Department of Medical Imaging, Perth Children's Hospital, Locked Bag 2010, Nedlands, 6009, Australia.
Division of Paediatrics, Medical School, University of Western Australia, Crawley, Australia.
Pediatr Radiol. 2021 Apr;51(4):570-573. doi: 10.1007/s00247-020-04935-3. Epub 2021 Mar 20.
Although attempts have been made to show that pediatric interventional radiology adds value in children's hospitals, none has been particularly persuasive. An analysis of individual procedures would seem to be the most scientific approach, but there are numerous problems, including the effects that different health care systems have on clinical practice and the difficulty of generalizing the results of a single-center study to other hospitals, even within the same type of health care system. It is unsurprising that there are no published randomized controlled trials comparing both the costs and outcomes of specific pediatric interventional radiology procedures with surgical alternatives, and in fact these may not be feasible. There is only anecdotal evidence of the value of pediatric interventional radiology in multidisciplinary teams in children's hospitals. Currently, the best justification may be the counterfactual: demonstrating what can go wrong if pediatric interventional radiology expertise is not available.
尽管有人试图证明儿科介入放射学在儿童医院中具有价值，但都没有特别有说服力。对个别手术的分析似乎是最科学的方法，但存在许多问题，包括不同的医疗保健系统对临床实践的影响，以及将单个中心研究的结果推广到其他医院的困难，即使在同一类型的医疗保健系统内也是如此。因此，没有发表的随机对照试验比较特定的儿科介入放射学手术与手术替代方法的成本和结果，这并不奇怪，实际上这可能是不可行的。只有一些关于儿科介入放射学在儿童医院多学科团队中的价值的传闻证据。目前，最好的理由可能是反事实：如果没有儿科介入放射学专业知识，就会出现什么问题。
