Smaller subspecialties, such as Pediatric Urology, can be late to develop best practices
due to limited clinical trials and patient numbers. At the heart of clinical research,
however, we still need patient outcomes. Earnest Codman pioneered this concept in
surgery [
[1]
]. While true clinical outcome measures were not assessed in this study (such as medical
anxiety from repeated exams or patient/parent comprehension of surgical goals), Cheng
and colleagues [
[2]
] present pioneering research showing that digital photography improves the perioperative
care of female congenital adrenal hyperplasia (CAH) patients by reducing opportunity
costs related to travel and the number of clinical exams, as well as providers performing
them. These are process measures, which are one of three types of meaningful outcomes
in quality improvement research (process, balancing, outcome measures). Further studies
should aim to demonstrate improvement in medical anxiety and perhaps educational endpoints
(for patients and trainees) between photographic and legacy examinations.- Cheng J.W.
- Cain M.P.
- Nicassio L.N.
- Amies Oelschlager A.-M.E.
- Fechner P.Y.
- McCauley E.
- et al.
Digital photography in the evaluation and management of female patients with congenital
adrenal hyperplasia: a standardized protocol for quality improvement.
J Pediatr Urol. April 2022; (S1477-5131(22)00145-0)
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The registry of bone sarcoma as an example of the end-result idea in hospital organization.Bull Am Coll Surg. 1924 Jan; 8: 34-38
- Digital photography in the evaluation and management of female patients with congenital adrenal hyperplasia: a standardized protocol for quality improvement.J Pediatr Urol. April 2022; (S1477-5131(22)00145-0)
- Radiological imaging transmission via smartphones by neurosurgery residents in the United States.World Neurosurg. 2021 Oct; 154: e437-e442
- Safe clinical photography: best practice guidelines for risk management and mitigation.Arch Plast Surg. 2021; 48: 295-304
Article info
Publication history
Published online: May 24, 2022
Accepted:
April 25,
2022
Received:
April 25,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Digital photography in the evaluation and management of female patients with congenital adrenal hyperplasia: A standardized protocol for quality improvementJournal of Pediatric UrologyVol. 18Issue 6
- PreviewDigital photography can be securely stored in the medical record and enhance documentation of physical exam findings and monitor wound healing. A standardized protocol that respects the dignity of the patient and maintains the fidelity of objective documentation is needed for patients with differences in sexual development (DSD) and congenital adrenal hyperplasia (CAH).
- Full-Text
- Preview
