Julian Goddard

43 statements · 6 topics · summaries given as host listed separately

Intestinal Failure · episode host Intestinal Rehab · episode host Short Bowel Syndrome · episode host

Featured statements

▶ Ep 27 · 0:29
Strikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden
▶ Ep 27 · 0:29
Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care
epidemiological · Intestinal Failure
▶ Ep 101 · 0:29
Patients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care
epidemiological · Intestinal Rehab
▶ Ep 1 · 9:16
Higher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms.
▶ Ep 11 · 9:02
Overall, 3% of children presenting with perianal symptoms ended up being diagnosed with Crohn's disease
clinical · Crohn's Disease

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Julian's statements about Advances in Pediatric Surgery 3 statements

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Journal of Pediatric Surgery Article Review: September 2021

▶ Ep 1 · 6:53
quote My name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's. ↗
▶ Ep 1 · 9:16
epidemiological Higher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms. ↗
▶ Ep 1 · 9:16
quote I personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's. ↗
Julian's statements about Crohn's Disease 8 statements

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Journal of Pediatric Surgery Article Review: September 2021

▶ Ep 7 · 6:53
quote My name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's. ↗
▶ Ep 7 · 9:16
epidemiological Higher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms. ↗
▶ Ep 7 · 9:16
quote I personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's. ↗

Journal of Pediatric Surgery Article Review: September 2021

▶ Ep 11 · 8:16
clinical The Cincinnati study included all children from 0 to 18 years who lived within a 15 mile radius of Cincinnati Children's and presented with perianal disease ↗
▶ Ep 11 · 8:42
clinical A second cohort included all children within a 50 mile radius who were diagnosed with Crohn's disease ↗
▶ Ep 11 · 9:02
quote It was actually 3%, you know, like overall, yes, 3%, but, you know, if you have a baby that has a rectal abscess, perectal abscess, like they never got Crohn's. ↗
▶ Ep 11 · 9:02
clinical Overall, 3% of children presenting with perianal symptoms ended up being diagnosed with Crohn's disease ↗
▶ Ep 11 · 9:11
clinical No children under the age of 1 had Crohn's disease within the study period ↗
Julian's statements about Intestinal Failure 8 statements

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Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 27 · 0:13
epidemiological Cincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care ↗
▶ Ep 27 · 0:23
epidemiological 59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's ↗
▶ Ep 27 · 0:29
epidemiological Patients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care ↗
▶ Ep 27 · 0:29
quote Strikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden ↗
▶ Ep 27 · 0:29
epidemiological Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care ↗
▶ Ep 27 · 0:42
epidemiological The median time from transition to death was approximately 12 months ↗
▶ Ep 27 · 0:46
quote Until structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support ↗
▶ Ep 27 · 0:46
opinion Young adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented ↗
Julian's statements about Intestinal Rehab 8 statements

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Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 101 · 0:13
epidemiological Cincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care ↗
▶ Ep 101 · 0:23
epidemiological 59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's ↗
▶ Ep 101 · 0:29
quote Strikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden ↗
▶ Ep 101 · 0:29
epidemiological Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care ↗
▶ Ep 101 · 0:29
epidemiological Patients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care ↗
▶ Ep 101 · 0:42
epidemiological The median time from transition to death was approximately 12 months ↗
▶ Ep 101 · 0:46
opinion Young adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented ↗
▶ Ep 101 · 0:46
quote Until structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support ↗
Julian's statements about Meckel's Diverticulum 8 statements

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Journal of Pediatric Surgery Article Review: September 2021

▶ Ep 2 · 6:53
quote My name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's. ↗
▶ Ep 2 · 9:16
quote I personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's. ↗
▶ Ep 2 · 9:16
epidemiological Higher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms. ↗

Journal of Pediatric Surgery Article Review: September 2021

▶ Ep 3 · 8:16
clinical The Cincinnati study included all children from 0 to 18 years who lived within a 15 mile radius of Cincinnati Children's and presented with perianal disease ↗
▶ Ep 3 · 8:42
clinical A second cohort included all children within a 50 mile radius who were diagnosed with Crohn's disease ↗
▶ Ep 3 · 9:02
clinical Overall, 3% of children presenting with perianal symptoms ended up being diagnosed with Crohn's disease ↗
▶ Ep 3 · 9:02
quote It was actually 3%, you know, like overall, yes, 3%, but, you know, if you have a baby that has a rectal abscess, perectal abscess, like they never got Crohn's. ↗
▶ Ep 3 · 9:11
clinical No children under the age of 1 had Crohn's disease within the study period ↗
Julian's statements about Short Bowel Syndrome 8 statements

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Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 9 · 0:13
epidemiological Cincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care ↗
▶ Ep 9 · 0:23
epidemiological 59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's ↗
▶ Ep 9 · 0:29
epidemiological Patients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care ↗
▶ Ep 9 · 0:29
epidemiological Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care ↗
▶ Ep 9 · 0:29
quote Strikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden ↗
▶ Ep 9 · 0:42
epidemiological The median time from transition to death was approximately 12 months ↗
▶ Ep 9 · 0:46
opinion Young adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented ↗
▶ Ep 9 · 0:46
quote Until structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support ↗

Summaries Julian gave as host · 6 summaries

Recaps of other experts' statements, not Julian's own clinical position.

Summaries Julian gave as host · Intestinal Failure 2 summaries

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Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 27 · 0:00
host summary Julian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure ↗
▶ Ep 27 · 0:04
host summary Julian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives ↗
Summaries Julian gave as host · Intestinal Rehab 2 summaries

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Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 101 · 0:00
host summary Julian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure ↗
▶ Ep 101 · 0:04
host summary Julian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives ↗
Summaries Julian gave as host · Short Bowel Syndrome 2 summaries

Open the Short Bowel Syndrome collection →

Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study

▶ Ep 9 · 0:00
host summary Julian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure ↗
▶ Ep 9 · 0:04
host summary Julian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives ↗