ArticlePediatric surgery international2020
Decentralized surgery of abdominal wall defects in Germany.
Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 19 citations in OpenAlex.
- Current Challenges in the Treatment of the Omphalocele-Experience of a Tertiary Center from Romania.Journal of clinical medicine · 2022Article
- Outcome and management in neonates with gastroschisis in the third millennium-a single-centre observational study.European journal of pediatrics · 2022Observational
- The Financial Burden of Surgery for Congenital Malformations-The Austrian Perspective.International journal of environmental research and public health · 2021Article
- Abdominal Wall Defects-Current Treatments.Children (Basel, Switzerland) · 2021Review
- Epidemiology and One-Year Follow-Up of Neonates with CDH-Data from Health Insurance Claims in Germany.Children (Basel, Switzerland) · 2021Article
- Jejunoileal Atresia: A National Cohort Study.Frontiers in pediatrics · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNeonatal surgery for abdominal wall defects is not performed in a centralized manner in Germany. The aim of this study was to investigate whether treatment for abdominal wall defects in Germany is equally effective compared to international results despite the decentralized care.
methodsAll newborn patients who were clients of the major statutory health insurance company in Germany between 2009 and 2013 and who had a diagnosis of gastroschisis or omphalocele were included. Mortality during the first year of life was analysed.
resultsThe 316 patients with gastroschisis were classified as simple (82%) or complex (18%) cases. The main associated anomalies in the 197 patients with omphalocele were trisomy 18/21 (8%), cardiac anomalies (32%) and anomalies of the urinary tract (10%). Overall mortality was 4% for gastroschisis and 16% for omphalocele. Significant factors for non-survival were birth weight below 1500 g for both groups, complex gastroschisis, volvulus and anomalies of the blood supply to the intestine in gastroschisis, and female gender, trisomy 18/21 and lung hypoplasia in omphalocele.
conclusionsDespite the fact that paediatric surgical care is organized in a decentralized manner in Germany, the mortality rates for gastroschisis and omphalocele are equal to those reported in international data.
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