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https://www.rpr.lib.ok.us/taxonomy/term/4101/all en https://www.rpr.lib.ok.us/resource/association-between-age-and-umbilical-hernia-repair-outcomes-children-multistate-population <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2020-01-25T00:00:00-06:00">January 25, 2020</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">The Journal of Pediatrics</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-11-08T00:00:00-06:00">November 8, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Association%20between%20Age%20and%20Umbilical%20Hernia%20Repair%20Outcomes%20in%20Children%3A%20A%20Multistate%20Population-Based%20Cohort%20Study" target="_blank">Association between Age and Umbilical Hernia Repair Outcomes in Children: A Multistate Population-Based Cohort Study</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Clinical Research Results</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">https://doi.org/10.1016/j.jpeds.2019.10.035</div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/childpreschool" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Child,Preschool</a></div> <div class="field-item odd"><a href="/mesh/hernia-umbilical" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Hernia, Umbilical</a></div> <div class="field-item even"><a href="/mesh/recurrence" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">recurrence</a></div> <div class="field-item odd"><a href="/mesh/hospitals" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">hospitals</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p> This retrospective cohort study supports waiting until after age 4 to refer children for repair of their umbilical hernias.  James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Free full text</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-a56c09fa809f719130348402de541bb3"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Association%20between%20Age%20and%20Umbilical%20Hernia%20Repair%20Outcomes%20in%20Children%3A%20A%20Multistate%20Population-Based%20Cohort%20Study" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>OBJECTIVE:</p> <p>To evaluate whether patient age or other sociodemographic and clinical characteristics are associated with recurrence or unplanned related hospital revisits after pediatric umbilical hernia repair.</p> <p>STUDY DESIGN:</p> <p>We performed a retrospective cohort study using the Healthcare Cost and Utilization Project State Inpatient, Emergency Department, and Ambulatory Surgery and Services Databases of 7 states. Pediatric umbilical hernia repairs performed at any hospital or surgery center in 2010-2014 were included. Hernia recurrences and occurrences of unplanned and related hospital revisits within 30 days were evaluated.</p> <p>RESULTS:</p> <p>Of 9809 included patients, 52.0% were female and 50.5% were black. The 3-year hernia recurrence rate was 0.57% (95% CI 0.42, 0.73). In multivariable analysis, the recurrence rate was higher in children &lt;4 years of age than in children 4-10 years of age (hazard ratio [HR] 1.93, 95% CI 1.09, 3.44). Unplanned related hospital revisits within 30 days occurred in 2.5% of patients. Patient characteristics associated with the risk of an unplanned related hospital revisit included age &lt;4 years (HR 2.17, 95% CI 1.70, 2.77) or &gt;10 years (HR 2.11, 95% CI 1.46, 3.05), public insurance (HR 2.10, 95% CI 1.58, 2.79), asthma (HR 1.74, 95% CI 1.32, 2.29), and initial presentation to the emergency department (HR 2.46, 95% CI 1.08, 5.61).</p> <p>CONCLUSIONS:</p> <p>Rates of recurrence and unplanned related hospital revisits following pediatric umbilical hernia repair are higher in children younger than 4 years of age. These findings support delaying the repair of asymptomatic umbilical hernia in children until 4 years of age.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Halleran, D.R., Minneci, P.C., Cooper, J.N.</div> </div> </div> Sat, 25 Jan 2020 20:54:00 +0000 Brian Desmarais 928 at https://www.rpr.lib.ok.us