A comparison of open vs laparoscopic pediatric pyeloplasty using the pediatric health information system database--do benefits of laparoscopic approach recede at younger ages?

The Journal of Urology
Stacy T TanakaJohn C Pope

Abstract

The potential benefits of laparoscopic pyeloplasty may recede in younger age groups. We used a multi-institutional database to address the effect of laparoscopic approach on length of stay and postoperative parenteral narcotic use in specific pediatric age groups. We performed a retrospective study of 5,261 children with an ICD-9 procedure code for correction of ureteropelvic junction obstruction from the Pediatric Health Information System, a database of freestanding pediatric hospitals. Discharge dates from January 1, 2002 to June 30, 2007 were included. Laparoscopic cases were identified by ICD-9 procedure codes and hospital equipment charges. We used multivariate linear regression to investigate the effect of laparoscopic approach on length of stay and parenteral narcotic use in several age categories, including infant (1 month to less than 2 years old), preschool (2 to less than 6 years), grade school (6 to less than 10 years), preadolescent (10 to less than 13 years) and adolescent (13 to less than 19 years). Laparoscopic approach decreased length of stay and number of parenteral narcotic pharmacy charges in the preadolescent (p = 0.03 and p = 0.005, respectively) and adolescent (p = 0.03 and p = 0.006, respectively) grou...Continue Reading

Associated Clinical Trials

May 13, 2021·Benjamin Whittam, Benjamin Whittam

References

Jun 1, 1995·The Journal of Urology·C A PetersA B Retik
May 12, 2004·Surgical Endoscopy·M Y LindJ N M IJzermans
Apr 12, 2005·The Journal of Urology·Arnaud BonnardAlaa El-Ghoneimi
Jan 13, 2006·The Journal of Urology·M L MetzelderB M Ure
Mar 7, 2006·The Journal of Urology·Alexander KutikovPasquale Casale
Aug 21, 2007·The Journal of Urology·Job K ChackoPeter D Furness
Aug 21, 2007·The Journal of Urology·Stephen J CanonGregory J Lowe
Sep 18, 2007·Journal of Endourology·I R RavishShrishailesh S Amarkhed
Feb 26, 2008·The Journal of Urology·Karim ChamieEric A Kurzrock

❮ Previous
Next ❯

Citations

Feb 15, 2011·Cardiovascular and Interventional Radiology·Alex M BarnacleDerek J Roebuck
Dec 21, 2010·Journal of Indian Association of Pediatric Surgeons·V Raveenthiran
Apr 12, 2014·The Journal of Surgical Research·Jason P SulkowskiPeter C Minneci
Oct 15, 2013·European Urology·Vincenzo FicarraAlexandre Mottrie
Jul 24, 2012·The Journal of Urology·Shyam SukumarQuoc-Dien Trinh
Oct 27, 2011·Journal of Pediatric Urology·Brian HuEric A Kurzrock
May 28, 2011·Journal of Pediatric Urology·Sean T O'Brien, Aseem R Shukla
Apr 30, 2011·Journal of Pediatric Urology·Abdol-Mohammad KajbafzadehSaman Shafaat Talab
Feb 24, 2010·The Journal of Urology·Abdol-Mohammad KajbafzadehBehtash Ghazi Nezami
Sep 18, 2009·The Journal of Urology·Douglas E Coplen
Apr 23, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshiyuki KojimaKenjiro Kohri
Nov 6, 2012·The Journal of Urology·Robert M TurnerMichael C Ost
Mar 1, 2012·Arab Journal of Urology·Guy HidasAntoine E Khoury
May 30, 2019·Frontiers in Pediatrics·Christina Kim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.