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      저자 : Shyam Sukumar (검색결과 1 건)
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        Inpatients hypospadias care: Trends and outcomes from the American nationwide inpatient sample

        Christian Meyer,Shyam Sukumar,Akshay Sood,Julian Hanske,Malte Vetterlein,Jack S. Elder,Margit Fisch,Quoc-Dien Trinh,Ariella A. Friedman 대한비뇨의학회 2015 Investigative and Clinical Urology Vol.56 No.8

        Purpose: Hypospadias is the most common congenital penile anomaly. Information about current utilization patterns of inpatienthypospadias repair as well as complication rates remain poorly evaluated. Materials and Methods: The Nationwide Inpatient Sample was used to identify all patients undergoing inpatient hypospadiasrepair between 1998 and 2010. Patient and hospital characteristics were attained and outcomes of interest included intra- and immediatepostoperative complications. Utilization was evaluated temporally and also according to patient and hospital characteristics. Predictors of complications and excess length of stay were evaluated by logistic regression models. Results: A weighted 10,201 patients underwent inpatient hypospadias repair between 1998 and 2010. Half were infants (52.2%),and were operated in urban and teaching hospitals. Trend analyses demonstrated a decline in incidence of inpatient hypospadiasrepair (estimated annual percentage change, –6.80%; range, –0.51% to –12.69%; p=0.037). Postoperative complication rate was4.9% and most commonly wound-related. Hospital volume was inversely related to complication rates. Specifically, higher hospitalvolume (>31 cases annually) was the only variable associated with decreased postoperative complications. Conclusions: Inpatient hypospadias repair have substantially decreased since the late 1990’s. Older age groups and presumablymore complex procedures constitute most of the inpatient procedures nowadays.

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