Racial Variation in Timing of Pyeloplasty: Prenatal Versus Postnatal Diagnosis

作者: Jonathan C. Routh , Melanie Pennison , Ilina Rosoklija , Sarah Dobbins , Paul J. Kokorowski

DOI: 10.1016/J.JURO.2011.07.111

关键词:

摘要: Purpose: We have previously shown that nonwhite patients with ureteropelvic junction obstruction undergo pyeloplasty at a younger age than white patients. The mechanisms behind this finding are unclear, since there is no known racial variation in the natural history of obstruction. used detailed clinical database to explain phenomenon.Materials and Methods: retrospectively reviewed all undergoing primary our institution between 1992 2008. More 360 data points were abstracted for each patient, including self-reported race, socioeconomic status, symptom duration presentation.Results: Of 847 during study period 741 met inclusion criteria. Nonwhite underwent surgery (0.6 years) whites (2.6 years, p <0.0001). When stratified by timing presentation (prenatal vs postnatal), was significant difference race among presenting prenatally (0.37 ...

参考文章(14)
Jack S. Elder, ANTENATAL HYDRONEPHROSIS Pediatric Clinics of North America. ,vol. 44, pp. 1299- 1321 ,(1997) , 10.1016/S0031-3955(05)70558-7
Skoog Sj, Belman Ab, Primary Vesicoureteral Reflux in the Black Child Pediatrics. ,vol. 87, pp. 538- 543 ,(1991)
Mathew D. Sorensen, Catherine Delostrinos, Michael H. Johnson, Richard W. Grady, Thomas S. Lendvay, Comparison of the Learning Curve and Outcomes of Robotic Assisted Pediatric Pyeloplasty The Journal of Urology. ,vol. 185, pp. 2517- 2522 ,(2011) , 10.1016/J.JURO.2011.01.021
E. Kathleen Adams, Norma I. Gavin, M. Beth Benedict, Access for pregnant women on Medicaid: variation by race and ethnicity. Journal of Health Care for the Poor and Underserved. ,vol. 16, pp. 74- 95 ,(2005) , 10.1353/HPU.2005.0001
D A Paul, R Locke, K Zook, K H Leef, J L Stefano, G Colmorgen, Racial differences in prenatal care of mothers delivering very low birth weight infants. Journal of Perinatology. ,vol. 26, pp. 74- 78 ,(2006) , 10.1038/SJ.JP.7211428
Michelle van Ryn, Diana Burgess, Jennifer Malat, Joan Griffin, Physicians’ Perceptions of Patients’ Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease American Journal of Public Health. ,vol. 96, pp. 351- 357 ,(2006) , 10.2105/AJPH.2004.041806
Linda A. Baker, Steven G. Docimo, Vesicoureteral reflux in infants with prenatal hydronephrosis confirmed at birth: racial differences. The Journal of Urology. ,vol. 162, pp. 248- 250 ,(1999) , 10.1016/S0022-5347(05)68211-0
Andrew J. Healy, Fergal D. Malone, Lisa M. Sullivan, T Flint Porter, David A. Luthy, Christine H. Comstock, George Saade, Richard Berkowitz, Susan Klugman, Lorraine Dugoff, Sabrina D. Craigo, Ilan Timor-Tritsch, Stephen R. Carr, Honor M. Wolfe, Diana W. Bianchi, Mary E. D’Alton, Early Access to Prenatal Care Obstetrics & Gynecology. ,vol. 107, pp. 625- 631 ,(2006) , 10.1097/01.AOG.0000201978.83607.96