Pediatric reduction mammaplasty: A retrospective analysis of the Kids' Inpatient Database (KID)

Tahereh Soleimani, Tyler A. Evans, Rajiv Sood, Ivan Hadad, Juan Socas, Roberto L. Flores, Sunil S. Tholpady

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background/Purpose Pediatric breast reduction mammaplasty is a procedure commonly performed in children suffering from excess breast tissue, back pain, and social anxiety. Minimal information exists regarding demographics, epidemiology, and complications in adolescents. As health care reform progresses, investigating the socioeconomic and patient-related factors affecting cost and operative outcomes is essential. Methods The Kids' Inpatient Database (KID) was used from 2000 to 2009. Patients with an International Classification of Diseases, 9th Revision code of macromastia and procedure code of reduction mammaplasty 20 and less were included. Demographic data, including age, sex, payer mix, and location, were collected. Significant independent variables associated with complications and duration of stay were identified with bivariate and multiple regression analysis. Results A total of 1,345 patients between the ages 12 and 20 were evaluated. The majority of patients were white (64%), from a zip code with greatest income (36%), and had private insurance (75%). Overall comorbidity and complication rates were 30% and 3.2%, respectively. Duration of stay was associated with race, income quartile, insurance type, having complications, and hospital type. African-American race, Medicaid, lower income, and private-investor owned hospitals were predictive of greater hospital charges. Conclusion In this large retrospective database analysis, pediatric reduction mammaplasty had a relatively low early complication rate and short duration of stay. Complications, total charges, and duration of stay discrepancies were associated with race, location, and socioeconomic status. Although demonstrably safe, this is the first study demonstrating the negative effect of race and socioeconomic status on a completely elective procedure involving children. These results demonstrate the intricate association between socioeconomic and patient-related factors influencing overall outcomes in the pediatric population.

Original languageEnglish (US)
Pages (from-to)793-801
Number of pages9
JournalSurgery
Volume158
Issue number3
DOIs
StatePublished - Sep 1 2015

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Mammaplasty
Inpatients
Databases
Pediatrics
Insurance
Social Class
Proprietary Hospitals
Breast
Demography
Hospital Charges
Nociceptive Pain
Health Care Reform
Medicaid
International Classification of Diseases
Back Pain
African Americans
Comorbidity
Epidemiology
Anxiety
Regression Analysis

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Soleimani, T., Evans, T. A., Sood, R., Hadad, I., Socas, J., Flores, R. L., & Tholpady, S. S. (2015). Pediatric reduction mammaplasty: A retrospective analysis of the Kids' Inpatient Database (KID). Surgery, 158(3), 793-801. https://doi.org/10.1016/j.surg.2015.05.015

Pediatric reduction mammaplasty : A retrospective analysis of the Kids' Inpatient Database (KID). / Soleimani, Tahereh; Evans, Tyler A.; Sood, Rajiv; Hadad, Ivan; Socas, Juan; Flores, Roberto L.; Tholpady, Sunil S.

In: Surgery, Vol. 158, No. 3, 01.09.2015, p. 793-801.

Research output: Contribution to journalArticle

Soleimani, T, Evans, TA, Sood, R, Hadad, I, Socas, J, Flores, RL & Tholpady, SS 2015, 'Pediatric reduction mammaplasty: A retrospective analysis of the Kids' Inpatient Database (KID)', Surgery, vol. 158, no. 3, pp. 793-801. https://doi.org/10.1016/j.surg.2015.05.015
Soleimani, Tahereh ; Evans, Tyler A. ; Sood, Rajiv ; Hadad, Ivan ; Socas, Juan ; Flores, Roberto L. ; Tholpady, Sunil S. / Pediatric reduction mammaplasty : A retrospective analysis of the Kids' Inpatient Database (KID). In: Surgery. 2015 ; Vol. 158, No. 3. pp. 793-801.
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abstract = "Background/Purpose Pediatric breast reduction mammaplasty is a procedure commonly performed in children suffering from excess breast tissue, back pain, and social anxiety. Minimal information exists regarding demographics, epidemiology, and complications in adolescents. As health care reform progresses, investigating the socioeconomic and patient-related factors affecting cost and operative outcomes is essential. Methods The Kids' Inpatient Database (KID) was used from 2000 to 2009. Patients with an International Classification of Diseases, 9th Revision code of macromastia and procedure code of reduction mammaplasty 20 and less were included. Demographic data, including age, sex, payer mix, and location, were collected. Significant independent variables associated with complications and duration of stay were identified with bivariate and multiple regression analysis. Results A total of 1,345 patients between the ages 12 and 20 were evaluated. The majority of patients were white (64{\%}), from a zip code with greatest income (36{\%}), and had private insurance (75{\%}). Overall comorbidity and complication rates were 30{\%} and 3.2{\%}, respectively. Duration of stay was associated with race, income quartile, insurance type, having complications, and hospital type. African-American race, Medicaid, lower income, and private-investor owned hospitals were predictive of greater hospital charges. Conclusion In this large retrospective database analysis, pediatric reduction mammaplasty had a relatively low early complication rate and short duration of stay. Complications, total charges, and duration of stay discrepancies were associated with race, location, and socioeconomic status. Although demonstrably safe, this is the first study demonstrating the negative effect of race and socioeconomic status on a completely elective procedure involving children. These results demonstrate the intricate association between socioeconomic and patient-related factors influencing overall outcomes in the pediatric population.",
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AB - Background/Purpose Pediatric breast reduction mammaplasty is a procedure commonly performed in children suffering from excess breast tissue, back pain, and social anxiety. Minimal information exists regarding demographics, epidemiology, and complications in adolescents. As health care reform progresses, investigating the socioeconomic and patient-related factors affecting cost and operative outcomes is essential. Methods The Kids' Inpatient Database (KID) was used from 2000 to 2009. Patients with an International Classification of Diseases, 9th Revision code of macromastia and procedure code of reduction mammaplasty 20 and less were included. Demographic data, including age, sex, payer mix, and location, were collected. Significant independent variables associated with complications and duration of stay were identified with bivariate and multiple regression analysis. Results A total of 1,345 patients between the ages 12 and 20 were evaluated. The majority of patients were white (64%), from a zip code with greatest income (36%), and had private insurance (75%). Overall comorbidity and complication rates were 30% and 3.2%, respectively. Duration of stay was associated with race, income quartile, insurance type, having complications, and hospital type. African-American race, Medicaid, lower income, and private-investor owned hospitals were predictive of greater hospital charges. Conclusion In this large retrospective database analysis, pediatric reduction mammaplasty had a relatively low early complication rate and short duration of stay. Complications, total charges, and duration of stay discrepancies were associated with race, location, and socioeconomic status. Although demonstrably safe, this is the first study demonstrating the negative effect of race and socioeconomic status on a completely elective procedure involving children. These results demonstrate the intricate association between socioeconomic and patient-related factors influencing overall outcomes in the pediatric population.

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