Evidence map›Paper›PMID 41377948›Full record

ArticleBJA open2025

Trends in Paediatric surgerical volume and associated mortality in England: a nationwide study over an eight year period.

Juri Althonayan, Alexander J Fowler, Benjamin Allin, Amaki Sogbodjor, Timothy Bradnock, Nara Orban, Thomas D Dobbs, Marian Knight, Rupert M Pearse, Tom E F Abbott

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Article in BJA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Juri AlthonayanWilliam Harvey Research Institute, Queen Mary University of London, London, UK.
Alexander J FowlerWilliam Harvey Research Institute, Queen Mary University of London, London, UK.
Benjamin AllinNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
Amaki SogbodjorDepartment of Paediatric Anaesthesia, Great Ormond Street Hospital for Children, London, UK.
Timothy BradnockDepartment of Paediatric Surgery, Royal Hospital for Children, Glasgow, UK.
Nara OrbanBarts Health Ear, Nose and Throat Service, Royal London Hospital, London, UK.
Thomas D DobbsThe Welsh Centre for Burns & Plastic Surgery, Morriston Hospital, Swansea, UK.
Marian KnightNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
Rupert M PearseWilliam Harvey Research Institute, Queen Mary University of London, London, UK.
Tom E F AbbottWilliam Harvey Research Institute, Queen Mary University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reports on delays to National Health Service (NHS) surgical care have been widespread during and after the pandemic, however the impact on paediatric surgery is poorly described. Methods: This retrospective observational cohort study used NHS hospital data in England for children aged <18 yr undergoing surgery over an 8-yr period from 1 April 2015 to 31 December 2020, with supplementary data until March 2023. The primary outcome was in-hospital mortality within 90 days after surgery. The secondary outcome was hospital stay. We report trends in annual surgical procedure volume and mortality. Frequencies presented as Results: We identified 36 605 870 surgical procedures, between 1 April 2015 and 31 December 2020, of which 1 846 965 (5.0%) were for children. A total of 759 083/1 846 965 (41.1%) patients were female and 313 981 (17.0%) were from minority ethnic groups. There were 41 018/1 846 965 (2.2%) procedures among neonates, 93 872 (5.1%) for children aged 28 days to 1 yr, 532 828 (28.8%) for years 1-5, 502 971 (27.2%) for years 5-12, 361 176 (19.6%) for years 12-15, and 315 100 (17.1%) for years 15-17. Median hospital stay was 1 (0-1) day. There were 6 573/1 846 965 (0.36%) in-hospital deaths within 90 days after surgery, and a trend for increasing mortality risk between 2015 and 2020 ( Conclusions: We report the trends in paediatric surgical volume and assocaited mortality for an entire healthcare system over eight years inlcuding during the COVID-19 pandemic. One in 14 surgical procedures were performed on children, with substantially lower mortality risk than adults.

Indexed as

anaesthesiaCOVID-19elective recoverypaediatric surgerypublic policy

Identifiers

PMID41377948
PMCPMC12686799

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.