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Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results

Background: Stool color card (SCC) screenings for biliary atresia (BA) have shown to improve Kasai timing and outcome significantly. Both obligatory and non-obligatory screenings with passive distribution strategies have proven to be effective. Therefore, we have initiated a voluntary SCC program an...

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Autores principales: Madadi-Sanjani, Omid, Kuebler, Joachim F., Uecker, Marie, Pfister, Eva-Doreen, Baumann, Ulrich, Kunze-Hullmann, Berit, Blaser, Jochen, Buck, Thomas, Petersen, Claus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629020/
https://www.ncbi.nlm.nih.gov/pubmed/34842600
http://dx.doi.org/10.3390/ijns7040075
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author Madadi-Sanjani, Omid
Kuebler, Joachim F.
Uecker, Marie
Pfister, Eva-Doreen
Baumann, Ulrich
Kunze-Hullmann, Berit
Blaser, Jochen
Buck, Thomas
Petersen, Claus
author_facet Madadi-Sanjani, Omid
Kuebler, Joachim F.
Uecker, Marie
Pfister, Eva-Doreen
Baumann, Ulrich
Kunze-Hullmann, Berit
Blaser, Jochen
Buck, Thomas
Petersen, Claus
author_sort Madadi-Sanjani, Omid
collection PubMed
description Background: Stool color card (SCC) screenings for biliary atresia (BA) have shown to improve Kasai timing and outcome significantly. Both obligatory and non-obligatory screenings with passive distribution strategies have proven to be effective. Therefore, we have initiated a voluntary SCC program and aim to describe our experience. Methods: Since 2017 we supply all maternity wards in Lower-Saxony with SCC. Attending pediatricians and parents of BA infants were contacted via questionnaires and asked for their evaluation of the SCC screening. Results: 85.2% of attending pediatricians support the SCC screening, but only 78.1% considered the initiative useful. In their clinical routine, only 67% of visiting parents report to have received an SCC at the maternity hospital. In the group of parents of BA infants, only 54% (7/13) had received an SCC. Out of those seven parents, only one had referred their child to a children’s hospital based on pathological SCC results. The lack of SCC education in the maternity hospitals was made responsible by parents. Within three years, only one infant with BA was identified through the SCC. Conclusions: Our voluntary SCC screening shows serious limitations with inacceptable distribution of SCCs and low acceptance of attending pediatricians. SCC programs in decentralized health care systems without educational campaigns, standardized diagnostic and treatment algorithms and the definition of reference centers are additional burdens for local health care providers without the promised benefit.
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spelling pubmed-86290202021-11-30 Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results Madadi-Sanjani, Omid Kuebler, Joachim F. Uecker, Marie Pfister, Eva-Doreen Baumann, Ulrich Kunze-Hullmann, Berit Blaser, Jochen Buck, Thomas Petersen, Claus Int J Neonatal Screen Article Background: Stool color card (SCC) screenings for biliary atresia (BA) have shown to improve Kasai timing and outcome significantly. Both obligatory and non-obligatory screenings with passive distribution strategies have proven to be effective. Therefore, we have initiated a voluntary SCC program and aim to describe our experience. Methods: Since 2017 we supply all maternity wards in Lower-Saxony with SCC. Attending pediatricians and parents of BA infants were contacted via questionnaires and asked for their evaluation of the SCC screening. Results: 85.2% of attending pediatricians support the SCC screening, but only 78.1% considered the initiative useful. In their clinical routine, only 67% of visiting parents report to have received an SCC at the maternity hospital. In the group of parents of BA infants, only 54% (7/13) had received an SCC. Out of those seven parents, only one had referred their child to a children’s hospital based on pathological SCC results. The lack of SCC education in the maternity hospitals was made responsible by parents. Within three years, only one infant with BA was identified through the SCC. Conclusions: Our voluntary SCC screening shows serious limitations with inacceptable distribution of SCCs and low acceptance of attending pediatricians. SCC programs in decentralized health care systems without educational campaigns, standardized diagnostic and treatment algorithms and the definition of reference centers are additional burdens for local health care providers without the promised benefit. MDPI 2021-11-04 /pmc/articles/PMC8629020/ /pubmed/34842600 http://dx.doi.org/10.3390/ijns7040075 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Madadi-Sanjani, Omid
Kuebler, Joachim F.
Uecker, Marie
Pfister, Eva-Doreen
Baumann, Ulrich
Kunze-Hullmann, Berit
Blaser, Jochen
Buck, Thomas
Petersen, Claus
Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title_full Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title_fullStr Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title_full_unstemmed Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title_short Province-Wide Stool Color Card Screening for Biliary Atresia in Lower-Saxony: Experiences with Passive Distribution Strategies and Results
title_sort province-wide stool color card screening for biliary atresia in lower-saxony: experiences with passive distribution strategies and results
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629020/
https://www.ncbi.nlm.nih.gov/pubmed/34842600
http://dx.doi.org/10.3390/ijns7040075
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