METHODS: Population-based inpatient registry analysis.
METHODS: Academic medical center.
METHODS: The Kids\' Inpatient Database (2016 and 2019) was used to determine NTMCL-related admissions and common head and neck procedures performed during these admissions were identified. Analysis was performed on regional differences in demographic factors and procedures performed during NTMCL-related admissions.
RESULTS: There were 159 weighted admissions (1.31 per 100,000) for NTMCL in 2016 and 2019 in the US, with the Midwest having the highest proportion of NTML-related admissions (1.59:100,000). NTMCL-related admissions were 2.21 times as likely to be elective rather than non-elective in the Midwest when compared to all other geographic regions (p = 0.038). The Midwest was 2.83 times as likely to treat with surgery (p = 0.011), while the Northeast was negatively associated with performing procedures (OR 0.38; p = 0.026). In the Midwest, significantly more excisional surgeries were preformed when compared to other regions, with an OR of 2.98 (p = 0.003).
CONCLUSIONS: The Midwest had the highest incidence of pediatric NTMCL-related admissions and was more likely to perform excisional surgery as primary NTMCL treatment. Regions that rarely see pediatric NTMCL have a more inconsistent approach to management.
方法:基于人群的住院登记分析。
方法:学术医学中心。
方法:使用儿童住院数据库(2016年和2019年)来确定与NTMCL相关的入院,并确定在这些入院期间进行的常见头颈部手术。对NTMCL相关入院期间的人口统计学因素和程序的区域差异进行了分析。
结果:2016年和2019年,美国NTMCL的加权招生人数为159人(每100,000人中有1.31人),中西部的NTML相关招生比例最高(1.59:100,000)。与所有其他地理区域相比,中西部与NTMCL相关的入学人数是选修而非选修的2.21倍(p=0.038)。中西部地区接受手术治疗的可能性是其2.83倍(p=0.011),而东北地区与执行程序呈负相关(OR0.38;p=0.026)。在中西部,与其他地区相比,进行了更多的切除手术,OR为2.98(p=0.003)。
结论:中西部地区儿童NTMCL相关入院的发生率最高,并且更有可能进行切除手术作为主要NTMCL治疗。很少见到儿科NTMCL的地区有更不一致的管理方法。