[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 52.200.130.163. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 80
Citations 0
Comment & Response
October 2018

Optimization of Pediatric Surgical Care Is Not the Same as Regionalization—Reply

Author Affiliations
  • 1Department of Surgery, McMaster University, Hamilton, Ontario, Canada
  • 2Division of General Surgery, St Joseph’s Healthcare, Hamilton, Ontario, Canada
JAMA Surg. 2018;153(10):971-972. doi:10.1001/jamasurg.2018.2117

In Reply We appreciate the thoughtful letter from Houck and Oldham referring to our article1 and the accompanying editorial by Kelley-Quon et al.2 Their letter succinctly and clearly summarizes the pertinent standards for the care of children as set forth by the American College of Surgeons Children Surgical Verification Quality Improvement Program. We entirely agree with them in pointing out that our findings are likely not generalizable to children younger than 10 years and that the patient-centered approach to pediatric surgical care endorsed by the American College of Surgeons Children Surgical Verification Quality Improvement Program is commendable.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×