{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T11:31:40Z","timestamp":1784633500833,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,2,1]],"date-time":"2007-02-01T00:00:00Z","timestamp":1170288000000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>BACKGROUND:<\/jats:p><jats:p>There are no published studies of hospitalist comanagement of pediatric surgical patients.<\/jats:p><jats:p>OBJECTIVES:<\/jats:p><jats:p>(1) To describe comanagement activities; (2) to determine the association of hospitalist comanagement with length of stay (LOS) following spinal fusion surgery<\/jats:p><jats:p>DESIGN:<\/jats:p><jats:p>Retrospective analysis of the surgeons' log.<\/jats:p><jats:p>SETTING:<\/jats:p><jats:p>Tertiary\u2010care pediatric hospital.<\/jats:p><jats:p>PATIENTS:<\/jats:p><jats:p>Patients who underwent initial spinal fusion surgery (n = 759) between July 2000 and October 2005.<\/jats:p><jats:p>INTERVENTION:<\/jats:p><jats:p>Hospitalist pre\u2010 and perioperative evaluation and management of medically complex patients (from December 2004 to October 2005).<\/jats:p><jats:p>MEASUREMENTS:<\/jats:p><jats:p>Log\u2010transformed LOS and trend in LOS by piecewise regression were measured, adjusting for patient covariates and clustering by surgeon.<\/jats:p><jats:p>RESULTS:<\/jats:p><jats:p>After December 2004, 12% of all spinal fusion surgery patients (14 of 115) were comanaged by a hospitalist. Nine\u2010three percent (13 of 14) of comanaged patients had neuromuscular scoliosis, and comanaged patients represented 37% (13 of 35) of all neuromuscular patients. Mean LOS for all spinal fusion surgeries decreased from 6.5 days (95% CI: 6.2\u20136.7) to 4.8 days (95% CI: 4.5\u20135.1) after December 2004. Mean LOS decreased more for neuromuscular patients (8.6 days [95% CI: 8.0\u2013 9.2] to 6.2 days [95% CI: 5.5\u20136.9]) than for idiopathic patients (5.2 days [95% CI: 5.0\u20135.4] to 4.1 days [95% CI: 3.9\u20134.4]). Variability in LOS also decreased significantly for both groups. Prior to hospitalist comanagement, there was no change in adjusted LOS over time. After December 2004, there was a significant decline in average adjusted LOS (neuromuscular slope = \u22120.23 to \u22120.31 days\/month, <jats:italic>P<\/jats:italic> = .0075; idiopathic slope = \u22120.10 to \u22120.12 days\/month; <jats:italic>P<\/jats:italic> = .0007).<\/jats:p><jats:p>CONCLUSIONS:<\/jats:p><jats:p>The introduction of selective hospitalist comanagement of pediatric spinal fusion surgery patients was associated with significant decreases in LOS and variability in LOS. Journal of Hospital Medicine 2007;2:23\u201330. \u00a9 2007 Society of Hospital Medicine.<\/jats:p>","DOI":"10.1002\/jhm.144","type":"journal-article","created":{"date-parts":[[2007,2,3]],"date-time":"2007-02-03T03:39:01Z","timestamp":1170473941000},"page":"23-30","source":"Crossref","is-referenced-by-count":60,"title":["Pediatric hospitalist comanagement of spinal fusion surgery patients"],"prefix":"10.1002","volume":"2","author":[{"given":"Tamara D.","family":"Simon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Eilert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Miriam","family":"Dickinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Kempe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Benefield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Berman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.3.478"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.4.720"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0077"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.3.707"},{"key":"e_1_2_6_6_2","unstructured":"ConwayPHandLandriganCL.Differences in work environment responsibilities and training need between community hospital and academic center hospitalists. E\u2010PAS2006:59:4128.3."},{"key":"e_1_2_6_7_2","unstructured":"BenefieldE EricksonM.Development and implementation of a spine fusion high risk pathway. 5th Annual Pre\u2010Brandon Carrell Pediatric Orthopaedic Symposium for Nursing and Allied Healthcare Professionals Texas Scottish Rite Hospital for Children Dallas Texas June 26 2003."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49108.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000206516.61706.6e"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-1-200407060-00012"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.7.796"},{"key":"e_1_2_6_12_2","first-page":"297","article-title":"Factors predicting post\u2010operative complications following spinal fusion in children with cerebral palsy","volume":"12","author":"Lipton GE","year":"1999","journal-title":"J Spinal Disord."},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200010000-00002"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhm.144","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T17:22:31Z","timestamp":1760635351000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,1]]}},"alternative-id":["10.1002\/jhm.144"],"URL":"https:\/\/doi.org\/10.1002\/jhm.144","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1]]}}}