Document Detail


Increasing prevalence of gastroschisis repairs in the United States: 1996-2003.
MedLine Citation:
PMID:  17560199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Local and state registries have shown recent increases in the prevalence of gastroschisis in the United States and abroad. The purpose of this study was to use a nationally representative database to identify national trends in the prevalence of gastroschisis repairs. METHODS: Records of infants undergoing gastroschisis repair were identified in the Nationwide Inpatient Sample from 1996 to 2003. Birth data were obtained from the National Center for Health Statistics and used to calculate the rate of procedures/live births stratified by US census region. Survey statistics were used to account for the sampling design of the Nationwide Inpatient Sample database. RESULTS: Between 1996 and 2003, a total of 9459 gastroschisis repairs were performed in the United States (3 procedures for every 10,000 births). A significant increase in the population-based rate of these procedures was observed in each census regions and nationwide. A twofold higher procedure rate was observed in 2003 than in 1996 (rate ratio, 2.0; 95% confidence interval, 1.1-2.9; P < .001). No significant change in unadjusted hospital mortality was observed regionally or nationally. CONCLUSIONS: The population-based rate of gastroschisis repairs significantly increased regionally and nationwide between 1996 and 2003, paralleling recent trends described at the local and state level.
Authors:
Sonia M Alvarez; Randall S Burd
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  42     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-11     Completed Date:  2007-07-24     Revised Date:  2008-05-12    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  943-6     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, Department of Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ 08903, USA.
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MeSH Terms
Descriptor/Qualifier:
Databases, Factual
Digestive System Surgical Procedures / economics,  utilization
Ethnic Groups / statistics & numerical data
Female
Gastroschisis / epidemiology,  surgery*
Hospital Mortality
Hospitals, General / statistics & numerical data
Hospitals, Pediatric / statistics & numerical data
Hospitals, Teaching / statistics & numerical data
Hospitals, Urban / statistics & numerical data
Humans
Infant, Newborn
Insurance / statistics & numerical data
Length of Stay
Male
Patient Transfer / statistics & numerical data
Prevalence
United States / epidemiology
Comments/Corrections
Erratum In:
J Pediatr Surg. 2008 Mar;43(3):590

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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