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- W4211170457 endingPage "911" @default.
- W4211170457 startingPage "891" @default.
- W4211170457 abstract "The purpose of this study was to assess variability in age at Kasai portoenterostomy (KP) in infants with biliary atresia (BA) across children's hospitals in the United States.A multi-institutional retrospective study was performed examining infants with BA undergoing KP within 6 months of birth from 2016–2019, utilizing the Pediatric Health Information System (PHIS). Multivariable negative binomial mixed effects regression was performed for age at KP, and inter-hospital variability was examined.Across 46 hospitals, 470 infants with BA underwent KP at a median age of 57 days (IQR 42–72), with 212 (45.1%) undergoing KP at ≥60 days of age. There was significant inter-hospital variability in age at KP ranging from 38 days (95% CI: 31d, 47d) to 76 days (95% CI: 63d, 91d) (p<0.0001). Factors associated with later KP were black or African-American race, urgent/emergent admission, and treatment at a hospital in the Pacific-West region. Predictors of earlier KP included later year, history of neonatal comorbidity, and admission to an intensive care service (all p<0.05).There is significant variability in the age at KP in infants with BA across children's hospitals in the United States.Retrospective study. Level of Evidence. III" @default.
- W4211170457 created "2022-02-13" @default.
- W4211170457 creator A5016600086 @default.
- W4211170457 creator A5079795365 @default.
- W4211170457 date "2003-09-01" @default.
- W4211170457 modified "2023-10-09" @default.
- W4211170457 title "Biliary atresia" @default.
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