Comparing pyloromyotomy outcomes across Canada

Alexander C. Ednie, Ofer Amram, Nadine Schuurman, Natalie L. Yanchar

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Background Changing patterns of referral and management of hypertrophic pyloric stenosis (HPS) in North America have recently been described. Comfort with perioperative management, anesthesia, and corrective surgery have been cited as reasons for these changes. Our primary objective was to assess pyloromyotomy outcomes between different hospital types across Canada. The secondary objective was to geospatially map all pyloromyotomies to identify regions of higher HPS incidence across Canada. Methods Data of all pyloromyotomies done between 2011 and 2013 were acquired from Canadian Institute for Health Information (CIHI). Complication rates and length of hospital stay (LOS) were analyzed. Postal codes for each patient were used to geospatially map regions of higher HPS incidence. Results A total of 1261 pyloromyotomies were assessed. There was no difference in LOS or complication rates between different hospital types or surgeon group. Open pyloromyotomies were done in 75% of the cases. Several regions of higher HPS incidence were identified across Canada. Conclusion This study found no difference in complication rate or LOS stay between hospital type and surgeon type across Canada. This may reflect a previously identified referral trend in the United States towards pediatric centers. Several regions of higher HPS incidence were identified, and may aid in identifying genetic elements causing HPS. Level of evidence 2c

Original languageEnglish
Pages (from-to)739-743
Number of pages5
JournalJournal of Pediatric Surgery
Volume52
Issue number5
DOIs
Publication statusPublished - May 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2017

ASJC Scopus Subject Areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

PubMed: MeSH publication types

  • Comparative Study
  • Journal Article

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