Buried penis surgical treatment in children: Dorsal dartos flap VS. Fascia fixation. A retrospective cohort study

2022 ◽  
Author(s):  
Carlos Delgado-Miguel ◽  
Antonio Muñoz-Serrano ◽  
Virginia Amesty ◽  
Susana Rivas ◽  
Roberto Lobato ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Treatment ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Dartos Flap ◽  
Buried Penis

scholarly journals Does tonsillectomy reduce medical care visits for pharyngitis/tonsillitis in children and adults? Retrospective cohort study from Sweden

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e033817 ◽  
Author(s):  
Eirik Østvoll ◽  
Ola Sunnergren ◽  
Joacim Stalfors
Keyword(s):  
Cohort Study ◽  
Surgical Treatment ◽  
Medical Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Control Group ◽  
Clinical Value ◽  
Recurrent Tonsillitis ◽  
Visit Rate ◽  
The Difference

ObjectiveTo assess the effectiveness of tonsillectomy/adenotonsillectomy in reducing medical care visits for pharyngitis or tonsillitis in children and adults with chronic/recurrent tonsillitis.DesignRetrospective cohort study.SettingData were retrieved from the VEGA register, a comprehensive regional cohort in Sweden.Participants1044 children (<15 years) and 2244 adults.InterventionTonsillectomy/adenotonsillectomy compared with no surgical treatment.Main outcome measuresChanges in yearly mean rates of medical care visits due to pharyngitis/tonsillitis.ResultsIn children, there was a significant decrease in the yearly mean medical care visits rate from 1.93 (1.82 to 2.04) before surgery to 0.129 (0.099 to 0.165) after surgery, with a mean change of −1.80 (−1.90 to −1.69), p<0.0001. In patients who did not undergo surgery, the corresponding mean change was −1.51 (−1.61 to −1.41), resulting in a mean difference in the change in visit rates between the intervention and control groups of −0.283 (−0.436 to −0.135), p=0.0002. In adults, a significant decrease in the yearly mean medical care visit rate was observed from 1.45 (1.39 to 1.51) before surgery to 0.152 (0.132 to 0.173) after surgery, with a mean change of −1.30 (−1.36 to −1.24), p<0.0001, compared with −1.18 (−1.24 to −1.13) in the control group. The difference in the change in yearly mean visit rate between the surgical and non-surgical groups was −0.111 (−0.195 to −0.028), p=0.0097. The subgroup analysis showed a greater effect of surgery in children, in patients with a higher number of medical care visits before surgery and in the first year of follow-up.ConclusionIn this cohort of patients moderately or less affected with chronic/recurrent tonsillitis, the effectiveness of tonsillectomy/adenotonsillectomy in reducing medical care visits for pharyngitis and tonsillitis compared with no surgical treatment was low and of questionable clinical value.

scholarly journals Surgical treatment choices for breast cancer in Newfoundland and Labrador: a retrospective cohort study

2018 ◽  
Vol 61 (6) ◽  
pp. 377-384 ◽  
Author(s):  
Farah McCrate ◽  
Elizabeth Dicks ◽  
Erin Powell ◽  
Joanne Chafe ◽  
Rebecca Roome ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Surgical Treatment ◽  
Retrospective Cohort Study ◽  
Newfoundland And Labrador ◽  
Retrospective Cohort ◽  
Treatment Choices

scholarly journals Gender Disparities in Surgical Treatment of Axis Fractures in Older Adults

2019 ◽  
Vol 11 (1) ◽  
pp. 71-75
Author(s):  
Michael P. Catalino ◽  
Brice A. Kessler ◽  
Virginia Pate ◽  
Drew Cutshaw ◽  
Til Stürmer ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Treatment ◽  
Spine Surgery ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
International Classification Of Diseases ◽  
Population Based ◽  
Gender Disparity ◽  
Gender Disparities ◽  
Secondary Outcome

Study Design: Retrospective cohort study. Objectives: Gender appears to play in important role in surgical outcomes following acute cervical spine trauma, with current literature suggesting males have a significantly higher mortality following spine surgery. However, no well-adjusted population-based studies of gender disparities in incidence and outcomes of spine surgery following acute traumatic axis injuries exist to our knowledge. We hypothesized that females would receive surgery less often than males, but males would have a higher 1-year mortality following isolated traumatic axis fractures. Methods: We performed a retrospective cohort study using Medicare claims data that identified US citizens aged 65 and older with ICD-9 (International Classification of Diseases, Ninth Revision) code diagnosis corresponding to isolated acute traumatic axis fracture between 2007 and 2014. Our primary outcome was defined as cumulative incidence of surgical treatment, and our secondary outcome was 1-year mortality. Propensity weighted analysis was performed to balance covariates between genders. Our institutional review board approved the study (IRB #16-0533). Results: There was no difference in incidence of surgery between males and females following acute isolated traumatic axis fractures (7.4 and 7.5 per 100 fractures, respectively). Males had significantly higher 1-year weighted mortality overall (41.7 and 28.9 per 100 fractures, respectively, P < .001). Conclusion: Our well-adjusted data suggest there was no significant gender disparity in incidence of surgical treatment over the study period. The data also support previous observations that males have worse outcomes in comparison to females in the setting of axis fractures and spinal trauma regardless of surgical intervention.

Sign in / Sign up

Export Citation Format

Share Document