scholarly journals Trends in the Rates of Pediatric Pyeloplasty for Ureteropelvic Junction Obstruction over 19 Years: A PHIS Database Study

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ardavan Akhavan ◽  
Paul A. Merguerian ◽  
Cindy Larison ◽  
Adam B. Goldin ◽  
Margarett Shnorhavorian
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Health Information System ◽  
Geographic Region ◽  
Ureteropelvic Junction ◽  
Surgical Reconstruction ◽  
Time Of Surgery ◽  
The Past ◽  
Time Period ◽  
Adjusted Rate ◽  
Primary Pyeloplasty

Background. Over the past 20 years, the management of ureteropelvic junction obstruction (UPJ) has shifted. While many urologists note a decrease in the number of pyeloplasties performed over time, the nature of the change in practice has yet to be defined. In the current study, we utilize a national, multi-institutional database of children’s hospitals to evaluate trends in patients undergoing pyeloplasty as well as the rate of surgical reconstruction over the past 20 years.Material/Methods. We queried the Pediatric Health Information System (PHIS) database for all children undergoing primary pyeloplasty between 1992 and 2011. Clinical variables, including age at time of surgery, gender, length of stay (LOS), and geographic region, were determined. Age-adjusted rate of repair was also calculated per 100,000 PHIS inpatients.Results. 6,013 patients were included in the study, of which 71.6% were male and 64.2% were under the age of 24 months at time of surgery. Over the study period, the median age at time of surgery increased from 2–4 months to 12–14 months (P<0.01). LOS decreased from a median of 5 days to 2 days (P<0.001). The rate of surgery increased by 10.6 pyeloplasties per 100,000 PHIS inpatients from 1992 to 2011 (P<0.01). The highest rate of pyeloplasty was in the northeast. The increase in pyeloplasties performed from 1992 to 1999 was specific to children aged greater than 24 months, while rates stayed the same in infants younger than 2 years during the same time period. In contrast, from 1999 to 2011, the rate of pyeloplasty decreased in patients less than 2 years of age, while the rate remained constant in patients over age 2.Conclusion. The rate of pyeloplasty increased in PHIS hospitals from 1992 to 2011. Trends are due to an increase in surgery in infants younger than 2 years from 1992 to 1999, followed by a progressive surgical rate decline, characterized by a shift towards patients older than 2 years of age.

751: Robotic Ureteropelvic Junction Obstruction Management after Failed Primary Pyeloplasty in Children

2006 ◽  
Vol 175 (4S) ◽  
pp. 244-244
Author(s):  
Brian H. Eisner ◽  
Carlo C. Passerotti ◽  
Marc Cendron ◽  
Craig A. Peters
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Primary Pyeloplasty

Ureteropelvic Junction Obstruction as a Cause for Intermittent Abdominal Pain in Children

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1066-1069
Author(s):  
A. BARRY BELMAN
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Case History ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Washington Dc ◽  
Intermittent Abdominal Pain ◽  
The Past ◽  
Primary Physician ◽  
History Of

Two or three times each year children are seen by the Urology Service at Children's Hospital, Washington, DC, who have a history of intermittent, severe midabdominal pain associated with vomiting due to intermittent ureteropelvic junction obstruction. These symptoms may have been on-going for years. The following case history serves as a typical example. CASE REPORT A 6-years-old boy was referred to the Urology Service from the Gastrointestinal Service where he had been sent by his primary physician. He had a 1-year history of episodic abdominal pain occurring one to two times per month initially, but becoming more frequent during the past few months.

Trends in Prevalence of Cigarette Smoking in Brazil: 2006–2019

2021 ◽  
Vol 111 (4) ◽  
pp. 730-738
Author(s):  
Emanuella Gomes Maia ◽  
Sheila Rizzato Stopa ◽  
Roberta de Oliveira Santos ◽  
Rafael Moreira Claro
Keyword(s):  
Cigarette Smoking ◽  
Total Population ◽  
Telephone Survey ◽  
Geographic Region ◽  
Current Cigarette Smoking ◽  
Heavy Smoking ◽  
The Past ◽  
Annual Prevalence ◽  
Time Period ◽  
Current Cigarette

Objectives. To analyze trends in cigarette smoking among Brazilian adults from 2006 to 2019. Methods. We performed a time-series analysis based on data from the Surveillance of Risk and Protective Factors for Chronic Diseases Telephone Survey (n = 730 309). We calculated the annual prevalence of current cigarette smokers, heavy smokers, and passive smokers in the workplace and investigated linear trends using Prais–Winsten regression, for the entire period and for the past 5 years. We performed the analyses for the total population and according to the sociodemographic characteristics. Results. The prevalence of cigarette smoking, heavy smoking, and passive smoking in the workplace declined, respectively, an average of 3.99% per year, 5.65% per year, and 6.55% per year from 2006 to 2019. We observed this reduction regardless of gender, age, educational level, and geographic region. The magnitude of reduction in the prevalence of current cigarette smoking decreased in the past 5 years, while the magnitude of the change in heavy smoking increased. Conclusions. The prevalence of cigarette smoking decreased in the time period studied. The smaller magnitude of reduction for current cigarette smoking in the most recent years might indicate a fatigue with the current policy scenario.

840: Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction: Comparing Davinci Robotic to Classic Laparoscopic Pyeloplasty

2005 ◽  
Vol 173 (4S) ◽  
pp. 228-228
Author(s):  
Scott V. Burgess ◽  
Michael M. Woods ◽  
Freddy Mendez-Torres ◽  
Erik P. Castle ◽  
Raju Thomas
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty
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