Abstract:
:Approximately 800 pediatric renal transplants are performed annually in the United States. VUR or obstruction may cause graft failure requiring redo ureteroneocystostomy. We examined possible risk factors and cost using the PHIS national database. We examined the PHIS for 8.5 yr to determine the association between redo ureteroneocystostomy following pediatric renal transplant to demographics, comorbidities, GU conditions, insurance status, and hospital characteristics, and looked at relative costs using descriptive and comparative statistics. A total of 2390 pediatric renal transplants were identified, of which 69 (2.3%) underwent redo ureteroneocystostomy (median 11.6 months post-transplant). Risk factors for redo ureteroneocystostomy are younger age (p = 0.048), PUVs (p < 0.001), female gender (p = 0.005), race (p = 0.014), insurance type (p < 0.027), region (p = 0.045), and transplant surgery volume (p = 0.048). Redo ureteroneocystostomy after transplant does not significantly increase the overall cost of transplant (p = 0.175). We confirmed previous findings that younger age and PUVs increase the risk of post-transplant redo ureteroneocystostomy, with a five-yr plateau. We found an association with gender, race, insurance status, and hospital characteristics. Redo ureteroneocystostomy, which increases costs, does not statistically significantly increase overall cost of individual treatment in this database, although costs may be underreported.
journal_name
Pediatr Transplantjournal_title
Pediatric transplantationauthors
Godebu E,Palazzi K,Bush R,Marietti S,Chiang Gdoi
10.1111/petr.12522subject
Has Abstractpub_date
2015-08-01 00:00:00pages
484-91issue
5eissn
1397-3142issn
1399-3046journal_volume
19pub_type
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
pub_type: 杂志文章,评审
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journal_title:Pediatric transplantation
pub_type: 杂志文章,评审
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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doi:10.1111/petr.13306
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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journal_title:Pediatric transplantation
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