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CAPS - Educational Outcomes in School Age Children with a History of Hirschsprung’s Disease - Michael Cowap
With Dr. Michael Koep & Dr. Pam Choy
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Hirschsprung disease is a loss of innervation to a section of bowel
Hirschsprung disease is sometimes associated with genetic syndromes such as Down syndrome
Hirschsprung disease can be fixed but requires surgery that involves cutting that section of bowel out
Children with Hirschsprung disease may have ongoing issues with constipation, incontinence, and occasional abdominal pain after surgery
The study compared children with Hirschsprung disease to their peers in real-world assessments
While there may be some delay in the beginning in the preschool assessment, once children with Hirschsprung start school, there does not appear to be a significant difference between them and their peers in assessments that include reading and number skills
There is not a significant difference in graduation from grade 12 between children with Hirschsprung disease and their peers
Neurodevelopmental outcomes are just as important to parents as what surgeons do directly in the operating room
Data was only specifically from Manitoba and using a Manitoba health repository
The standardized tests are standardized within each province
The data includes public school, private school and homeschooling
First Nations and indigenous schools were not included in the repository
The study did not account for how the disease is affecting each child individually
Patients were matched based on being male and socioeconomic status
The data was from 1997 to 2012
The study did not include a subset analysis of long segment Hirschsprung disease
