{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:12:08Z","timestamp":1787163128865,"version":"build-2736575974"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2003Our purpose was to assess the state of training, clinical practice, and barriers to use point-of-care ultrasound (POCUS) in pediatric surgery in Europe.<\/jats:p>\n                  <jats:p>Methods\u2003An electronic survey was disseminated among European pediatric surgeons utilizing the European Pediatric Surgery Association network and other existing networks.<\/jats:p>\n                  <jats:p>Results\u2003There were 186 respondents from 27 European countries and 7 non-European countries. In most countries (86.6%; N\u2009=\u2009161), the initial ultrasound for acute admissions is performed by radiologists, with 1 to 6\u2009hours turnover in 62.9% (N\u2009=\u2009117) of urgent cases. Ultrasound by pediatric surgeons (point-of-care ultrasound\/POCUS) is performed by 48.4% (N\u2009=\u200990) of respondents, with 29% (N\u2009=\u200954) using it at least once per week. The most common indications for POCUS include abdominal focused abdominal sonography in trauma (53.8%; N\u2009=\u2009100), diagnosis of appendicitis (41.9%; N\u2009=\u200978), and intussusception (44.6%; N\u2009=\u200984). In malrotation-volvulus, 28.5% (N\u2009=\u200953) used ultrasound for its diagnosis, while 27.5% (N\u2009=\u200951) would not see an indication here. Training in POCUS occurred informally for 55.4% (N\u2009=\u2009103) of participants, while 31.2% (N\u2009=\u200958) attended formal training courses. Almost all respondents wanted to attain further POCUS training (89.3%; N\u2009=\u2009166), only 7% (N\u2009=\u200913) did not think this would be useful. For 73.1% (N\u2009=\u2009136), POCUS is not currently part of the pediatric surgery training curriculum in their country. Perceived barriers to POCUS use include a lack of training opportunities (26.3% [N\u2009=\u200949]) and a paucity of portable ultrasound machines (17.8% [N\u2009=\u200933]).<\/jats:p>\n                  <jats:p>Conclusion\u2003There is a wide spectrum of POCUS use in pediatric surgery across Europe. For those surgeons who practice POCUS, it is most used for the diagnosis of abdominal conditions. There are differing views among clinicians concerning the most useful applications of POCUS. The extent to which ultrasound is taught during pediatric surgery training differs substantially across European curricula.<\/jats:p>","DOI":"10.1055\/a-2185-8963","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T19:01:35Z","timestamp":1696446095000},"page":"020-027","source":"Crossref","is-referenced-by-count":4,"title":["Point of Care Ultrasound in Pediatric Surgery across the European Region\u2014European Pediatric Surgery Association Endorsed Survey"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3543-5974","authenticated-orcid":false,"given":"Judith","family":"Lindert","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, University Hospital of Rostock, Ernst-Heydemann, Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1268-6092","authenticated-orcid":false,"given":"Udo","family":"Rolle","sequence":"additional","affiliation":[{"name":"Klinikum der Johann Wolfgang-Goethe Universit\u00e4t Frankfurt\/M. - Klinik f\u00fcr Kinderchirurgie, Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerlin","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,11,28]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1542\/peds.2019-1402","article-title":"Moving beyond the stethoscope: diagnostic point-of-care ultrasound in pediatric practice","volume":"144","author":"T W Conlon","year":"2019","journal-title":"Pediatrics"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s13052-018-0520-y","article-title":"Point of care ultrasonography in the pediatric emergency department","volume":"44","author":"J Le Coz","year":"2018","journal-title":"Ital J Pediatr"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1007\/s00247-021-04997-x","article-title":"Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics\u2014a scoping review","volume":"51","author":"E A van Wassenaer","year":"2021","journal-title":"Pediatr Radiol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1067\/msg.2001.112348","article-title":"Surgeon-performed ultrasound imaging in acute surgical disorders","volume":"38","author":"G S Rozycki","year":"2001","journal-title":"Curr Probl Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"80","DOI":"10.24908\/pocus.v6i2.14781","article-title":"Taking the pulse of POCUS: the state of point-of-care ultrasound at a pediatric tertiary care hospital","volume":"6","author":"P Gutierrez","year":"2021","journal-title":"POCUS J"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s13054-020-2787-9","article-title":"International evidence-based guidelines on point of care ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)","volume":"24","author":"Y Singh","year":"2020","journal-title":"Crit Care"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13089-016-0049-5","article-title":"Pediatric emergency medicine point-of-care ultrasound: summary of the evidence","volume":"8","author":"J R Marin","year":"2016","journal-title":"Crit Ultrasound J"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"601492","DOI":"10.3389\/fped.2021.601492","article-title":"Point-of-care ultrasound may reduce misdiagnosis of pediatric intussusception","volume":"9","author":"H J Hsiao","year":"2021","journal-title":"Front Pediatr"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.24908\/pocus.v6i1.14760","article-title":"Surgeon performed ultrasound for diagnosis of intussusception\u2014a pilot study","volume":"6","author":"S SV Soundappan","year":"2021","journal-title":"POCUS J"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1186\/s12887-020-02060-6","article-title":"Point-of-care ultrasound may be useful for detecting pediatric intussusception at an early stage","volume":"20","author":"J Y Lee","year":"2020","journal-title":"BMC Pediatr"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1111\/acem.14226","article-title":"Evaluation of bedside sonography performed by emergency physicians to detect intussusception in children in the emergency department","volume":"28","author":"A Tonson la Tour","year":"2021","journal-title":"Acad Emerg Med"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1111\/ans.12363","article-title":"Is it time to include point-of-care ultrasound in general surgery training? A review to stimulate discussion","volume":"83","author":"M Mollenkopf","year":"2013","journal-title":"ANZ J Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/2036-7902-5-9","article-title":"Can medical learners achieve point-of-care ultrasound competency using a high-fidelity ultrasound simulator?: a pilot study","volume":"5","author":"A R Parks","year":"2013","journal-title":"Crit Ultrasound J"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s13089-015-0028-2","article-title":"Perceived barriers in the use of ultrasound in developing countries","volume":"7","author":"S Shah","year":"2015","journal-title":"Crit Ultrasound J"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1097\/PEC.0000000000002532","article-title":"Feasibility of point-of-care ultrasound for diagnosing hypertrophic pyloric stenosis in the emergency department","volume":"37","author":"J S Park","year":"2021","journal-title":"Pediatr Emerg Care"},{"issue":"10","key":"ref16","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1016\/j.jpedsurg.2018.05.014","article-title":"Diagnostic accuracy of surgeon performed ultrasound (SPU) for appendicitis in children","volume":"53","author":"S S Soundappan","year":"2018","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s00247-021-05185-7","article-title":"Radiologists should support non-radiologist point-of-care ultrasonography in children: a case for involvement and collaboration","volume":"52","author":"S Andronikou","year":"2022","journal-title":"Pediatr Radiol"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"219","DOI":"10.7861\/clinmedicine.18-3-219","article-title":"Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?","volume":"18","author":"N Smallwood","year":"2018","journal-title":"Clin Med (Lond)"},{"issue":"06","key":"ref19","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1055\/s-0035-1569465","article-title":"The value of surveys in pediatric surgery","volume":"25","author":"A Zani","year":"2015","journal-title":"Eur J Pediatr Surg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2185-8963.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T07:34:29Z","timestamp":1730792069000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2185-8963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,4]]},"references-count":19,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,2,22]]},"published-print":{"date-parts":[[2024,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2185-8963","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10,4]]},"published":{"date-parts":[[2023,10,4]]}}}