Optimal age for elective surgery of asymptomatic congenital pulmonary airway malformation: a meta-analysis.

Abstract:

:Controversy exists on the optimal age for elective resection of asymptomatic congenital pulmonary airway malformation. Current recommendations vary widely, highlighting the overall lack of consensus. A systematic search of Embase, MEDLINE, CINAL, and CENTRAL was conducted in January 2016. Identified citations were screening independently in duplicate and consensus was required for inclusion. Results were pooled using inverse variance fixed effects meta-analysis. Meta-analysis results indicate no statistically significant differences for complications within the 3-month and 6-month age comparison groups [odds ratio (OR) 4.20, 95% confidence interval (CI) 0.78-22.77, I 2 = 0%; OR 2.39, 95% CI 0.63-9.11, I 2 = 0%, respectively]. Older patients were significantly favoured for 3-month and 6-month age comparison groups for length of hospital stay [mean difference (MD) 4.13, 95% CI 2.31-5.96, I 2 = 0%; MD 3.38, 95% CI 0.44-6.31, I 2 = 0%, respectively]. Borderline statistical significance was observed for chest tube duration in patients ≥6 months of age (MD 1.06, 95% CI 0.02-2.09, I 2 = 0%). No mortalities were recorded. Surgical treatment appears to be safe at all ages, with no mortalities and similar rates of complications between age groups. The included evidence was not sufficient to make a conclusive recommendation on optimal age for elective resection.

journal_name

Pediatr Surg Int

authors

Sullivan KJ,Li M,Haworth S,Chernetsova E,Wayne C,Kapralik J,Chan E,Nasr A

doi

10.1007/s00383-017-4079-2

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

665-675

issue

6

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-017-4079-2

journal_volume

33

pub_type

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