Eur J Pediatr Surg 2018; 28(03): 227-237
DOI: 10.1055/s-0037-1600524
Review Article
Georg Thieme Verlag KG Stuttgart · New York

European Census on Pediatric Surgery

Gian Battista Parigi
1   Department of Pediatric Surgery, Università degli Studi di Pavia Facoltà di Medicina e Chirurgia, Pavia, Italy
Piotr Czauderna
2   Department of Surgery and Urology for Children and Adolescents, Gdanski Uniwersytet Medyczny, Gdansk, Poland
Udo Rolle
3   Klinikum der Johann Wolfgang-Goethe Universität Frankfurt/M. Klinik für Kinderchirurgie, Frankfurt, Germany
Zacharias Zachariou
4   University of Cyprus-Medical School, Nicosia, Cyprus
› Author Affiliations
Further Information

Publication History

12 February 2017

13 February 2017

Publication Date:
04 April 2017 (online)


Background Detailed data on the distribution of pediatric surgical institutions in Europe are sparse. Therefore, the Section and Board of Pediatric Surgery of the Union of European Medical Specialists (UEMS) and the European Pediatric Surgeons' Association (EUPSA) jointly organized the first official census of the European centers of pediatric surgery (PS).

Materials and Methods After obtaining a list of pediatric surgical centers in Europe, a specialized questionnaire was created and made available on the Internet. General, workload, staff, and ancillary data were collected for the centers.

Results Total 215 out of 431 centers answered. PS center density is 1 in every 177,000 children or 1 in every 1,142,000 inhabitants. Approximately 77% of the centers (167 out of 215) are training centers in PS. Every center has an average inpatients procedures/year equal to 1,588, and 92.6 neonatal procedures/year. There are 3.9 surgeons/100,000 children, and 1,662 neonates for every surgeon. In average every EU surgeon performs 202 procedures/year, of which 11 procedures are on neonates. Trainees represent the 38% of the total workforce, and there are 2.3 trainees for every staff aged > 60 years.

Conclusion The paper aims to offer a more grounded basis on which the future of PS in our Continent should be planned. Presented data will provide an invaluable help to all our colleagues, as well as national policy makers, to press for and to make better informed and well-grounded sound political choices in the field of PS.