Goodstein Taylor A, Cost Nicholas G, Campbell Jeffrey B, Vemulakonda Vijaya, Wilcox Duncan, Saltzman Amanda F
University of Colorado School of Medicine, Department of Surgery, Division of Urology & Children's Hospital Colorado, Aurora, CO.
University of Colorado School of Medicine, Department of Surgery, Division of Urology & Children's Hospital Colorado, Aurora, CO; University of Kentucky, Department of Urology, Lexington, KY.
Urology. 2019 Mar;125:179-183. doi: 10.1016/j.urology.2018.12.030. Epub 2019 Jan 2.
To describe the annual volume of pediatric urology cases in an academic, tertiary care setting.
A retrospective review was performed of all patients operated on by 4 pediatric urologists (total of 2.5 full-time equivalents) at an academic, tertiary care center with a free-standing children's hospital from 2016 to 2017 (24 months). Basic case information was collected from operative reports. Descriptive statistics are reported using nonparametric methods. "Uncommon" was defined a priori as occurring <10% of the time.
During the entire study period, 2718 patients underwent 4580 procedures. This equated to 1088 patients and 1832 procedures per full-time equivalent. Median age at surgery was 3.2 years (IQR 0.8-10) and 757 (16.5%) of patients were female. Most procedures were elective (4406, 96.2%) and did not require postoperative admission (3842, 83.9%). Urgent and emergent cases were uncommon (174, 3.8%). Most cases were classified as general pediatric urology (3894, 85%) with 319 (7%) classified as major reconstruction, 275 (6%) as laparoscopy/endourology and 92 (2%) as oncology. The most common cases involved the groin/scrotum (1415, 30.9%), prepuce (809, 17.7%), phallus (802, 17.5%), and endoscopy (652, 14.2%). All other case types were uncommon.
This description of an academic pediatric urology practice at a tertiary care center with a free-standing children's hospital noted a high volume of elective, outpatient procedures that are largely general pediatric urology. Uncommon cases include urgent/emergent interventions, major reconstruction, laparoscopy/endourology, and oncology procedures.
描述在一家学术性三级医疗中心儿科泌尿外科病例的年手术量。
对2016年至2017年（24个月）期间，在一家设有独立儿童医院的学术性三级医疗中心，由4名儿科泌尿外科医生（总计相当于2.5名全职医生）进行手术的所有患者进行回顾性研究。从手术报告中收集基本病例信息。采用非参数方法报告描述性统计数据。“罕见”病例预先定义为出现频率<10%的病例。
在整个研究期间，2718例患者接受了4580例手术。这相当于每名全职医生每年有1088例患者和1832例手术。手术时的中位年龄为3.2岁（四分位间距0.8 - 10岁），757例（16.5%）患者为女性。大多数手术为择期手术（4406例，96.2%），且不需要术后住院（3842例，83.9%）。急诊和紧急病例较少见（174例，3.8%）。大多数病例归类为普通儿科泌尿外科（3894例，85%），319例（7%）归类为重大重建手术，275例（6%）归类为腹腔镜/腔内泌尿外科手术，92例（2%）归类为肿瘤手术。最常见的病例涉及腹股沟/阴囊（1415例，30.9%）、包皮（809例，17.7%）、阴茎（802例，17.5%）和内镜检查（652例，14.2%）。所有其他病例类型均较少见。
对一家设有独立儿童医院的学术性三级医疗中心儿科泌尿外科业务的描述表明，择期门诊手术量很大，且大多为普通儿科泌尿外科手术。罕见病例包括急诊/紧急干预、重大重建手术、腹腔镜/腔内泌尿外科手术和肿瘤手术。
