Rates and trends for inpatient surgeries in pediatric Crohn's disease in the United States from 2003 to 2012

Pediatric Crohn's disease (CD) is increasing in incidence globally. Trends in specific types of inpatient pediatric CD-related surgical procedures have not been widely reported. Patients ≤20 years of age with CD were identified in the Kids' Inpatient Database for 2003, 2006, 2009, and 2012...

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Bibliographic Details
Published in:Journal of pediatric surgery 2018-07, Vol.53 (7), p.1334-1338
Main Authors: Stokes, Audrey L., Kulaylat, Afif N., Rocourt, Dorothy V., Hollenbeak, Christopher S., Koltun, Walter, Falaiye, Tolulope
Format: Article
Language:English
Subjects:
Adolescent
Anastomosis, Surgical
Biological Factors - therapeutic use
Bowel resection
Child
Child, Preschool
Children
Colectomy - statistics & numerical data
Colectomy - trends
Crohn Disease - surgery
Female
Hospitalization
Humans
Ileostomy - statistics & numerical data
Ileostomy - trends
Infant
Inflammatory bowel disease
Intestines - surgery
Laparoscopy
Logistic Models
Male
Odds Ratio
United States
Young Adult
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Summary:Pediatric Crohn's disease (CD) is increasing in incidence globally. Trends in specific types of inpatient pediatric CD-related surgical procedures have not been widely reported. Patients ≤20 years of age with CD were identified in the Kids' Inpatient Database for 2003, 2006, 2009, and 2012. Bowel resection, stoma creation, and perianal or percutaneous drainage procedures were identified using ICD-9 procedure codes, and trends were identified. Logistic regression was used to identify factors associated with surgical intervention and trends. Rates of overall bowel resection (including ileocolic resection, other small bowel resection, or other colon resection) did not change significantly over time. However, the odds of having a laparoscopic colon resection increased by 41% annually (p
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2017.11.060