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Speaking the Same Language in Multi-Center Research: Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) Updated Colorectal Definitions for 2022

      Pediatric colorectal disease definitions have evolved over the last several decades. Unifying language has been proposed, however, variability in descriptive terminology remains amongst individual experts in their description of anorectal malformation and Hirschsprung disease subtypes. (
      • Alexander Holschneider
      • et al.
      Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations.
      ,
      • Kawaguchi Akemi
      • et al.
      Management and outcomes for long-segment Hirschsprung disease: A systematic review from the APSA Outcomes and Evidence Based Practice Committee.
      ) The definitions of complications and treatment options surrounding the surgical management of these conditions are often debated. (
      • Alexander Holschneider
      • et al.
      Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations.
      ,
      • Kawaguchi Akemi
      • et al.
      Management and outcomes for long-segment Hirschsprung disease: A systematic review from the APSA Outcomes and Evidence Based Practice Committee.
      ) The difficulty in understanding best practice for these diagnoses is compounded by the rare nature of these conditions and low numbers of cases being treated by individual surgeons and centers. (
      • Lacher M.
      • Barthlen W.
      • Eckoldt F.
      • Fitze G.
      • Fuchs J.
      • Hosie S.
      • Kaiser M.
      • Meyer T.
      • Muensterer O.
      • Reinshagen k.
      • Rothe K.
      • Seitz G.
      • Stuhldreier G.
      • Troebs R.
      • Ure B.
      • von Schweintitz D.
      • Wessel L.
      • Wunsch L.
      • Rolle U.
      Operative Volume of Newborn Surgery in German University Hospitals: High Volume versus Low Volume Centers.
      ) There have been several global attempts at creating consensus. In 2005 a group of experts in pediatric colorectal care gathered at Krickenbeck Castle in Germany with the goal of developing standards for an international classification of anorectal malformations (
      • Alexander Holschneider
      • et al.
      Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations.
      ). Additionally, efforts have been made to define the subtypes of Hirschsprung disease (
      • Kawaguchi Akemi
      • et al.
      Management and outcomes for long-segment Hirschsprung disease: A systematic review from the APSA Outcomes and Evidence Based Practice Committee.
      ,
      • Veras L.V.
      • Arnold M.
      • Avansino J.R.
      • Bove K.
      • Cowles R.A.
      • Durham M.M.
      • et al.
      Guidelines for synoptic reporting of surgery and pathology in Hirschsprung disease.
      ). Despite this work, the language surrounding these diagnoses remains varied in practice.
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      References

        • Alexander Holschneider
        • et al.
        Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations.
        J Pediatr Surg. 2005 Oct; 40: 1521-1526https://doi.org/10.1016/j.jpedsurg.2005.08.002
        • Kawaguchi Akemi
        • et al.
        Management and outcomes for long-segment Hirschsprung disease: A systematic review from the APSA Outcomes and Evidence Based Practice Committee.
        J Pediatr Surg. 2021 Sep; 56: 1513-1523https://doi.org/10.1016/j.jpedsurg.2021.03.046
        • Lacher M.
        • Barthlen W.
        • Eckoldt F.
        • Fitze G.
        • Fuchs J.
        • Hosie S.
        • Kaiser M.
        • Meyer T.
        • Muensterer O.
        • Reinshagen k.
        • Rothe K.
        • Seitz G.
        • Stuhldreier G.
        • Troebs R.
        • Ure B.
        • von Schweintitz D.
        • Wessel L.
        • Wunsch L.
        • Rolle U.
        Operative Volume of Newborn Surgery in German University Hospitals: High Volume versus Low Volume Centers.
        Eur J Pediatr Surg. 2022 Oct; 32 (Epub 2022 Jan 13): 391-398https://doi.org/10.1055/s-0041-1740479
        • Veras L.V.
        • Arnold M.
        • Avansino J.R.
        • Bove K.
        • Cowles R.A.
        • Durham M.M.
        • et al.
        Guidelines for synoptic reporting of surgery and pathology in Hirschsprung disease.
        J Pediatr Surg. 2019; : 1-7https://doi.org/10.1016/j.jpedsurg.2019.03.010
        • Halleran Devin R.
        • Ahmad Hira
        • Bates D Gregory
        • Vilanova-Sanchez Alejandra
        • Wood Richard J.
        • Levitt Marc A.
        A call to ARMs: Accurate identification of the anatomy of the rectourethral fistula in anorectal malformations.
        J Pediatr Surg. 2019 Aug; 54 (Epub 2019 Apr 26): 1708-1710https://doi.org/10.1016/j.jpedsurg.2019.04.010
        • Ahmad H.
        • Skeritt C.
        • Wood R.J.
        • et al.
        Are routine post-operative dilations necessary after primary posterior sagittal anorectoplasty? A randomized controlled trial.
        J Pediatr Surg. 2021 Aug; 56 (Epub 2021 Apr 30): 1449-1453https://doi.org/10.1016/j.jpedsurg.2021.04.022