Abstract：
OBJECTIVE: This study aims to determine the overall incidence of medical and surgical admissions related to non-tuberculous mycobacterial cervicofacial lymphadenitis (NTMCL) and determine if rates vary by geographic region in the US. It also aims to assess if the relative frequency of varying treatment modalities for NTMCL differ among geographic regions.
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.
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.
摘要：
目的：本研究旨在确定非结核性分枝杆菌颈面部淋巴结炎（NTMCL）相关的内科和外科入院的总发生率，并确定其发生率是否因美国地理区域而异。它还旨在评估NTMCL不同治疗方式的相对频率在地理区域之间是否不同。
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。
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。
