Balloon Sinuplasty Utilization in the Pediatric Population: A National Database Perspective
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Gerard Thong, MB, BCh, BAO, Natasha D. Dombrowski, Kosuke Kawai, ScD, Michael J. Cunningham, MD, Eelam A. Adil, MD, MBA First Published June 11, 2019 Research Article
https://doi.org/10.1177/0194599819849918
Article information
Article has an altmetric score of 1 No Access
Abstract
Objective
Balloon sinuplasty (BS) is a surgical management option in the treatment of chronic rhinosinusitis. The purpose of this study was to examine BS utilization among children with a national database.
Study Design
Retrospective review.
Setting
National pediatric database.
Subjects and Methods
All cases of children aged ≤18 years who underwent BS or traditional endoscopic sinus surgery (ESS) 5 years before and after the introduction of BS billing codes were studied with the Pediatric Health Information System database. We evaluated overall trends, demographics, performing physicians, readmissions, and cost data.
Results
A total of 14,079 patients met inclusion criteria: 13,555 underwent traditional ESS and 524 had a BS procedure. There was no significant increase in BS rates between 2011 and 2016. BS was more commonly performed among younger children than ESS (median age [interquartile range], 6 years [4-10] vs 9 years [6-13]; P < .001). There were 23 (4.4%) readmissions within 30 days in the balloon cohort versus 474 (3.5%) in the ESS cohort. The median cost of balloon maxillary antrostomy (US $6560 [$5420-$8250]) was higher than that of traditional maxillary antrostomy (US $5630 [$4130-$7700], P < .001). Physicians who performed BS had a larger volume of ESS procedures when compared with those who did not perform BS.
Conclusion
Rates of BS performance in the pediatric population have not increased over time. Results showed no difference in readmission rates between BS and ESS. BS was associated with higher costs as compared with ESS. The role of BS in the pediatric chronic rhinosinusitis population remains unclear.
Keywords sinusitis, rhinosinusitis, pediatric, endoscopic sinus surgery, balloon sinuplasty
Show less
Gerard Thong, MB, BCh, BAO, Natasha D. Dombrowski, Kosuke Kawai, ScD, Michael J. Cunningham, MD, Eelam A. Adil, MD, MBA First Published June 11, 2019 Research Article
https://doi.org/10.1177/0194599819849918
Article information
Article has an altmetric score of 1 No Access
Abstract
Objective
Balloon sinuplasty (BS) is a surgical management option in the treatment of chronic rhinosinusitis. The purpose of this study was to examine BS utilization among children with a national database.
Study Design
Retrospective review.
Setting
National pediatric database.
Subjects and Methods
All cases of children aged ≤18 years who underwent BS or traditional endoscopic sinus surgery (ESS) 5 years before and after the introduction of BS billing codes were studied with the Pediatric Health Information System database. We evaluated overall trends, demographics, performing physicians, readmissions, and cost data.
Results
A total of 14,079 patients met inclusion criteria: 13,555 underwent traditional ESS and 524 had a BS procedure. There was no significant increase in BS rates between 2011 and 2016. BS was more commonly performed among younger children than ESS (median age [interquartile range], 6 years [4-10] vs 9 years [6-13]; P < .001). There were 23 (4.4%) readmissions within 30 days in the balloon cohort versus 474 (3.5%) in the ESS cohort. The median cost of balloon maxillary antrostomy (US $6560 [$5420-$8250]) was higher than that of traditional maxillary antrostomy (US $5630 [$4130-$7700], P < .001). Physicians who performed BS had a larger volume of ESS procedures when compared with those who did not perform BS.
Conclusion
Rates of BS performance in the pediatric population have not increased over time. Results showed no difference in readmission rates between BS and ESS. BS was associated with higher costs as compared with ESS. The role of BS in the pediatric chronic rhinosinusitis population remains unclear.
Keywords sinusitis, rhinosinusitis, pediatric, endoscopic sinus surgery, balloon sinuplasty
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