Variations in referral patterns for hypophysectomies among pediatric patients with sellar and parasellar tumors

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Debraj MukherjeeAlfredo Quiñones-Hinojosa

Abstract

It has been shown that patients admitted to high-volume hospitals for resection of sellar and parasellar lesions experience reduced mortality and morbidity. It remains unknown what preoperative factors influence admission to high-volume centers. We report a nationwide analysis of patients <18 years of age undergoing neurosurgical intervention for these lesions. A retrospective analysis of the Nationwide Inpatient Sample was performed with additional factors from the Area Resource File. International Classification of Diseases, 9th Revision diagnosis/procedural codes were used to identify patients undergoing resection of tumors from the pituitary gland or related structures. Patients >or=18 years old were excluded. Covariates included age, gender, race, and insurance status. Multivariate analysis was performed using multiple logistic regression models. A p value <0.05 was considered statistically significant. In total, 1,063 patients were identified. Most (69.8%) were seen at low-volume centers. Mean (median) patient age was 13.7 (15) years. The majority of patients were female (54.8%), white (61.9%), and insured (90.3%). Hispanics were 44% less likely (odds ratio (OR) 0.56, 95% confidence interval (CI) 0.34-0.92, p < 0.05) to b...Continue Reading

References

Apr 1, 1976·Cancer·C K PetitoK M Earle
Jan 1, 1985·Endocrine Reviews·P J Snyder
Sep 15, 1988·Annals of Internal Medicine·T J MampalamC B Wilson
Jan 1, 1988·Acta neurochirurgica·R Fahlbusch, M Buchfelder
Nov 1, 1984·Journal of Neurosurgery·C B Wilson
Feb 1, 1984·Current Problems in Cancer·E R Laws
Jan 1, 1982·Journal of Neurosurgery·M A Faria, G T Tindall
Sep 1, 1994·Clinical Endocrinology·T Mindermann, C B Wilson
Dec 24, 1997·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·W A BleyerR S Ungerleider
Dec 8, 1998·JAMA : the Journal of the American Medical Association·C B BeggM F Brennan
Dec 16, 1998·The Journal of Clinical Endocrinology and Metabolism·G A KaltsasG M Besser
Dec 3, 1999·QJM : Monthly Journal of the Association of Physicians·N J GittoesP M Stewart
Dec 22, 1999·The Journal of Clinical Endocrinology and Metabolism·A R Lafferty, G P Chrousos
Jun 1, 2000·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·B E HillnerC E Desch
Nov 22, 2000·JAMA : the Journal of the American Medical Association·W E MouradianJ J Crall
May 30, 2001·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·J M SlaterC J Boyd
Aug 15, 2002·Surgical Neurology·Cargill H AlleyneNelson M Oyesiku
Oct 15, 2003·The Journal of Clinical Endocrinology and Metabolism·Fred G BarkerBrooke Swearingen
Oct 22, 2003·Annals of Internal Medicine·Jeffrey A MeyerhardtCharles S Fuchs
Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
Jan 1, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jeffrey A MeyerhardtCharles S Fuchs
Jul 27, 2004·Cancer·Shereen EzzatIan E McCutcheon
Aug 23, 2005·The British Journal of Ophthalmology·R VenkateshN Venkatesh Prajna
Jul 18, 2006·Current Problems in Pediatric and Adolescent Health Care·Charles N Oberg, Maria Rinaldi
Jul 21, 2006·The New England Journal of Medicine·Glenn Flores
Aug 15, 2006·Current Opinion in Urology·Peter C BlackColin P Dinney
Sep 27, 2006·Journal of Cardiovascular Medicine·Alessandro PolitiGiovanni Ferrari
Oct 26, 2006·JAMA : the Journal of the American Medical Association·Jerome H LiuClifford Y Ko
Dec 5, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M Mehrazin
Dec 15, 2006·The New England Journal of Medicine·Shlomo Melmed
Mar 3, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stephanie E Dunkle-BlatterAnthony T Petrick
May 25, 2007·Nephron. Clinical Practice·Sankar D NavaneethanWajid Choudhry
Jun 15, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Laurent G GlanceAndrew W Dick
Oct 11, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Della L HowellWilliam G Woods
Oct 18, 2007·Current Opinion in Endocrinology, Diabetes, and Obesity·Marc Mayberg, Sandra Vermeulen
Jan 10, 2008·Expert Review of Anticancer Therapy·Gregory G HeuerPhillip B Storm
Dec 18, 2007·Neurosurgical Focus·Nelson M Oyesiku
Nov 1, 2005·Neurosurgical Focus·John A Jane

Related Concepts

Brain Tumor, Recurrent
Latinas
Hypophysectomy
Pituitary Carcinoma
Indigency
Patient Referral
Retrospective Studies
Insurance Coverage
Healthcare Disparities
Classification

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.

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.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

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.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

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.

Laryngeal Neoplasms

Laryngeal Neoplasms occur in the Larynx and are typically associated with smoking and alcohol consumption. Discover the latest research on Laryngeal Neoplasms here.

Cell Atlas Along the Gut-Brain Axis

Profiling cells along the gut-brain axis at the single cell level will provide unique information for each cell type, a three-dimensional map of how cell types work together to form tissues, and insights into how changes in the map underlie health and disease of the GI system and its crosstalk with the brain. Disocver the latest research on single cell analysis of the gut-brain axis here.