Parigi Gian Battista, Czauderna Piotr, Rolle Udo, Zachariou Zacharias
Department of Pediatric Surgery, Università degli Studi di Pavia Facoltà di Medicina e Chirurgia, Pavia, Italy.
Department of Surgery and Urology for Children and Adolescents, Gdanski Uniwersytet Medyczny, Gdansk, Poland.
Eur J Pediatr Surg. 2018 Jun;28(3):227-237. doi: 10.1055/s-0037-1600524. Epub 2017 Apr 4.
Detailed data on the distribution of pediatric surgical institutions in Europe are sparse. Therefore, the Section and Board of Pediatric Surgery of the Union of European Medical Specialists (UEMS) and the European Pediatric Surgeons' Association (EUPSA) jointly organized the first official census of the European centers of pediatric surgery (PS).
After obtaining a list of pediatric surgical centers in Europe, a specialized questionnaire was created and made available on the Internet. General, workload, staff, and ancillary data were collected for the centers.
Total 215 out of 431 centers answered. PS center density is 1 in every 177,000 children or 1 in every 1,142,000 inhabitants. Approximately 77% of the centers (167 out of 215) are training centers in PS. Every center has an average inpatients procedures/year equal to 1,588, and 92.6 neonatal procedures/year. There are 3.9 surgeons/100,000 children, and 1,662 neonates for every surgeon. In average every EU surgeon performs 202 procedures/year, of which 11 procedures are on neonates. Trainees represent the 38% of the total workforce, and there are 2.3 trainees for every staff aged > 60 years.
The paper aims to offer a more grounded basis on which the future of PS in our Continent should be planned. Presented data will provide an invaluable help to all our colleagues, as well as national policy makers, to press for and to make better informed and well-grounded sound political choices in the field of PS.
欧洲儿科外科机构分布的详细数据稀少。因此，欧洲医学专家联盟（UEMS）儿科外科分会及委员会与欧洲儿科外科医生协会（EUPSA）联合组织了首次欧洲儿科外科（PS）中心官方普查。
获取欧洲儿科外科中心名单后，设计了一份专门问卷并发布在互联网上。收集了各中心的一般、工作量、人员及辅助数据。
431个中心中共有215个做出回应。PS中心密度为每177,000名儿童中有1个中心，或每1,142,000名居民中有1个中心。约77%的中心（215个中的167个）是PS培训中心。每个中心平均每年有1,588例住院患者手术，以及92.6例新生儿手术。每100,000名儿童中有3.9名外科医生，每名外科医生负责1,662名新生儿。平均每位欧盟外科医生每年进行202例手术，其中11例为新生儿手术。实习生占总劳动力的38%，每60岁以上工作人员中有2.3名实习生。
本文旨在为规划欧洲大陆PS的未来提供更坚实的基础。所呈现的数据将为我们所有的同事以及国家政策制定者提供宝贵的帮助，以便在PS领域推动并做出更明智、更有依据的合理政治选择。
