Center for Outcomes REsearch in Surgery Research Overview

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The Center for Outcomes REsearch in Surgery (CORES) seeks to improve patient-centered outcomes of children with surgical conditions by generating new knowledge and then applying that knowledge to clinical care. Some of our supported projects are:

Comprehensive Care for Patients and Families with a Gastrostomy tube (G-tube)

The goal of this project is to provide comprehensive G-tube support and education to families during the pre-, peri-, and post-operative stages following G-tube placement to reduce overall resource burden and ED utilization.

In September 2023, the G-Tube CATCH Program was successfully launched by Gary Nace, MD and his team with a goal to reduce unnecessary resource utilization and to provide educational tasks and content to empower families on how to care for their child’s G-tube. The G-Tube CATCH program is a digital resource that was built on the MyCHOP application. Patients are enrolled prior to their child’s G-tube surgery and will receive educational tasks, reminders, and surveys to be completed. Since launching the program, the team continues to monitor patient enrollment, patient outcomes, and task completions to track the overall success of the program.

Intussusception Pathway

The goal of this project is to improve coordination and collaboration between multiple services (ER, Radiology, and Surgery) to facilitate discharge from the emergency department following a successful radiologic ileocolic intussusception reduction.

Prior to July 2022, children treated with ileocolic intussusception at CHOP were admitted to the hospital. Myron Allukian, III, MD and his team partnered with both the Emergency and Radiology Departments to develop a new clinical pathway with a goal of reducing hospital admissions and improving patient-family experiences. The multidisciplinary team reviewed existing processes and historical data to build their pathway. Recurrence risk was examined and it was determine that children under the age of 5 with ileocolic intussusception could safely go home after a reduction.

Since the creation of the Emergency Department Clinical Pathway for Children with Suspected Ileocolic Intussusception, there has been a dramatic reduction in admission rates from 100% to 20% in July 2023. Since then, the risk of recurrence remains low at 6%. The team continues to monitor outcomes and look for additional opportunities for improvement.

IP Admit Rate

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Tonsillectomy and Tympanostomy Tubes

The goal of utilizing the Conversa app for these patients is to support patients and families by providing a proactive support system using digital technology providing postoperative education, answers to common postop questions, reduce care escalations requiring revisits to the ED or readmissions to the hospital and to reduce the overall call burden our nurses and providers receive daily.

Ureteroscopy

Urologists have developed a pathway to decrease Emergency Department visits and improve patient experiences after ureteroscopy to remove urinary stones. This program measures patient-prioritized outcomes and provides individualized pre- and postoperative support to patients.

Submit a CORES Intake Form to facilitate your research project needs.