incontinence versus controls,and remaining constipation and postoperative obstruction symptoms after surgery in children with HD and ARM. | Irina Oltean Lamia Hayawi Victoria Larocca Vid Bijelić Emily Beveridge Manvinder Kaur Viviane Grandpierre Jane Kanyinda Ahmed Nasr | 2022 | World Journal of Pediatric Surgery2022，5，4： | 0 |
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