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

Kim, D Y; Kim, S C; Kim, S H; Kim, H Y; Nam, SH; Park, K W; Park, J B; Park, J Y; Park, T J; Seo, J M; Seol, J Y; Shin, Jae Ho; Oh, J T; Lee, M D; Lee, S K; Lee, S C; Jang, Eunsu; Jang, H K; Jung, SM; Jung, S E; Jung, Se; Jung, Y J; Jung, Ey; Cho, M J; Choi, S O; Choi, So; Choi, YM; Han, Seok Joo; Heo, Tae-Gil

doi:10.13029/jkaps.2016.22.1.1

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(2 citation statements)

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“…These comparisons may explain the convergence to average of the decrease in EA cases, which had a relatively large number in our center, and the increase in HPS cases, which had relatively small numbers. The results of the 2016 study for neonatal surgery [8] were very different from the results of this study, which seemed to be due to the difference between included patients-those under 19 years of age in this study and newborns.…”

Section: Discussioncontrasting

confidence: 74%

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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: Discussioncontrasting

confidence: 74%

“…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%