Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele

R. M. Antiel, C. A. Collura, A. W. Flake, M. P. Johnson, N. E. Rintoul, J. D. Lantos, F. A. Curlin, Jon C Tilburt, S. D. Brown, C. Feudtner

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Objective:Examine how pediatric and obstetrical subspecialists view benefits and burdens of prenatal myelomeningocele (MMC) closure.Study design:Mail survey of 1200 neonatologists, pediatric surgeons and maternal-fetal medicine specialists (MFMs).Results:Of 1176 eligible physicians, 670 (57%) responded. Most respondents disagreed (68%, 11% strongly) that open fetal surgery places an unacceptable burden on women and their families. Most agreed (65%, 10% strongly) that denying the benefits of open maternal-fetal surgery is unfair to the future child. Most (94%) would recommend prenatal fetoscopic over open or postnatal MMC closure for a hypothetical fetoscopic technique that had similar shunt rates (40%) but decreased maternal morbidity. When the hypothetical shunt rate for fetoscopy was increased to 60%, physicians were split (49% fetoscopy versus 45% open). Views about burdens and fairness correlated with the likelihood of recommending postnatal or fetoscopic over open closure.Conclusion:Individual and specialty-specific values may influence recommendations about prenatal surgery.

Original languageEnglish (US)
Pages (from-to)994-998
Number of pages5
JournalJournal of Perinatology
Volume37
Issue number9
DOIs
StatePublished - Sep 1 2017

Fingerprint

Meningomyelocele
Fetoscopy
Mothers
Physicians
Pediatrics
Postal Service
Medicine
Morbidity
Surveys and Questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Antiel, R. M., Collura, C. A., Flake, A. W., Johnson, M. P., Rintoul, N. E., Lantos, J. D., ... Feudtner, C. (2017). Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. Journal of Perinatology, 37(9), 994-998. https://doi.org/10.1038/jp.2017.75

Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. / Antiel, R. M.; Collura, C. A.; Flake, A. W.; Johnson, M. P.; Rintoul, N. E.; Lantos, J. D.; Curlin, F. A.; Tilburt, Jon C; Brown, S. D.; Feudtner, C.

In: Journal of Perinatology, Vol. 37, No. 9, 01.09.2017, p. 994-998.

Research output: Contribution to journalReview article

Antiel, RM, Collura, CA, Flake, AW, Johnson, MP, Rintoul, NE, Lantos, JD, Curlin, FA, Tilburt, JC, Brown, SD & Feudtner, C 2017, 'Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele', Journal of Perinatology, vol. 37, no. 9, pp. 994-998. https://doi.org/10.1038/jp.2017.75
Antiel RM, Collura CA, Flake AW, Johnson MP, Rintoul NE, Lantos JD et al. Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. Journal of Perinatology. 2017 Sep 1;37(9):994-998. https://doi.org/10.1038/jp.2017.75
Antiel, R. M. ; Collura, C. A. ; Flake, A. W. ; Johnson, M. P. ; Rintoul, N. E. ; Lantos, J. D. ; Curlin, F. A. ; Tilburt, Jon C ; Brown, S. D. ; Feudtner, C. / Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. In: Journal of Perinatology. 2017 ; Vol. 37, No. 9. pp. 994-998.
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