FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2557354730> ?p ?o ?g. }

• W2557354730 endingPage "E8" @default.
• W2557354730 startingPage "E8" @default.
• W2557354730 abstract "OBJECTIVE Patient demographic characteristics, hospital volume, and admission status have been shown to impact surgical outcomes of sellar region tumors in adults; however, the data available following the resection of craniopharyngiomas in the pediatric population remain limited. The authors sought to identify potential risk factors associated with outcomes following surgical management of pediatric craniopharyngiomas. METHODS The Nationwide Inpatient Sample database and Kids' Inpatient Database were analyzed to include admissions for pediatric patients (≤ 18 years) who underwent a transcranial or transsphenoidal craniotomy for resection of a craniopharyngioma. Patient-level factors, including age, race, comorbidities, and insurance type, as well as hospital factors were collected. Outcomes analyzed included mortality rate, endocrine and nonendocrine complications, hospital charges, and length of stay. A multivariate model controlling for variables analyzed was constructed to examine significant independent risk factors. RESULTS Between 2000 and 2011, 1961 pediatric patients were identified who underwent a transcranial (71.2%) or a transsphenoidal (28.8%) craniotomy for resection of a craniopharyngioma. A major predilection for age was observed with the selection of a transcranial (23.4% in < 7-year-olds, 28.1% in 7- to 12-year-olds, and 19.7% in 13- to 18-year-olds) versus transphenoidal (2.9% in < 7-year-olds, 7.4% in 7- to 12-year-olds, and 18.4% in 13- to 18-year-olds) approach. No significant outcomes were associated with a particular surgical approach, except that 7- to 12-year-old patients had a higher risk of nonendocrine complications (relative risk [RR] 2.42, 95% CI 1.04–5.65, p = 0.04) with the transsphenoidal approach when compared with 13- to 18-year-old patients. The overall inpatient mortality rate was 0.5% and the most common postoperative complication was diabetes insipidus (64.2%). There were no independent factors associated with inpatient mortality rates and no significant differences in outcomes among groups based on sex and race. The average length of stay was 11.8 days, and the mean hospital charge was $116,5 22. Hospitals with medium and large bed capacity were protective against nonendocrine complications (RR 0.53, 95% CI 0.3–0.93, p = 0.03 [medium]; RR 0.45, 95% CI 0.25–0.8, p < 0.01 [large]) and total complications (RR 0.73, 95% CI 0.55–0.97, p = 0.03 [medium]; RR 0.68, 95% CI 0.51–0.9, p < 0.01 [large]) when compared with hospitals with small bed capacity (< 200 beds). Patients admitted to rural hospitals had an increased risk for nonendocrine complications (RR 2.56, 95% CI 1.11–5.9, p = 0.03). The presence of one or more medical comorbidities increased the risk of higher total complications (RR 1.38, 95% CI 1.14–1.68), p < 0.01 [1 comorbidity]; RR 2.37, 95% CI 1.98–2.84, p < 0.01 [≥ 2 comorbidities]) and higher total hospital charges (RR 2.9, 95% CI 1.08–7.81, p = 0.04 [1 comorbidity]; RR 9.1, 95% CI 3.74–22.12, p < 0.01 [≥ 2 comorbidities]). CONCLUSIONS This analysis identified patient age, comorbidities, insurance type, hospital bed capacity, and rural or nonteaching hospital status as independent risk factors for postoperative complications and/or increased hospital charges in pediatric patients with craniopharyngioma. Transsphenoidal surgery in younger patients with craniopharyngioma was a risk factor for nonendocrine complications." @default.
• W2557354730 created "2016-12-08" @default.
• W2557354730 creator A5006500834 @default.
• W2557354730 creator A5012663710 @default.
• W2557354730 creator A5017781416 @default.
• W2557354730 creator A5019016830 @default.
• W2557354730 creator A5027887650 @default.
• W2557354730 creator A5041804386 @default.
• W2557354730 creator A5042018165 @default.
• W2557354730 creator A5051523705 @default.
• W2557354730 creator A5075040281 @default.
• W2557354730 creator A5085362780 @default.
• W2557354730 date "2016-12-01" @default.
• W2557354730 modified "2023-10-14" @default.
• W2557354730 title "Risk factors associated with the surgical management of craniopharyngiomas in pediatric patients: analysis of 1961 patients from a national registry database" @default.
• W2557354730 cites W1517276456 @default.
• W2557354730 cites W1608479008 @default.
• W2557354730 cites W1669846550 @default.
• W2557354730 cites W1966022316 @default.
• W2557354730 cites W1967258930 @default.
• W2557354730 cites W1968590505 @default.
• W2557354730 cites W1970895396 @default.
• W2557354730 cites W1974142148 @default.
• W2557354730 cites W2011023056 @default.
• W2557354730 cites W2011827536 @default.
• W2557354730 cites W2013766186 @default.
• W2557354730 cites W2030080484 @default.
• W2557354730 cites W2047762218 @default.
• W2557354730 cites W2049978781 @default.
• W2557354730 cites W2061887163 @default.
• W2557354730 cites W2065364017 @default.
• W2557354730 cites W2076788534 @default.
• W2557354730 cites W2087401036 @default.
• W2557354730 cites W2094573528 @default.
• W2557354730 cites W2096964615 @default.
• W2557354730 cites W2114460016 @default.
• W2557354730 cites W2114994346 @default.
• W2557354730 cites W2119432035 @default.
• W2557354730 cites W2119887616 @default.
• W2557354730 cites W2146417320 @default.
• W2557354730 cites W2158757736 @default.
• W2557354730 cites W2160002747 @default.
• W2557354730 cites W3026401196 @default.
• W2557354730 doi "https://doi.org/10.3171/2016.8.focus16268" @default.
• W2557354730 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27903117" @default.
• W2557354730 hasPublicationYear "2016" @default.
• W2557354730 type Work @default.
• W2557354730 sameAs 2557354730 @default.
• W2557354730 citedByCount "27" @default.
• W2557354730 countsByYear W25573547302017 @default.
• W2557354730 countsByYear W25573547302018 @default.
• W2557354730 countsByYear W25573547302019 @default.
• W2557354730 countsByYear W25573547302020 @default.
• W2557354730 countsByYear W25573547302021 @default.
• W2557354730 countsByYear W25573547302022 @default.
• W2557354730 countsByYear W25573547302023 @default.
• W2557354730 crossrefType "journal-article" @default.
• W2557354730 hasAuthorship W2557354730A5006500834 @default.
• W2557354730 hasAuthorship W2557354730A5012663710 @default.
• W2557354730 hasAuthorship W2557354730A5017781416 @default.
• W2557354730 hasAuthorship W2557354730A5019016830 @default.
• W2557354730 hasAuthorship W2557354730A5027887650 @default.
• W2557354730 hasAuthorship W2557354730A5041804386 @default.
• W2557354730 hasAuthorship W2557354730A5042018165 @default.
• W2557354730 hasAuthorship W2557354730A5051523705 @default.
• W2557354730 hasAuthorship W2557354730A5075040281 @default.
• W2557354730 hasAuthorship W2557354730A5085362780 @default.
• W2557354730 hasBestOaLocation W25573547301 @default.
• W2557354730 hasConcept C126322002 @default.
• W2557354730 hasConcept C141071460 @default.
• W2557354730 hasConcept C187212893 @default.
• W2557354730 hasConcept C2777047896 @default.
• W2557354730 hasConcept C2778871575 @default.
• W2557354730 hasConcept C2908647359 @default.
• W2557354730 hasConcept C38180746 @default.
• W2557354730 hasConcept C41008148 @default.
• W2557354730 hasConcept C71924100 @default.
• W2557354730 hasConcept C77088390 @default.
• W2557354730 hasConcept C99454951 @default.
• W2557354730 hasConceptScore W2557354730C126322002 @default.
• W2557354730 hasConceptScore W2557354730C141071460 @default.
• W2557354730 hasConceptScore W2557354730C187212893 @default.
• W2557354730 hasConceptScore W2557354730C2777047896 @default.
• W2557354730 hasConceptScore W2557354730C2778871575 @default.
• W2557354730 hasConceptScore W2557354730C2908647359 @default.
• W2557354730 hasConceptScore W2557354730C38180746 @default.
• W2557354730 hasConceptScore W2557354730C41008148 @default.
• W2557354730 hasConceptScore W2557354730C71924100 @default.
• W2557354730 hasConceptScore W2557354730C77088390 @default.
• W2557354730 hasConceptScore W2557354730C99454951 @default.
• W2557354730 hasIssue "6" @default.
• W2557354730 hasLocation W25573547301 @default.
• W2557354730 hasLocation W25573547302 @default.
• W2557354730 hasLocation W25573547303 @default.
• W2557354730 hasOpenAccess W2557354730 @default.
• W2557354730 hasPrimaryLocation W25573547301 @default.
• W2557354730 hasRelatedWork W1987825771 @default.
• W2557354730 hasRelatedWork W2005914326 @default.

• next