Physiological Complexity of Pediatric Surgery Between Types of Hospitals

Health Services Clinical Trial

Official title:

Incidences of Non-physiologically Complex Surgical Procedures Performed in Children and Their Similarity of Distribution Between Pediatric Specialist Hospitals and Other Hospitals Performing Pediatric Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03144544
• Other study ID #: 1000053805
• Status: Completed
• Start date: May 2, 2016
• Est. completion date: June 15, 2017

Study information

• Verified date: May 2018
• Source: The Hospital for Sick Children
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

When considered from a provincial perspective, quantification of surgical procedures undertaken by different hospitals and healthcare networks is necessary for informing resource allocation and modelling of healthcare services. The investigators hypothesized that i) non-physiologically complex surgical procedures would account for most (>1/2) of pediatric surgical procedures performed at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, ii) surgical discharges for non-physiologically complex surgical procedures would account for most (>1/2) in-hospital bed nights among pediatric surgical admissions at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, and iii) the relative distributions of non-physiologically complex surgical procedures, but not physiologically complex procedures, would be at least moderately similar between pediatric specialist hospitals and the other hospitals performing pediatric surgery. To test these 3 hypotheses, the specific objectives of this study were to estimate i) the proportion (primary outcome) of non-physiologically complex pediatric surgical procedures, and ii) the similarity and diversity (secondary outcomes) of non-physiologically and physiologically complex surgical procedures between the pediatric specialist hospitals and the other hospitals performing pediatric surgery in Ontario, Canada.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 830830
• Est. completion date: June 15, 2017
• Est. primary completion date: October 27, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 17 Years

Eligibility

Inclusion Criteria:

• surgical procedures for individuals aged greater than 27 days and less than 18 years

Exclusion Criteria:

• newborns (0 to 27 days of age)

• records lacking a patient identifier or age

• non-surgical healthcare interventions

Related Conditions & MeSH terms

• Health Services

Intervention

Procedure:
• Pediatric surgical procedures
Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.

Locations

Country	Name	City	State
Canada	The Hospital for Sick Children	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
The Hospital for Sick Children

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incidence of non-physiologically complex surgery	The proportion of non-physiologically complex pediatric surgical procedures	April 1, 2007 to March 31, 2015
Secondary	Similarity	Similarity of different types of pediatric surgical procedures performed between hospitals was assessed using Yue and Clayton's index	April 1, 2007 to March 31, 2015
Secondary	Diversity	Effective number of common procedures	April 1, 2007 to March 31, 2015