{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:14:49Z","timestamp":1787022889348,"version":"build-2736575974"},"reference-count":10,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Cutaneous lumbosacral findings in neonates are common in the newborn nursery but may also be associated with occult spinal dysraphism. Variation in management of lumbosacral findings by neonatal clinicians has not been previously described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Clinicians in the Better Outcomes through Research for Newborns (BORN) Network were invited to participate in an electronic survey. Participants reviewed 18 photographs of lumbosacral findings in asymptomatic neonates and selected 1 or more initial management step(s): routine care, watchful waiting, imaging, and\/or subspecialty consultation. Additional data collected include ease of access to imaging and subspecialty consultants and characteristics of respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Of 407 BORN Network clinicians, 206 (51%) completed the survey. Respondents were in &amp;gt;90% agreement in initial management approach of 8 of 18 cases. The most common initial actions were spinal ultrasound (53%), neurosurgery evaluation (18%), and MRI (13%). Anomalies of the gluteal crease had the lowest proportion of agreement. In 2 cases, there were differences in respondents\u2019 choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates &amp;lt;1 month of age: (1) coccygeal hair (P = .02) and (2) deviated gluteal crease (P = .02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Variation in initial management of neonatal lumbosacral findings by clinicians in the BORN Network was seen most often for deviations of the gluteal crease, flat vascular macules, and coccygeal hair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/hpeds.2019-0264","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T09:19:38Z","timestamp":1591003178000},"page":"496-501","source":"Crossref","is-referenced-by-count":2,"title":["Variation in Management of Cutaneous Lumbosacral Findings in Newborns"],"prefix":"10.1542","volume":"10","author":[{"given":"Janelle","family":"Aby","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Stanford University, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliann","family":"Kim","sequence":"additional","affiliation":[{"name":"Palo Alto Medical Foundation, Palo Alto, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian","family":"Lai","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and Epidemiology and Biostatistics, University of San Francisco, San Francisco, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Flaherman","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and Epidemiology and Biostatistics, University of San Francisco, San Francisco, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaspreet","family":"Loyal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale University, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"2021120817343862600_B1","first-page":"2333794X18756133","article-title":"A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a healthy newborn population","volume":"5","author":"Aby","year":"2018","journal-title":"Glob Pediatr Health"},{"issue":"2","key":"2021120817343862600_B2","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/pde.12485","article-title":"Neural tube dysraphism: review of cutaneous markers and imaging","volume":"32","author":"Sewell","year":"2015","journal-title":"Pediatr Derm"},{"issue":"5","key":"2021120817343862600_B3","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/S0022-3476(75)80298-8","article-title":"A prospective search for congenital dermal abnormalities of the craniospinal axis","volume":"87","author":"Powell","year":"1975","journal-title":"J Pediatr"},{"issue":"3","key":"2021120817343862600_B4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3928\/00904481-20140221-04","article-title":"The enigmatic sacro-coccygeal dimple: to ignore or explore?","volume":"43","author":"Block","year":"2014","journal-title":"Pediatr Ann"},{"issue":"4","key":"2021120817343862600_B5","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2015-2854","article-title":"Congenital brain and spinal cord malformations and their associated cutaneous markers","volume":"136","author":"Dias","year":"2015","journal-title":"Pediatrics"},{"issue":"3","key":"2021120817343862600_B6","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1542\/pir.32-3-109","article-title":"Sacral dimples [published correction appears in Pediatr Rev. 2011;32(5):207]","volume":"32","author":"Zywicke","year":"2011","journal-title":"Pediatr Rev"},{"issue":"12","key":"2021120817343862600_B7","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1007\/s00381-010-1184-0","article-title":"International survey on the management of skin stigmata and suspected tethered cord","volume":"26","author":"Ponger","year":"2010","journal-title":"Childs Nerv Syst"},{"key":"2021120817343862600_B8","doi-asserted-by":"crossref","first-page":"S242","DOI":"10.1007\/s00247-008-1115-3","article-title":"Spinal dysraphism: categorizing risk to optimize imaging","volume":"39","author":"Medina","year":"2009","journal-title":"Pediatr Radiol"},{"issue":"8","key":"2021120817343862600_B9","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1111\/apa.13422","article-title":"Spine ultrasounds should not be routinely performed for patients with simple sacral dimples","volume":"105","author":"Albert","year":"2016","journal-title":"Acta Paediatr"},{"issue":"5","key":"2021120817343862600_B10","doi-asserted-by":"crossref","DOI":"10.1542\/peds.105.5.e69","article-title":"Coccygeal pits","volume":"105","author":"Weprin","year":"2000","journal-title":"Pediatrics"}],"container-title":["Hospital Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/10\/6\/496\/812323\/hpeds_2019-0264.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/10\/6\/496\/812323\/hpeds_2019-0264.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T13:12:09Z","timestamp":1638969129000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article\/10\/6\/496\/26078\/Variation-in-Management-of-Cutaneous-Lumbosacral"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,1]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,6,1]]},"published-print":{"date-parts":[[2020,6,1]]}},"URL":"https:\/\/doi.org\/10.1542\/hpeds.2019-0264","relation":{},"ISSN":["2154-1663","2154-1671"],"issn-type":[{"value":"2154-1663","type":"print"},{"value":"2154-1671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,1]]}}}