Vascular Anomalies Care in the United States: A Cross-Sectional National Survey

Sally Cohen-Cutler, Julie Blatt, Sherry Bayliff, Ionela Iacobas, Adrienne Hammill, Bryan A. Sisk

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Objective: To characterize the current distribution, composition, and practice patterns of multidisciplinary vascular anomalies (VAs) teams in the US. Study design: This is a cross-sectional survey of children's hospitals in the US offering VAs care. We approached 142 children's hospitals that provided care for VAs via email. The survey evaluated VA clinic location, medical staffing, research participation, and treatments offered. The survey was administered between October 2021 and July 2022. Results: Participants from 95 eligible hospitals responded to the survey (response rate = 67%). Large areas of the Midwest and Northwest US had no available multidisciplinary VA teams or clinics. Most respondents worked at academic centers (89%), with 66% at a freestanding children's hospital, and 56% reported having a multidisciplinary clinic. Most common physician participants in clinic included hematology-oncology (91%), interventional radiology (87%), dermatology (85%), plastic surgery (81%), and otolaryngology (74%). Only 38% of programs included medical geneticists. Smaller hospitals had fewer medical and ancillary staff and offered fewer therapeutic options. Research was available at most larger institutions (69%) but less commonly at smaller hospitals (34%). Conclusions: Major portions of the US lack multidisciplinary VA care. Furthermore, VA programs vary in composition and geneticists are absent from the majority of programs. These findings should inform efforts to address disparate access and develop standards of care for multidisciplinary VA care in the US.

Original languageEnglish
Article number113579
JournalJournal of Pediatrics
StatePublished - Oct 2023


  • PIK3CA-related overgrowth syndrome
  • lymphatic malformation
  • multidisciplinary care
  • overgrowth syndrome
  • venous malformation


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