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Surgical procedures in Danish children 1999-2018
To assess if the overall utilisation of surgery in Danish children 0-5 years of age increased in the period 1999-2018 in line with the development within specialised medical services. The epidemiology on surgical procedures is scarce. National register-based cohort study of all Danish children born...
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Published in: | PloS one 2023-04, Vol.18 (4), p.e0285047-e0285047 |
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description | To assess if the overall utilisation of surgery in Danish children 0-5 years of age increased in the period 1999-2018 in line with the development within specialised medical services. The epidemiology on surgical procedures is scarce.
National register-based cohort study of all Danish children born 1994-2018 (n = 1,599,573) using data on surgery in public and private hospitals from The National Patient Register and data on surgery in private specialist practice from The Health Service Register. Incidence rate ratios were calculated using Poisson regression with 1999 as the reference year.
During the study period 115,573 different children (7.2% of the cohort) underwent surgery. The overall incidence of surgical procedures was stable, but the use of surgery increased in neonates mainly due to an increase in frenectomy. Boys underwent more surgery than girls. In children with severe chronic disease the rate of surgery decreased in public hospitals and increased in private specialist practices.
The utilisation of surgical procedures in Danish children 0-5 years of age did not increase from 1999 to 2018. The use of available register data in the present study may inspire surgeons to conduct further studies to enhance the knowledge within the area of surgical procedures. |
doi_str_mv | 10.1371/journal.pone.0285047 |
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National register-based cohort study of all Danish children born 1994-2018 (n = 1,599,573) using data on surgery in public and private hospitals from The National Patient Register and data on surgery in private specialist practice from The Health Service Register. Incidence rate ratios were calculated using Poisson regression with 1999 as the reference year.
During the study period 115,573 different children (7.2% of the cohort) underwent surgery. The overall incidence of surgical procedures was stable, but the use of surgery increased in neonates mainly due to an increase in frenectomy. Boys underwent more surgery than girls. In children with severe chronic disease the rate of surgery decreased in public hospitals and increased in private specialist practices.
The utilisation of surgical procedures in Danish children 0-5 years of age did not increase from 1999 to 2018. The use of available register data in the present study may inspire surgeons to conduct further studies to enhance the knowledge within the area of surgical procedures.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0285047</identifier><identifier>PMID: 37104306</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Child ; Children ; Chronic diseases ; Chronic illnesses ; Cohort Studies ; Complications and side effects ; Denmark - epidemiology ; Disease ; Epidemiology ; Female ; General anesthesia ; Gynecology ; Health aspects ; Health services utilization ; Hospitals ; Humans ; Incidence ; Infant, Newborn ; Male ; Maxillofacial surgery ; Medicine and Health Sciences ; Neonates ; Otology ; Patient outcomes ; Pediatrics ; Surgeons ; Surgery</subject><ispartof>PloS one, 2023-04, Vol.18 (4), p.e0285047-e0285047</ispartof><rights>Copyright: © 2023 Jensen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Jensen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Jensen et al 2023 Jensen et al</rights><rights>2023 Jensen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c642t-f6eb6ad3055f5c8b100226a0f64945a3af4ad778df02dd62ebbb40d5cde2ad303</cites><orcidid>0000-0002-3860-0306 ; 0000-0003-4302-2982</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2806918717/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2806918717?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768,74869</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37104306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jensen, Andreas</creatorcontrib><creatorcontrib>Greisen, Gorm</creatorcontrib><creatorcontrib>Hjuler, Thomas</creatorcontrib><creatorcontrib>Graff Stensballe, Lone</creatorcontrib><title>Surgical procedures in Danish children 1999-2018</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To assess if the overall utilisation of surgery in Danish children 0-5 years of age increased in the period 1999-2018 in line with the development within specialised medical services. The epidemiology on surgical procedures is scarce.
National register-based cohort study of all Danish children born 1994-2018 (n = 1,599,573) using data on surgery in public and private hospitals from The National Patient Register and data on surgery in private specialist practice from The Health Service Register. Incidence rate ratios were calculated using Poisson regression with 1999 as the reference year.
During the study period 115,573 different children (7.2% of the cohort) underwent surgery. The overall incidence of surgical procedures was stable, but the use of surgery increased in neonates mainly due to an increase in frenectomy. Boys underwent more surgery than girls. In children with severe chronic disease the rate of surgery decreased in public hospitals and increased in private specialist practices.
The utilisation of surgical procedures in Danish children 0-5 years of age did not increase from 1999 to 2018. The use of available register data in the present study may inspire surgeons to conduct further studies to enhance the knowledge within the area of surgical procedures.</description><subject>Age</subject><subject>Child</subject><subject>Children</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Cohort Studies</subject><subject>Complications and side effects</subject><subject>Denmark - epidemiology</subject><subject>Disease</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health services utilization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Maxillofacial surgery</subject><subject>Medicine and Health Sciences</subject><subject>Neonates</subject><subject>Otology</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>Surgeons</subject><subject>Surgery</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl1rFDEUhgdRbK3-A9EFQfRi15OPyWSupNSvhULBqrfhTJLZzZKdbJMZ0X9v1p2WHemF5CIhed43OSdvUTwnsCCsIu82YYgd-sUudHYBVJbAqwfFKakZnQsK7OHR-qR4ktIGoGRSiMfFSdYDZyBOC7ge4spp9LNdDNqaIdo0c93sA3YurWd67byJtpuRuq7nFIh8Wjxq0Sf7bJzPiu-fPn67-DK_vPq8vDi_nGvBaT9vhW0EGgZl2ZZaNgSAUoHQCl7zEhm2HE1VSdMCNUZQ2zQNB1NqY-lexs6KlwffnQ9JjcUmRSWImsiKVJlYHggTcKN20W0x_lYBnfq7EeJKYeyd9lYx2dQMWWtYiRwqkCI_BJpKl1CjNZi93o-3Dc3WGm27PqKfmE5POrdWq_BTESBM5uZkhzejQww3g0292rqkrffY2TCMD6_LmouMvvoHvb-8kVphrsB1bcgX672pOq94RYkASTO1uIfKw9it0zkarcv7E8HbiSAzvf3Vr3BISS2vv_4_e_Vjyr4-YtcWfb9OwQ-9C12agvwA6hhSira96zIBtU_2bTfUPtlqTHaWvTj-oTvRbZTZHyf_8Ck</recordid><startdate>20230427</startdate><enddate>20230427</enddate><creator>Jensen, Andreas</creator><creator>Greisen, Gorm</creator><creator>Hjuler, Thomas</creator><creator>Graff Stensballe, Lone</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3860-0306</orcidid><orcidid>https://orcid.org/0000-0003-4302-2982</orcidid></search><sort><creationdate>20230427</creationdate><title>Surgical procedures in Danish children 1999-2018</title><author>Jensen, Andreas ; Greisen, Gorm ; Hjuler, Thomas ; Graff Stensballe, Lone</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-f6eb6ad3055f5c8b100226a0f64945a3af4ad778df02dd62ebbb40d5cde2ad303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Child</topic><topic>Children</topic><topic>Chronic diseases</topic><topic>Chronic illnesses</topic><topic>Cohort Studies</topic><topic>Complications and side effects</topic><topic>Denmark - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jensen, Andreas</au><au>Greisen, Gorm</au><au>Hjuler, Thomas</au><au>Graff Stensballe, Lone</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical procedures in Danish children 1999-2018</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-04-27</date><risdate>2023</risdate><volume>18</volume><issue>4</issue><spage>e0285047</spage><epage>e0285047</epage><pages>e0285047-e0285047</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To assess if the overall utilisation of surgery in Danish children 0-5 years of age increased in the period 1999-2018 in line with the development within specialised medical services. The epidemiology on surgical procedures is scarce.
National register-based cohort study of all Danish children born 1994-2018 (n = 1,599,573) using data on surgery in public and private hospitals from The National Patient Register and data on surgery in private specialist practice from The Health Service Register. Incidence rate ratios were calculated using Poisson regression with 1999 as the reference year.
During the study period 115,573 different children (7.2% of the cohort) underwent surgery. The overall incidence of surgical procedures was stable, but the use of surgery increased in neonates mainly due to an increase in frenectomy. Boys underwent more surgery than girls. In children with severe chronic disease the rate of surgery decreased in public hospitals and increased in private specialist practices.
The utilisation of surgical procedures in Danish children 0-5 years of age did not increase from 1999 to 2018. The use of available register data in the present study may inspire surgeons to conduct further studies to enhance the knowledge within the area of surgical procedures.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37104306</pmid><doi>10.1371/journal.pone.0285047</doi><tpages>e0285047</tpages><orcidid>https://orcid.org/0000-0002-3860-0306</orcidid><orcidid>https://orcid.org/0000-0003-4302-2982</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Child Children Chronic diseases Chronic illnesses Cohort Studies Complications and side effects Denmark - epidemiology Disease Epidemiology Female General anesthesia Gynecology Health aspects Health services utilization Hospitals Humans Incidence Infant, Newborn Male Maxillofacial surgery Medicine and Health Sciences Neonates Otology Patient outcomes Pediatrics Surgeons Surgery |
title | Surgical procedures in Danish children 1999-2018 |
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