June 14, 2022

In yet another monumental achievement made possible through the hard work of our One Amazing Team and your commitment to every child and family we serve, Texas Children’s has earned recognition from U.S. News & World Report as the #2 children’s hospital in the country.

In addition to Texas Children’s historic rise to #2 in the overall list, the 2022-23 U.S. News & World Report Best Children’s Hospital survey included Top 10 spots for every subspecialty:

  • #1 in Cardiology & Heart Surgery, in a testament to the cutting-edge treatments and family-centered care provided by the Heart Center for more than 60 years
  • #1 in Pulmonology
  • #2 in Neurology & Neurosurgery
  • #3 in Nephrology (kidney disorders)
  • #3 in Neonatology
  • #4 in Cancer
  • #4 in Gastroenterology & GI Surgery
  • #5 in Diabetes & Endocrinology
  • #5 in Urology
  • #8 in Orthopedics

Texas Children’s is also ranked as the #1 children’s hospital in Texas and #1 in the Southwest Region – rounding out the national honors in what President and CEO Mark A. Wallace called a “pivotal moment that reflected everything we’ve accomplished together this year.”

“These tremendous outcomes are the result of the steadfast leadership, unwavering dedication and sincere passion you have for Texas Children’s mission,” Wallace wrote in announcing the exciting news to the organization. “Our eight in-chiefs, our five executive vice presidents, our medical and administrative leaders, and our faculty and staff are without a doubt the greatest teams in our organization’s history.”

Reaching the top of the list

U.S. News & World Report introduced the Best Children’s Hospitals ranking in 2007 to help families of children with rare or life-threatening illnesses find the best medical care available. The rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals.

They rely on clinical data from nearly 200 medical centers through a detailed survey that analyzes measures, such as patient safety, infection prevention and adequacy of nurse staffing. In addition, each hospital’s score is derived from surveys of more than 15,000 pediatric specialists who are asked where they would send the sickest children in their specialty.

In 2021, only 89 children’s hospitals were ranked in at least one of the 10 pediatric specialties evaluated for the annual report. Ten hospitals ranked at the top of their class and were named to the 2022-2023 Honor Roll. For more information, visit usnews.com/childrenshospitals.

“Consistent collaboration, newfound discoveries and extraordinary patient care is what has brought us to where we are today. But we all know that for Texas Children’s, this is only the beginning of our bright future ahead,” Wallace said. “Let’s cherish and celebrate this moment – and then let’s gear up to climb even higher. I have no doubt that with this team, everything is possible!”

To read the full news release announcing Texas Children’s latest rankings from U.S. News & World Report, click here.

September 21, 2020

Like most parents, the Harts were nervous about their 10-month-old son’s surgery scheduled with Texas Children’s Division of Urology. In addition to regular jitters, they were especially concerned about their son undergoing general anesthesia.

“My husband did some research and found that it can be dangerous for young children,” Kayla Hart said. “So, needless to say, we were a little worried.”

Those worries were put to ease when their son’s pediatric anesthesiologist, Dr. Kevin Chu, and surgeon Dr. David Roth, explained the information the couple found online and offered another option, spinal anesthesia. Spinal anesthesia, numbs the lower part of the body to block pain versus general anesthesia, which puts a patient to sleep.

Texas Children’s Department of Anesthesiology and Department of Surgery recently started offering spinal anesthesia, when appropriate, to parents of young children. Rowan Hart was one of the hospital’s first patients to receive spinal anesthesia as an alternative to general anesthesia.

“When I went back to recovery, he woke up from the nap he was taking throughout surgery and was totally normal,” Hart said. “He wasn’t groggy at all and was even smiling.”

General Anesthesia Division Chief Dr. Olutoyin Olutoye said spinal anesthesia is a safe alternative to general anesthesia in patients under one year of age who are having surgery on the lower part of their body. She said if needed, the patient may receive a light sedative to make them relax but otherwise, they are awake during their procedure. There is no need for a breathing tube when a child receives spinal anesthesia and patients, like Rowan Hart, are alert and in good spirits post operatively.

“Even though anesthesia is much safer today than ever before, every anesthetic exposure and surgical encounter, has an element of risk and we must remain vigilant about communicating such risks to our patients and their families,” Olutoye said. “Offering an alternative to general anesthesia when appropriate is another way we can serve our patients and families in this capacity.”

On December 14, 2017, the U.S. Food and Drug Administration (FDA) released a drug safety communication about prolonged or repeated anesthetics in young children and pregnant women in their third trimester.

The FDA’s communication states:

  • A single, short exposure to anesthesia appears to be safe.
  • There is some evidence that longer (>3 hours) or repeated exposures could have negative effects on behavior or learning.
  • Much more research is needed.

As a result of the communication Texas Children’s Hospital changed its anesthesia practice and started discussing the warning before surgery with the parents of all children 3 years of age and younger.

In addition, Texas Children’s Hospital adopted the warning’s recommendation that a discussion occur among parents, surgeons, other physicians and anesthesiologists about the duration of anesthesia, any plan for multiple general anesthetics for multiple procedures, and the possibility that the procedure could be delayed until after 3 years of age. Parent-education materials that cover these topics are available to our patients and their families.

“I think offering spinal anesthesia is another way we can remain on the leading edge of this issue,” said Roth, who helped spearhead the use of spinal anesthesia together with the Department of Anesthesiology, and who has operated on the patients who have received it thus far. “It’s a safe alternative that we can use to reduce any potential risks of general anesthesia in our younger population.”

Anesthesiologist-in-Chief Dr. Dean B. Andropoulos agreed and said the benefits of anesthesia must always be weighed against the risks of anesthesia itself and Texas Children’s does a good job at doing that.

“We are very serious about educating our patients and families prior to surgery about any risks and any options that can be taken to mitigate such risks,” Andropoulos said. “Using spinal anesthesia is a nice addition to what we already are doing to mitigate potential risk.”

September 17, 2019

The Urology Division at Texas Children’s Hospital offers the most advanced surgical care for routine urological needs as well as complex genitourinary problems related to congenital birth defects, trauma and a range of other medical conditions. Our urologists have experience successfully carrying out to most extreme procedures on the most delicate patients. Those success rates are evident through nation-wide recognition.

For the first time, Texas Children’s is ranked in the top 10 in each of the U.S. News & World Report-recognized pediatric sub-specialties and this year Urology ranked No. 6.

“Now is the time to show that we can elevate to an even higher level of patient care and do even better than we already have,” Urology Chief of Service Dr. Paul Austin said. “We have to strive to be on the cutting edge of advancement and I envision our reputation factor only increasing further in urology.”

The U.S. News rankings uses an approach that analyzes quality of health care and patient outcomes data from thousands of medical institutions across the country. This includes measuring specialized clinics and programs, external accreditations and compliance with best practices. Improved rankings determine a health care organization’s commitment to not only providing high-quality care, but also to identifying gaps where improvements are needed.

“We’re not going to slow down when it comes to advancing in the areas where we have room for improvement,” Urology Physician Dr. Nicolette Janzen said. “We are going to continue to work toward providing the best care for our patients.”

Big wins for patients and families

This last year, Urology exceeded their yearly goals and executed additional initiatives to increase transparency, reduce risk of infection, and improve the quality of care.

  • Exceed threshold for Percent revision surgery for pyeloplasty
    Pyeloplasty is the surgical reconstruction of a portion of urinary drainage system. This is a procedure that has a national average success rate of over 90 percent. Our Urology team is trained to successfully carry out various approaches to pyeloplasty including robotic-assisted laparoscopic and open. Having this broad range of skill for this procedure ensures the ability to tailor the approach for every patient from babies to teenagers.
  • Significantly decreased unplanned hospital admissions for a urologic issue within 30 days of inpatient urological surgery
    A patient may be re-admitted to the hospital for a urologic issue subsequent to a surgical procedure. Urology has been able to minimize this by analyzing the data from previously re-admitted patients, determining areas for improvement, and applying these improvements to future patients. One successful initiative has been the implementation of “Enhanced Recovery After Surgery” (ERAS). These are protocols for perioperative care pathways provided to advance practice providers (APP), physicians, and nurses as they work together to care for our patients. Lastly, making sure the patient families are educated on how to maintain the child’s health at home helps prevent re-admission.
  • Increased patient volume seen by a pediatric urologist in your Oncofertility program
    Texas Children’s Cancer Center is one of the busiest centers nationally and is on the cutting edge of therapies for cancer patients. An important consideration as patients undergo chemotherapy and radiation therapy for various cancers is fertility preservation. Our urologists are committed to this endeavor. Through our partnership with Baylor College of Medicine (BCM), patients have access to extensive resources for fertility preservation and appropriate counseling. According to Janzen, improving the communication between all services involved with these families has helped to improve access to fertility preservation services.
  • Have closed out 70 percent of gaps
    Gap closure is the result of successful yearly strategies that improves quality outcomes. One of those objectives focuses on preventing infections, more specifically as it relates to Catheter Associated Urinary Tract Infection. Urology’s prevention of gaps in care is a combined effort with the hospital’s system-wide infection control initiatives as we work tirelessly to provide high quality care to our patients.

Click here to learn more about our Urology services at Texas Children’s Hospital.

May 13, 2019

Last month, Texas Children’s Department of Surgery leadership announced that Dr. Paul Austin was named Texas Children’s new chief of Urology, the third Urology chief in the hospital’s 65-year history.

“I’m excited that Dr. Austin has accepted the position of chief of Urology at Texas Children’s,” said Surgeon-in-Chief Dr. Larry Hollier. “His clinical experience, combined with a successful research program, provides a wonderful foundation for the future of Pediatric Urology at Texas Children’s.”

Austin assumes the helm of the division from Dr. David Roth, who has served as chief of Urology for the past seven years and helped recruit Austin nearly two years ago. Under Roth’s leadership, Texas Children’s Division of Urology grew from three physicians and an advanced practice provider (APP) to one of the largest programs in the country, with 10 urologists, two research PhDs and six APPs. During this time, the division of Urology’s national status steadily improved and the program is currently ranked No. 4 in country according to U.S. News & World Report.

“I have enjoyed the growth of our division and appreciate the support of our leadership and administration,” Roth said. “I am excited that Dr. Austin is continuing the tradition of leadership for the Division of Urology that began with Dr. Edmond Gonzales over 40 years ago. He is an internationally recognized leader in pediatric pelvic health and is the right person to lead our division for years to come.”

Austin currently serves as Director of Texas Children’s Complex Urologic Reconstruction Program and Director of the Pediatric Urology Basic Science Research Program. He has co-authored more than a hundred articles and 25 book chapters, has edited four textbooks, and has three grants totaling more than $2.5 million in National Institutes of Health R01 funding.

Austin is also the current president of the American Association of Pediatric Urologists (AAPU) – one of the best-respected and most important societies for pediatric urologists in the United States – an organization that Roth co-founded more than 30 years ago.

“Since I first attended AAPU with a mentor of mine in 1996, it has been my favorite conference of the year,” Austin said. “It’s always a special time of learning, networking and collaboration. The sheer variety of talks and topics is always amazing, and the way these experts challenge each other, but in a respectful way, has always been a hallmark of the event. That is thanks to Dr. Roth’s vision, and it’s my honor to serve as AAPU president this year.”

Austin brings a bright and multifaceted vision for the future to the Division of Urology. In addition to keeping our clinical care at the forefront of pediatric urology on a national level, he wants to enhance the division’s capabilities in the treatment of complex urologic conditions and in research.

“Everyone has their niche, and you have to be aware of your team members’ passions and think about how you can help them grow and develop their talents, whether that be in patient care, education and teaching, or research,” Austin said. “My main goals are to grow our basic and clinical research enterprise, to provide encouragement, motivation and support that will lead our people to continued excellence and achievement in patient care, basic and clinical research, in competition for research prizes, and in leadership roles in the greater field of pediatric urology, and to foster multidisciplinary collaboration between Urology and other divisions and services across the Texas Children’s system.”

About Pediatric Urology at Texas Children’s

The Division of Urology at Texas Children’s Hospital offers the most advanced surgical care for routine urological needs as well as genitourinary problems related to congenital birth defects, trauma and a range of other medical conditions.

The division provides specialized, multidisciplinary care and expertise in fetal medicine, spina bifida, renal stone disease, gender medicine and complex urologic care. The division has also established a transition urologic care process that allows adolescent patients to transfer care to adult care providers.

We work closely with child-life specialists, who provide support to help patients and their families cope with the challenges frequently presented by urological disorders. Transitional follow-up care is provided for adolescent patients as they progress to adult care.

Learn more about Urology at Texas Children’s.

March 25, 2019

In this month’s episode of Medically Speaking, you’ll hear from Texas Children’s urologist, Dr. Ming-Hsien Wang. In her talk, Wang discusses best practices in the treatment of pediatric urinary tract infections (UTIs) and also shares the differing views between American Academy of Pediatrics guidelines and findings from a recent double-blind study on the use of prophylactic antibiotics to treat UTIs.

Learn more about the services provided and conditions treated by Texas Children’s Division of Urology.

Medically Speaking features some of the brightest minds from several Texas Children’s specialty and subspecialty areas. The series is meant to be a helpful educational resource for parents and a convenient way for physicians and other caregivers to stay up-to-date on the latest in pediatric medicine. Viewers can watch talks on a variety of interesting topics, including advancements in surgery, breakthroughs in research, new clinical trials, and novel and back-practice treatments for specific conditions.

Be on the lookout for more Medically Speaking episodes here on Connect, or view additional episodes now.

PLEASE NOTE:
This presentation is not intended to present medical advice or individual treatment recommendations, and does not supplant the practitioner’s independent clinical judgment. Practitioners are advised to consider the management of each patient in view of the clinical information. All content is shared for informational purposes only, and reflects the thoughts and opinions of the original author. No physician-patient relationship is being created by the use of this presentation. The presentation sets out recommendations based upon similar circumstances and is provided as an educational tool. The presenters are not attorneys, and to the extent this presentation provides commentary on current laws and regulations affecting health care activities, it is not intended as legal advice.

December 18, 2018

For Lauren Meredith and her family, this holiday season has been a time of joy and gratefulness after the care and expertise they received from the experts in Texas Children’s Colorectal and Pelvic Health Program. It stands in sharp contrast to the nightmare she and husband, Ryan, experienced a year ago when their third child, Ava, was born with a rare congenital disorder of the colon that doctors thought would make her unable to pass stool. With sparse information and little time to weigh their options, the anxious parents had to make the quick decision to have Ava transported to a hospital in the Texas Medical Center for surgery – a colostomy – which she underwent at just 12 hours old.

Unfortunately, their long, hard journey was only beginning.

“We were sent home with relatively little information on how to properly care for her,” Meredith said. “I was making 10 to 15 calls a day to the doctor’s office, the insurance company and the medical supply company, but no one was helping. We felt completely alone and unprepared to tackle this complex medical issue.”

At a breaking point, Lauren began a search for help and answers online, where she first read about Texas Children’s Colorectal and Pelvic Health Program. On Christmas Eve 2017, she sent an email to Dr. Timothy Lee, pediatric surgeon and program director, explaining their ordeal.

The next day, the Merediths got their own holiday miracle.

“Dr. Lee emailed me back – on Christmas Day – and three days later we had our first appointment,” Meredith said. “The care, from the minute we walked in, was like stepping into a different world. The communication was incredible. I really felt like I was being heard for the first time.”

In August 2018, the colorectal and pelvic health team performed an operation to repair Ava’s initial defect and assess her gynecologic anatomy. And this past November, Ava had her colostomy reversal. Her prognosis is excellent.

Today, Ava – who turned one year old on December 13 – is a happy, healthy little girl who loves when her older brothers, Jackson and Greyson, sing to her and build forts for her to play in. She loves to snack, especially tacos. And she loves cuddles with her dad when he gets home from work.

“The team at Texas Children’s has given us so much to be thankful for,” Meredith said. “They took the burden off us and made us feel like they were on our side. We could tell from the very beginning that the entire Colorectal and Pelvic Health Program cared about Ava and wanted the best outcome.”

The full spectrum of care

A child’s diagnosis with a congenital disorder of the colorectal and urogenital system can be a heartbreaking and trying ordeal for families. Since these conditions are rare and often complex – and because no two cases are exactly alike – some institutions may lack the expertise necessary to provide effective treatment.

Fortunately, a highly skilled, multidisciplinary team of specialists at Texas Children’s Hospital offers patients and families the full spectrum of care for these disorders in our Colorectal and Pelvic Health Program.

Watch the video to learn more.

The Colorectal and Pelvic Health Program comprises four different specialties – pediatric surgery, pediatric urology, pediatric and adolescent gynecology, and gastroenterology – and provides treatment for several disorders and developmental anomalies, including imperforate anus, hirschsprung’s disease, cloacal malformation, cloacal exstrophy, and severe idiopathic constipation.

Regardless of the disorder, the team works together to develop a customized approach to care for these complex, and often sensitive, medical issues.

“Many of these conditions can have an extreme negative impact on the self-esteem of a child,” said Dr. Paul Austin, director of Texas Children’s Complex Urologic Reconstruction Program. “Knowing that we can make a positive difference through the care that we provide is extremely rewarding.”

Specialists collaborate to identify the patient’s specific issues and determine the best path to a positive outcome and improved quality of life, whether through surgery, medication or some combination of treatments. Additionally, the team has focused on improving patient care through clinical research and development of best practice pathways to standardize and streamline clinical care for this complex patient population.

“This hallmark of the program is providing multi-disciplinary collaborative care,” said Lee, pediatric surgeon and program director. “Even though these conditions aren’t common, we’ve seen more and more of them at Texas Children’s as our patient volume has grown. Parents can be confident when they come to us that they will be receiving truly comprehensive, collaborative care delivered by experts who have been treating these kinds of patients for years.”

Learn more about the Colorectal and Pelvic Health Program.

September 4, 2018

The Southwest Pediatric Device Consortium (SWPDC), anchored at Texas Children’s Hospital and Baylor College of Medicine, recently received a prestigious P50 grant from the U.S. Food and Drug Administration. The five-year, $6.75 million grant will begin on September 1 and will allow SWPDC to leverage ongoing activities to expand and accelerate the development of much-needed pediatric medical devices. The five principal investigators include Drs. Chester Koh and Henri Justino of Texas Children’s and Baylor, Dr. Balakrishna Haridas of Texas A&M University, Dr. Maria Oden of Rice University, and Dr. Michael Heffernan of Fannin Innovation Studio.

SWPDC supports pediatric device innovators with the goal of addressing the shortage of needed novel medical devices for children, a public health problem that has been acknowledged by the FDA.

“A great need currently exists for medical devices designed specifically for children,” said Koh, founder of SWPDC and lead principal investigator, as well as a pediatric urologist at Texas Children’s and professor of urology, pediatrics and Ob/Gyn at Baylor. “Pediatric device development is challenging, but with this support from the FDA, our consortium will continue to assist pediatric device innovators along all stages of development with the goal of improving our care of pediatric patients.”

The past decade has been a period of growth in adult medical device innovation. Advances in devices for children, however, have lagged far behind. Why the disparity? Economics are partially to blame. The market for pediatric devices is smaller, and thus the return on investment lower. Then there are the clinical and regulatory challenges. Pediatric device projects may need an extended life cycle before they can be approved and exposed to the external market. As a result, pediatric surgeons and pediatricians have had to make do with what’s available, often using retooled adult medical devices, and without adequate testing in children.

“Significant technical (design and manufacturing), preclinical testing, clinical and regulatory testing challenges exist in the field of pediatric devices,” said Haridas, co-founder and co-PI of SWPDC (lead PI at Texas A&M) and professor of practice in biomedical engineering at Texas A&M. “This FDA-funded SWPDC is uniquely positioned to address these challenges across the pediatric device development and clinical translational cycle to deliver significant advances in treatments tailored for pediatric patients.”

Support from the P50 grant will enable SWPDC to provide services in several areas: unmet needs assessment, prototype development, product and technology acceleration services, and business acceleration services. Consortium members will evaluate and support projects, as well as advise innovators throughout the total product life cycle. Based on individual project needs, the consortium will direct investigators to specific resources, collaborators and industry experts, and will coordinate the services offered by its member programs to identify, evaluate and assist pediatric device projects.

SWPDC includes clinical, scientific/engineering, investment, regulatory and academic partners in the Texas Medical Center, the Greater Houston area and the southwestern U.S. Primary partners include Texas A&M University, Rice University, University of Houston and Fannin Innovation Studio, and includes others such as Biotex Inc., Children’s Hospital of San Antonio, Children’s Health in Dallas and Phoenix Children’s Hospital, with additional future sites. SWPDC was selected as one of five national consortia that are addressing the shortage of pediatric devices.

To learn more about the Southwest Pediatric Device Consortium, visit swpdc.org.