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Surgery May 2014 Special Issue

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Referring Physicians' Decision Making for Pediatric Anti-Reflux Procedures

A nurse help a mom with her newborn baby checking vital signs.

Decisions to refer children with GERD to surgery are most often based on physician preferences.

Pediatric patients who have severe gastroesophageal reflux disease (GERD) may be referred by a physician to have an anti-reflux procedure (ARP). Differences in clinicians’ perceptions of the risks and benefits of such a procedure, not disease prevalence, account for wide variations hospital ARP rates.