{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:07:38Z","timestamp":1791515258037,"version":"4.3.4"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"published-print":{"date-parts":[[2022,2]]},"DOI":"10.1007\/s00383-021-05047-1","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T06:03:58Z","timestamp":1638425038000},"page":"193-199","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["The need for early Kasai portoenterostomy: a Western Pediatric Surgery Research Consortium study"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1735-0897","authenticated-orcid":false,"given":"Lorraine I.","family":"Kelley-Quon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eveline","family":"Shue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita V.","family":"Burke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Kling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaa","family":"Mahdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadassa","family":"Ourshalimian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fenlon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Dellinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen B.","family":"Shew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Padilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Inge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Roach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed I.","family":"Marwan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie W.","family":"Russell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romeo","family":"Ignacio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Fialkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amar","family":"Nijagal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Im","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth S.","family":"Azarow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Ostlie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kasper","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"issue":"4","key":"5047_CR1","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1097\/SLA.0b013e3182300950","volume":"254","author":"R Superina","year":"2011","unstructured":"Superina R, Magee JC, Brandt ML et al (2011) The anatomic pattern of biliary atresia identified at time of Kasai hepatoportoenterostomy and early postoperative clearance of jaundice are significant predictors of transplant-free survival. Ann Surg 254(4):577\u2013585. https:\/\/doi.org\/10.1097\/SLA.0b013e3182300950","journal-title":"Ann Surg"},{"issue":"9702","key":"5047_CR2","doi-asserted-by":"publisher","first-page":"1704","DOI":"10.1016\/s0140-6736(09)60946-6","volume":"374","author":"JL Hartley","year":"2009","unstructured":"Hartley JL, Davenport M, Kelly DA (2009) Biliary atresia. Lancet 374(9702):1704\u20131713. https:\/\/doi.org\/10.1016\/s0140-6736(09)60946-6","journal-title":"Lancet"},{"key":"5047_CR3","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.jpeds.2017.05.006","volume":"187","author":"PC Hopkins","year":"2017","unstructured":"Hopkins PC, Yazigi N, Nylund CM (2017) Incidence of biliary atresia and timing of hepatoportoenterostomy in the United States. J Pediatr 187:253\u2013257. https:\/\/doi.org\/10.1016\/j.jpeds.2017.05.006","journal-title":"J Pediatr"},{"issue":"3","key":"5047_CR4","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1097\/MOP.0000000000000214","volume":"27","author":"JA Zagory","year":"2015","unstructured":"Zagory JA, Nguyen MV, Wang KS (2015) Recent advances in the pathogenesis and management of biliary atresia. Curr Opin Pediatr 27(3):389\u2013394. https:\/\/doi.org\/10.1097\/MOP.0000000000000214","journal-title":"Curr Opin Pediatr"},{"issue":"5","key":"5047_CR5","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1542\/peds.2008-1949","volume":"123","author":"M-O Serinet","year":"2009","unstructured":"Serinet M-O, Wildhaber BE, Broue P et al (2009) Impact of age at Kasai operation on its results in late childhood and adolescence: a rational basis for biliary atresia screening. Pediatrics 123(5):1280\u20131286. https:\/\/doi.org\/10.1542\/peds.2008-1949","journal-title":"Pediatrics"},{"issue":"12","key":"5047_CR6","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1001\/jama.2020.0837","volume":"323","author":"S Harpavat","year":"2020","unstructured":"Harpavat S, Garcia-Prats JA, Anaya C et al (2020) Diagnostic yield of newborn screening for biliary atresia using direct or conjugated bilirubin measurements. JAMA 323(12):1141\u20131150. https:\/\/doi.org\/10.1001\/jama.2020.0837","journal-title":"JAMA"},{"issue":"4","key":"5047_CR7","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1097\/mpg.0000000000002446","volume":"69","author":"M Fanna","year":"2019","unstructured":"Fanna M, Masson G, Capito C et al (2019) Management of biliary atresia in France 1986 to 2015: long-term results. J Pediatr Gastroenterol Nutr 69(4):416\u2013424. https:\/\/doi.org\/10.1097\/mpg.0000000000002446","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"5","key":"5047_CR8","doi-asserted-by":"publisher","first-page":"e1438LP","DOI":"10.1542\/peds.2007-2709","volume":"121","author":"SI Wadhwani","year":"2008","unstructured":"Wadhwani SI, Turmelle YP, Nagy R, Lowell J, Dillon P, Shepherd RW (2008) Prolonged neonatal jaundice and the diagnosis of biliary atresia: a single-center analysis of trends in age at diagnosis and outcomes. Pediatrics 121(5):e1438LP \u2013 e1440. https:\/\/doi.org\/10.1542\/peds.2007-2709","journal-title":"Pediatrics"},{"issue":"8","key":"5047_CR9","doi-asserted-by":"publisher","first-page":"1680","DOI":"10.1016\/j.jpedsurg.2018.09.025","volume":"54","author":"Z Wang","year":"2019","unstructured":"Wang Z, Chen Y, Peng C et al (2019) Five-year native liver survival analysis in biliary atresia from a single large Chinese center: the death\/liver transplantation hazard change and the importance of rapid early clearance of jaundice. J Pediatr Surg 54(8):1680\u20131685. https:\/\/doi.org\/10.1016\/j.jpedsurg.2018.09.025","journal-title":"J Pediatr Surg"},{"issue":"6","key":"5047_CR10","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1016\/j.jhep.2013.01.040","volume":"58","author":"C Chardot","year":"2013","unstructured":"Chardot C, Buet C, Serinet M-O et al (2013) Improving outcomes of biliary atresia: French national series 1986\u20132009. J Hepatol 58(6):1209\u20131217. https:\/\/doi.org\/10.1016\/j.jhep.2013.01.040","journal-title":"J Hepatol"},{"issue":"1","key":"5047_CR11","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1186\/s12887-018-1074-2","volume":"18","author":"S-Y Chen","year":"2018","unstructured":"Chen S-Y, Lin C-C, Tsan Y-T et al (2018) Number of cholangitis episodes as a prognostic marker to predict timing of liver transplantation in biliary atresia patients after Kasai portoenterostomy. BMC Pediatr 18(1):119. https:\/\/doi.org\/10.1186\/s12887-018-1074-2","journal-title":"BMC Pediatr"},{"issue":"3","key":"5047_CR12","first-page":"234","volume":"29","author":"H-S Lai","year":"2006","unstructured":"Lai H-S, Chen W-J, Chen C-C, Hung W-T, Chang M-H (2006) Long-term prognosis and factors affecting biliary atresia from experience over a 25 year period. Chang Gung Med J 29(3):234\u2013239","journal-title":"Chang Gung Med J"},{"issue":"1","key":"5047_CR13","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.jhep.2019.03.005","volume":"71","author":"V Jain","year":"2019","unstructured":"Jain V, Burford C, Alexander EC et al (2019) Prognostic markers at adolescence in patients requiring liver transplantation for biliary atresia in adulthood. J Hepatol 71(1):71\u201377. https:\/\/doi.org\/10.1016\/j.jhep.2019.03.005","journal-title":"J Hepatol"},{"issue":"9197","key":"5047_CR14","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/S0140-6736(99)03492-3","volume":"355","author":"PJ McKiernan","year":"2000","unstructured":"McKiernan PJ, Baker AJ, Kelly DA (2000) The frequency and outcome of biliary atresia in the UK and Ireland. Lancet (London, England) 355(9197):25\u201329. https:\/\/doi.org\/10.1016\/S0140-6736(99)03492-3","journal-title":"Lancet (London, England)"},{"issue":"9","key":"5047_CR15","doi-asserted-by":"publisher","first-page":"1689","DOI":"10.1016\/j.jpedsurg.2011.04.013","volume":"46","author":"M Davenport","year":"2011","unstructured":"Davenport M, Ong E, Sharif K et al (2011) Biliary atresia in England and Wales: results of centralization and new benchmark. J Pediatr Surg 46(9):1689\u20131694. https:\/\/doi.org\/10.1016\/j.jpedsurg.2011.04.013","journal-title":"J Pediatr Surg"},{"issue":"1","key":"5047_CR16","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.jamcollsurg.2017.09.009","volume":"226","author":"M Hukkinen","year":"2018","unstructured":"Hukkinen M, Kerola A, Lohi J et al (2018) Treatment policy and liver histopathology predict biliary atresia outcomes: results after national centralization and protocol biopsies. J Am Coll Surg 226(1):46-57.e1. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2017.09.009","journal-title":"J Am Coll Surg"},{"issue":"1","key":"5047_CR17","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1097\/mpg.0b013e3181d67e5e","volume":"51","author":"RA Schreiber","year":"2010","unstructured":"Schreiber RA, Barker CC, Roberts EA, Martin SR (2010) Biliary atresia in Canada: the effect of centre caseload experience on outcome. J Pediatr Gastroenterol Nutr 51(1):61\u201365. https:\/\/doi.org\/10.1097\/mpg.0b013e3181d67e5e","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"10","key":"5047_CR18","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1016\/j.ejso.2016.06.392","volume":"42","author":"Z Al-Qurayshi","year":"2016","unstructured":"Al-Qurayshi Z, Robins R, Buell J, Kandil E (2016) Surgeon volume impact on outcomes and cost of adrenal surgeries. Eur J Surg Oncol 42(10):1483\u20131490. https:\/\/doi.org\/10.1016\/j.ejso.2016.06.392","journal-title":"Eur J Surg Oncol"},{"issue":"1","key":"5047_CR19","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.amjsurg.2015.08.021","volume":"211","author":"PG Toomey","year":"2016","unstructured":"Toomey PG, Teta AF, Patel KD, Ross SB, Rosemurgy AS (2016) High-volume surgeons vs high-volume hospitals: are best outcomes more due to who or where? Am J Surg 211(1):59\u201363. https:\/\/doi.org\/10.1016\/j.amjsurg.2015.08.021","journal-title":"Am J Surg"},{"issue":"4","key":"5047_CR20","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1007\/s11605-013-2422-z","volume":"18","author":"LM Enomoto","year":"2013","unstructured":"Enomoto LM, Gusani NJ, Dillon PW, Hollenbeak CS (2013) Impact of surgeon and hospital volume on mortality, length of stay, and cost of pancreaticoduodenectomy. J Gastrointest Surg 18(4):690\u2013700. https:\/\/doi.org\/10.1007\/s11605-013-2422-z","journal-title":"J Gastrointest Surg"},{"issue":"1","key":"5047_CR21","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1002\/lt.24640","volume":"23","author":"SS Sundaram","year":"2017","unstructured":"Sundaram SS, Mack CL, Feldman AG, Sokol RJ (2017) Biliary atresia: indications and timing of liver transplantation and optimization of pretransplant care. Liver Transpl 23(1):96\u2013109. https:\/\/doi.org\/10.1002\/lt.24640","journal-title":"Liver Transpl"},{"issue":"6","key":"5047_CR22","doi-asserted-by":"publisher","first-page":"1196","DOI":"10.1016\/j.jpedsurg.2021.02.027","volume":"56","author":"JC Apfeld","year":"2021","unstructured":"Apfeld JC, Cooper JN, Sebasti\u00e3o YV, Tiao GM, Minneci PC, Deans KJ (2021) Variability in age at Kasai portoenterostomy for biliary atresia across US children\u2019s hospitals. J Pediatr Surg 56(6):1196\u20131202. https:\/\/doi.org\/10.1016\/j.jpedsurg.2021.02.027","journal-title":"J Pediatr Surg"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-021-05047-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-021-05047-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-021-05047-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,8]],"date-time":"2022-01-08T11:04:24Z","timestamp":1641639864000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-021-05047-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,2]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["5047"],"URL":"https:\/\/doi.org\/10.1007\/s00383-021-05047-1","relation":{},"ISSN":["0179-0358","1437-9813"],"issn-type":[{"value":"0179-0358","type":"print"},{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,2]]},"assertion":[{"value":"20 November 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 December 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no financial relationships relevant to this article or potential competing interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional Review Board (IRB) approval was obtained independently by each member institution. All member institution IRBs approved a waiver of consent to collect medical record data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}]}}