May 24, 2019

Pediatric thymectomy: a study of national trends in demographics, short-term outcomes, and cost

Pediatric Surgery International
Michael A CatalanoRichard D Glick

Abstract

Thymectomy in pediatric patients is an effective treatment for myasthenia gravis (MG), thymic neoplasms, and other rarer pathologies. It is an uncommon procedure in children and studies have focused on small, single-institution cohorts. We sought to better characterize its use by utilizing a national database. The Kids' Inpatient Database was used to identify hospital discharge records of patients ≤ 20 years old who underwent thymectomy. A retrospective cross-sectional analysis for 2003, 2006, 2009, and 2012 was performed. Trends in patient characteristics, diagnosis, surgical approach, and short-term outcomes were analyzed. Risk factors were identified using univariate and multivariate analyses. There were 600 thymectomies identified. MG was the most common indication. Thoracoscopy is being used increasingly for all diagnoses except malignancy. The overall morbidity rate was 14.0%, with respiratory complications representing the largest group. No in-hospital deaths were identified. Private insurance was associated with shorter hospital stays and lower costs. Hispanic race was associated with more complications, longer stays, and higher costs. Thoracoscopic thymectomies had shorter stays than open procedures. Thymectomy in the ...Continue Reading

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References

  • References18
  • Citations2

Citations

Mentioned in this Paper

Prevalence Studies
Study
Univariate Analysis
Hispanics
Respiratory Complication
Institution
Thymectomy
Teens
Thoracoscopy
Complication

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