{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T10:03:57Z","timestamp":1766829837739,"version":"3.41.2"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T00:00:00Z","timestamp":1732924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Children with cancer face a high risk of complications including prolonged mechanical ventilation requiring tracheostomies. While tracheostomies have been demonstrated to be a generally safe procedure, there remain significant rare complications and a paucity of literature addressing outcomes specifically for pediatric patients with cancer. The objective of this study was to characterize pediatric patients with cancer who underwent tracheostomies and describe their indications and outcomes for length of stay, decannulation, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Procedures<\/jats:title><jats:p>At a single large volume children's hospital, retrospective medical record analysis was performed in all pediatric patients with cancer who received tracheostomies from 2004 to 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010five patients were identified with a median follow\u2010up time of 763 days (interquartile range 302\u20131687). Twenty\u2010one (32%) patients had a tracheostomy placed due to complications from mass effect of the tumor, 16 (25%) due to complications from cancer treatment, and 14 (22%) had a tracheostomy placed for nononcologic reasons. Additionally, a distinct subgroup of 14 (22%) patients underwent tracheostomy perioperatively for elective airway management during surgical resection of their tumors. Twenty\u2010nine (45%) were decannulated and 17 (26%) patients had a tracheostomy\u2010associated complication, including tracheitis and tracheocutaneous fistula, and no patients had a tracheostomy\u2010associated mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of tracheostomy\u2010associated complications and decannulation rates in pediatric patients with cancer was comparable with the general pediatric tracheostomy population. This study establishes a reference point for clinicians regarding the anticipated outcomes among pediatric patients with cancer requiring or having undergone a tracheostomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.31451","type":"journal-article","created":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T04:39:06Z","timestamp":1733027946000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Indications and Outcomes for Tracheostomies in Pediatric Oncology Patients\u2014A Single Center Study"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2317-4276","authenticated-orcid":false,"given":"Jonathan","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3338-0244","authenticated-orcid":false,"given":"Bryony","family":"Lucas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Texas Children`s Cancer and Hematology Centers Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Fatih","family":"Okcu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Texas Children`s Cancer and Hematology Centers Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2126-9768","authenticated-orcid":false,"given":"Jennifer","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Texas Children`s Cancer and Hematology Centers Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venessa","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Division of Critical Care Medicine Texas Children's Hospital, Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Daniel","family":"Chelius","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Pediatric Otolaryngology Texas Children's Hospital  Houston Texas USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Division of Critical Care Medicine Texas Children's Hospital, Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie","family":"Marcet\u2010Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Pediatric Otolaryngology Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saleh","family":"Bhar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Texas Children's Hospital Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Texas Children`s Cancer and Hematology Centers Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Pediatrics, Division of Critical Care Medicine Texas Children's Hospital, Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.5.523"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381\u2010020\u201004605\u20107"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.03.129"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild\u20102011\u2010301494"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28105"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/pcc.0000000000003478"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.111012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00164611"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23657"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21206"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24596"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40136\u2010021\u201000340\u2010y"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215119002573"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819887096"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381\u2010015\u20102747\u2010x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2020.12.006"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.393"}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pbc.31451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T08:28:52Z","timestamp":1734942532000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pbc.31451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,30]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/pbc.31451"],"URL":"https:\/\/doi.org\/10.1002\/pbc.31451","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"type":"print","value":"1545-5009"},{"type":"electronic","value":"1545-5017"}],"subject":[],"published":{"date-parts":[[2024,11,30]]},"assertion":[{"value":"2024-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31451"}}