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.
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Doumouras AG, Akhtar-Danesh G, Hong D. Optimization of Pediatric Surgical Care Is Not the Same as Regionalization—Reply. JAMA Surg. 2018;153(10):971–972. doi:10.1001/jamasurg.2018.2117
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