Index Cases in Pediatric Surgery, 2000: National Survey by the Korean Association of Pediatric Surgeons

Lee, Myeong Soo; Sy, Kim; Wk, Kim; Ik, Kim Yong; Kim, SC; Sk, Kim; Kim, Je; Jc, Kim; Kim, Ho-Hyun; Park, KW; Park, WH; Seo, J M; Song, Yong; Sh, Oh; Sy, Yoo; Lee, DS; Sk, Lee; Sc, Lee; Chung, Seok-Hee; Su, Chung Yen; Es, Jung; Jung, Ph.; Cho, MH; Kj, Cboi; So, Cboi; Choi, So; Han, Seok Joo; Huh, YS; Hong, C; Whang, EH

doi:10.13029/jkaps.2001.7.2.147

Cited by 5 publications

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“…Index diseases in pediatric surgery were defined as diseases that are of great importance in neonatal and pediatric surgery [7,9]. Index diseases generally require special pediatric surgical training for competent performance, in contrast to mundane diseases [10].…”

Section: Discussionmentioning

confidence: 99%

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Changes in the prevalence of index diseases in pediatric surgery: case analysis of single national children’s hospital

Kim¹,

Cho²,

Kim³

2021

J Korean Med Assoc

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Pusan National University Children’s Hospital (PNUCH) opened in November 2008 as the second National Children’s Hospital in Korea and celebrated its 10th anniversary in 2018. In the last decade, birth rates and pediatric populations have been declining sharply and has been more serious in Busan, Ulsan, and Gyeongsangnam-do where the PNUCH is located, affecting the prevalence of index diseases. The number of the index diseases was investigated by year according to changes in the population. Patients who underwent surgery at PNUCH for 10 years were included. Changes in pediatric population and the number of live births were analyzed using the data from Statistics Korea. The number of the index diseases was analyzed retrospectively through the review of electronic medical records. Statistical analysis was performed through Poisson regression. The number of live births and pediatric population decreased from 69,528 to 48,600 (30.1%) and 1,880,284 to 1,444,961 (23.2%), respectively. Operations of pediatric surgery decreased by 32.3% compared to that during the peak season, but the prevalence rate ratio of the pediatric population increased to 1.03 (<i>P</i><0.001). The number of emergency operation increased due to the largest surge in acute appendicitis operations. Both esophageal atresia and Hirschsprung disease decreased, while hypertrophic pyloric stenosis significantly increased. The absolute number of pediatric surgery cases decreased. However, considering the changes in pediatric population and the number of live births, the relative number of pediatric surgery cases does not changed. The decrease in the number of each disease would be related to the decrease in pediatric population and the number of live births. We should consider the increase of emergency operations such as acute appendicitis.

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Section: Discussionmentioning

confidence: 99%

“…The national surveys of the Korean Association Patients under 6 months old were only included. of Pediatric Surgeons in 2001 [7] and 2016 [8] were compared (Table 3). These surveys presented the values of the result with cases/year by surgeon.…”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

Changes in the prevalence of index diseases in pediatric surgery: case analysis of single national children’s hospital

Kim¹,

Cho²,

Kim³

2021

J Korean Med Assoc

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Newborns Surgery with Congenital Anomalies: A National Survey of Its Members by Korean Association of Pediatric Surgeons

Kim

et al. 2016

J Korean Assoc Pediatr Surg

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Analysis of Neonatal Surgery during a 5-year Period

et al. 2009

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Purpose:In the field of pediatric surgery, neonatal surgery occupies a special portion and has clinical varieties.Recently many associated physicians, such as pediatric surgeons, neonatologists, anesthetists, pathologists and radiologists, work collaboratively for care. This study was designed to identify characteristics of neonatal surgery based on clinical experiences in a single institute. Methods: Neonates receiving operation during a 5-year period between Jan. Dec. 2007 in Pusan National University Children's Hospital were reviewed. Patients were divided into 2 groups of age after birth; early neonatal (before 7 days) and late neonatal period (after 7 days) and the operation was classified as a primary procedure for definite treatment and a staged procedure including 2nd look operation. We analyzed their clinical data and postoperative results. Results: 286 cases of neonates were included during this period, 118 cases (41.3%) in early neonatal and 168 (58.7%) in late neonatal period. Distribution of diseases was as follows, sequentially; 60 (21.0%) anorectal malformations, 46 (16.1%) intestinal atresia, 44 (15.4%) Hirschsprung's disease, 35 (12.2%) necrotizing enterocolitis, 24 (8.3%) hypertrophic pyloric stenosis, 20 (6.9%) inguinal hernia, 13 (4.5%) malrotation, 9 (3.1%) tumor, 8 (2.7%) diaphragmatic hernia, 6 (2.0%) abdominal wall defect and 21 (7.3%) others. According to the operation, a primary procedure was performed in 205 cases (71.7%) and a staged procedure in 81 cases (28.3%). The morbidity and mortality was 3.1% and 2.8% respectively. Conclusion: When considering morbidity and mortality after neonatal surgery for patients who have associated anomalies, collaborative care is necessary to expect a good outcome.

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Index Cases in Pediatric Surgery, 2000: National Survey by the Korean Association of Pediatric Surgeons

Cited by 5 publications

References 0 publications

Changes in the prevalence of index diseases in pediatric surgery: case analysis of single national children’s hospital

Changes in the prevalence of index diseases in pediatric surgery: case analysis of single national children’s hospital

Newborns Surgery with Congenital Anomalies: A National Survey of Its Members by Korean Association of Pediatric Surgeons

Analysis of Neonatal Surgery during a 5-year Period

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