دورية أكاديمية
Assessing national trends in indications for pediatric total thyroidectomy.
| العنوان: | Assessing national trends in indications for pediatric total thyroidectomy. |
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| المؤلفون: | Puchi C; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America., Raval MV; Northwestern University Feinberg School of Medicine, Division of Pediatric Surgery, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Surgery, Chicago, IL, United States of America., Tian Y; Northwestern Feinberg School of Medicine, Division of Surgical Oncology, United States of America., Josefson J; Northwestern University Feinberg School of Medicine, Department of Pediatrics, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Endocrinology, Chicago, IL, United States of America., Samis J; Northwestern University Feinberg School of Medicine, Department of Pediatrics, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Endocrinology, Chicago, IL, United States of America., Johnston DR; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America., Maddalozzo J; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America., Rastatter J; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America., Hazkani I; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America; Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America. Electronic address: ihazkanibendror@luriechildrens.org. |
| المصدر: | American journal of otolaryngology [Am J Otolaryngol] 2024 Sep-Oct; Vol. 45 (5), pp. 104440. Date of Electronic Publication: 2024 Jul 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cherry Hill, N. J., Saunders. |
| مواضيع طبية MeSH: | Thyroidectomy*/trends , Thyroidectomy*/statistics & numerical data , Thyroidectomy*/methods , Graves Disease*/surgery, Humans ; Female ; Male ; United States ; Child ; Adolescent ; Child, Preschool ; Incidence ; Thyroid Neoplasms/surgery ; Databases, Factual ; Thyrotoxicosis/surgery ; Thyrotoxicosis/epidemiology ; Sex Factors |
| مستخلص: | Purpose: The most common indications for total thyroidectomy (TT) in children are malignancy and thyrotoxicosis due to Graves' disease (GD). However, the incidence of patients with GD among patients undergoing TT is unknown. This study aims to examine trends in pediatric TT. Materials and Methods: The US Agency for Health Research and Quality Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) was queried to identify patients who underwent TT between 1997 and 2019. Weighted national estimates were obtained. Statistical analysis was completed using univariate logistic regression and one-sided Mann-Kendall Test. Results: An estimated 4803 pediatric patients underwent TT within the study years. GD was the indication in 25 % of cases. Mann-Kendall testing showed a trend toward an increasing proportion of TT for GD without reaching statistical significance (z = 1.3609, S = 12, p = 0.0688). Statistically significant univariate associations were found among those who underwent thyroidectomy for GD compared to other indications, as they were more likely to be female (β = 0.286, 95 % CI [0.058, 0.514], p = 0.014), Black, or Hispanic (β = 1.392 [1.064, 1.721], p < 0.001; and β = 0.562 [0.311, 0.814], p < 0.001, respectively). Additionally, they were less likely to have private insurance (β = -0.308 [-1.076, -0.753], p = 0.002) and more likely to live in a ZIP code associated with a median household income below the 50th percentile (β = 0.190 [0.012, 0.369], p = 0.036). The associations with the female sex, Black race, and Hispanic race persisted in multivariate analysis. Conclusion: GD appears to be an increasingly prevalent indication for TT. Patient characteristics differ from those who undergo TT for other diagnoses. Competing Interests: Declaration of competing interest The authors have no disclosures or conflicts of interest. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Database study; Graves' disease; Pediatric thyroidectomy |
| تواريخ الأحداث: | Date Created: 20240726 Date Completed: 20240822 Latest Revision: 20240822 |
| رمز التحديث: | 20240823 |
| DOI: | 10.1016/j.amjoto.2024.104440 |
| PMID: | 39059161 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-818X |
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| DOI: | 10.1016/j.amjoto.2024.104440 |