Continence in the cloacal exstrophy patient: What does it cost?

Journal of Pediatric Surgery
Seth D GoldsteinJ P Gearhart

Abstract

Surgical advancements have made cloacal exstrophy (CE) a survivable condition, though management remains complex. Urologic, orthopedic, colorectal and gynecologic interventions are not standardized, and the cost of this care is high. While the importance of a successful primary closure in terms of outcomes is known, the economic consequences of failure remain uncharacterized. A prospectively maintained institutional database of epispadias-exstrophy complex patients was reviewed for continent CE patients. Hospital charges for all inpatient admissions prior to achieving urinary continence were inflation-adjusted to year 2013 values using Consumer Price Index for medical care published by the United States Bureau of Labor Statistics. Records for which charge data were incomplete were completed by using single mean imputation, also inflation-adjusted. Descriptive data are presented as mean±standard deviation (SD). Of 102 CE patients, 35 had available hospital charge data: 15 who underwent successful primary closure at the authors' institution and 20 who presented after previously failed primary closures at referring institutions. The mean±SD hospital charges for primary closure in the success group were $136,201±$48,920. These pati...Continue Reading

References

Jan 1, 1970·American Journal of Surgery·E S Tank, S M Lindenauer
Nov 17, 1998·The Journal of Urology·R MathewsJ P Gearhart
Jan 29, 2010·Journal of Pediatric Surgery·David SawayaJohn Gearhart
Jan 5, 2012·JAMA : the Journal of the American Medical Association·Ezekiel J Emanuel
Mar 16, 2012·JAMA : the Journal of the American Medical Association·Donald M Berwick, Andrew D Hackbarth
Mar 2, 2013·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Jai K Mahajan, Kattragadda L N Rao
Jul 23, 2013·The Journal of Urology·I MushtaqP Cuckow
Dec 5, 2013·The Journal of Urology·Anthony J SchaefferCaleb P Nelson
Jan 28, 2014·Journal of Pediatric Urology·Ali TourchiJohn P Gearhart
Jun 4, 2014·Journal of Pediatric Surgery·Bhavik B ShahJohn P Gearhart
Nov 7, 2014·Surgery Research and Practice·Brian M InouyeJohn P Gearhart

❮ Previous
Next ❯

Citations

Mar 19, 2019·Journal of Pediatric Surgery·Rachel DavisJohn P Gearhart
Mar 21, 2018·Journal of Pediatric Surgery·Mahir MarufJohn P Gearhart

❮ 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.