Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis
Current guidelines recommend that hypospadias repair should be performed before age 18 months. This study aims to investigate the trends of surgical timing and to determine what factors are associated with age at surgery. Methods: The present study utilized a subset of the National Health Insurance...
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| Format: | Article |
| Language: | English |
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Elsevier
2013-01-01
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| Series: | Journal of the Formosan Medical Association |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664612001805 |
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| author | Yu-Fen Chen Wei-Yi Huang Shyh-Chyan Chen Ya-Jun Guo Chung-Fu Lan Shing-Hwa Liu Kuo-How Huang |
| author_facet | Yu-Fen Chen Wei-Yi Huang Shyh-Chyan Chen Ya-Jun Guo Chung-Fu Lan Shing-Hwa Liu Kuo-How Huang |
| author_sort | Yu-Fen Chen |
| collection | DOAJ |
| description | Current guidelines recommend that hypospadias repair should be performed before age 18 months. This study aims to investigate the trends of surgical timing and to determine what factors are associated with age at surgery.
Methods: The present study utilized a subset of the National Health Insurance Research Database, known as Longitudinal Health Insurance Database 2005, which contains the data of all paid medical benefit claims over the period from 1997 to 2007 for a subset of one million beneficiaries randomly drawn from the population of 22.72 million individuals in NHI program during any part of calendar year 2005. We analyzed claims data for all subjects with the diagnoses of hypospadias.
Results: Among 52,705 live male newborns, 218 were diagnosed with hypospadias and thus were included as subjects in our study. Among them, 89 received repair surgery. Approximately 60.6% of the study subjects received repair after the age of 18 months. Multivariate analysis showed that several factors were significantly associated with age at hypospadias surgery: specialty of clinics where first diagnosis was made; specialty of physician making the first diagnosis, age of physician making the first diagnosis; specialty of surgeon performing the surgery; number of years since surgeon's board certification; urbanization level of subject's residence; modality of surgery; concomitant cryptorchidism; concomitant prematurity and low birth weight; age at diagnosis; and number of well-baby clinic visits.
Conclusion: This study addresses an important issue of delayed hypospadias surgery in Taiwan, which provides a potential opportunity for improvement in quality of care. |
| first_indexed | 2024-12-19T13:47:14Z |
| format | Article |
| id | doaj.art-35c44e91f90749beb019b49decaf05a9 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-19T13:47:14Z |
| publishDate | 2013-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-35c44e91f90749beb019b49decaf05a92022-12-21T20:18:50ZengElsevierJournal of the Formosan Medical Association0929-66462013-01-011121485310.1016/j.jfma.2012.02.014Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysisYu-Fen Chen0Wei-Yi Huang1Shyh-Chyan Chen2Ya-Jun Guo3Chung-Fu Lan4Shing-Hwa Liu5Kuo-How Huang6Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, TaiwanInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, TaiwanDepartment of Urology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Psychiatrics, Taipei City Hospital, Heping Fuyou Branch, Taipei, TaiwanInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, TaiwanGraduate institute of Toxicology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Urology, College of Medicine, National Taiwan University, Taipei, TaiwanCurrent guidelines recommend that hypospadias repair should be performed before age 18 months. This study aims to investigate the trends of surgical timing and to determine what factors are associated with age at surgery. Methods: The present study utilized a subset of the National Health Insurance Research Database, known as Longitudinal Health Insurance Database 2005, which contains the data of all paid medical benefit claims over the period from 1997 to 2007 for a subset of one million beneficiaries randomly drawn from the population of 22.72 million individuals in NHI program during any part of calendar year 2005. We analyzed claims data for all subjects with the diagnoses of hypospadias. Results: Among 52,705 live male newborns, 218 were diagnosed with hypospadias and thus were included as subjects in our study. Among them, 89 received repair surgery. Approximately 60.6% of the study subjects received repair after the age of 18 months. Multivariate analysis showed that several factors were significantly associated with age at hypospadias surgery: specialty of clinics where first diagnosis was made; specialty of physician making the first diagnosis, age of physician making the first diagnosis; specialty of surgeon performing the surgery; number of years since surgeon's board certification; urbanization level of subject's residence; modality of surgery; concomitant cryptorchidism; concomitant prematurity and low birth weight; age at diagnosis; and number of well-baby clinic visits. Conclusion: This study addresses an important issue of delayed hypospadias surgery in Taiwan, which provides a potential opportunity for improvement in quality of care.http://www.sciencedirect.com/science/article/pii/S0929664612001805hypospadiasrepairurethroplasy |
| spellingShingle | Yu-Fen Chen Wei-Yi Huang Shyh-Chyan Chen Ya-Jun Guo Chung-Fu Lan Shing-Hwa Liu Kuo-How Huang Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis Journal of the Formosan Medical Association hypospadias repair urethroplasy |
| title | Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis |
| title_full | Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis |
| title_fullStr | Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis |
| title_full_unstemmed | Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis |
| title_short | Factors associated with delayed pediatric hypospadias surgery in Taiwan: A population-based, nationwide analysis |
| title_sort | factors associated with delayed pediatric hypospadias surgery in taiwan a population based nationwide analysis |
| topic | hypospadias repair urethroplasy |
| url | http://www.sciencedirect.com/science/article/pii/S0929664612001805 |
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