Open versus minimally-invasive surgical techniques in pediatric renal tumors: A population-level analysis of in-hospital outcomes
| Autor: | Elisabeth E. Tracy, Steven Wolf, Kirsten L. Simmons, Gina-Maria Pomann, Jonathan C. Routh, Jason Chandrapal, Tamara N. Fitzgerald, Henry E. Rice |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Adolescent Referral Urology medicine.medical_treatment 030232 urology & nephrology Urologic Oncology Nephrectomy Article 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Minimally Invasive Surgical Procedures Child Retrospective Studies Descriptive statistics business.industry Procedure code Hospitals Kidney Neoplasms United States Pediatrics Perinatology and Child Health Female Analysis of variance Diagnosis code Complication business |
| Zdroj: | J Pediatr Urol |
| ISSN: | 1477-5131 |
| DOI: | 10.1016/j.jpurol.2021.03.010 |
| Popis: | INTRODUCTION: Minimally-invasive surgery (MIS) has been adopted slowly in pediatric oncology. We attempted to describe contemporary national trends in MIS use; we hypothesized that adolescents (who are more likely to have relatively small renal cell carcinomas) would have a higher proportion of MIS than younger children (who are more likely to have relatively large Wilms tumors) and that this relationship would vary by region. OBJECTIVE: To explore whether pediatric urologic oncology outcomes vary by patient age or by surgical technique. METHODS: We queried the 1998–2014 National Inpatient Sample (NIS) and included encounters in children aged 10 y) or surgery type; Wald-Chi square test was used for differences in proportions and unadjusted weighted ANOVA was used to test for differences in means. RESULTS: 9,259 weighted encounters were included; 91% were 9y, p |
| Databáze: | OpenAIRE |
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