Age-Dependent Costs and Complications in Pediatric Umbilical Hernia Repair

To characterize regional variation in the age of patients undergoing umbilical hernia repair to determine costs and subsequent care. We performed a cross-sectional descriptive study using a large convenience sample of US employer-based insurance claims from July 2012 to December 2015. We identified...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of pediatrics 2020-11, Vol.226, p.236-239
Main Authors: Kohler, Jonathan E., Cartmill, Randi S., Yang, Dou-Yan, Fernandes-Taylor, Sara, Greenberg, Caprice C.
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Child
Child, Preschool
Cross-Sectional Studies
Female
Health Care Costs
Hernia, Umbilical - economics
Hernia, Umbilical - surgery
herniorrhaphy
Herniorrhaphy - adverse effects
Herniorrhaphy - economics
Humans
Infant
Infant, Newborn
Male
pediatric surgery
Postoperative Complications - economics
Postoperative Complications - epidemiology
Risk Factors
surgical costs
surgical outcomes
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To characterize regional variation in the age of patients undergoing umbilical hernia repair to determine costs and subsequent care. We performed a cross-sectional descriptive study using a large convenience sample of US employer-based insurance claims from July 2012 to December 2015. We identified children younger than 18 years of age undergoing uncomplicated (not strangulated, incarcerated, or gangrenous) umbilical hernia repair as an isolated procedure (International Classification of Diseases, Ninth Revision procedure codes 53.41, 53.42, 53.43, or 53.49, International Classification of Diseases, Tenth Revision procedure code 0WQF0ZZ, or Current Procedural Terminology procedure codes 49580 or 49585). In all, 5212 children met criteria for inclusion. Children younger than age 2 years accounted for 9.7% of repairs, with significant variation by census region (6% to 14%, P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2020.07.008