{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T19:28:01Z","timestamp":1768678081145,"version":"3.49.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003In Germany, pediatric surgery is organized in a decentralized manner. A nationwide clinical registry does not exist. The aim of this research is to analyze the current status of pulmonary surgery in the country in respect of children and adolescents.<\/jats:p><jats:p>\n          Materials and Methods\u2003Claims data have been extracted from two health insurance databases representing 34% of the German population. Operative diagnoses and procedures, as well as patients' characteristics, were recorded from 2016 to 2019.<\/jats:p><jats:p>\n          Results\u2003The incidence of the four index diagnoses investigated matched the current literature in three of four entities. The main indications &lt;8 years were congenital lung malformations (61%) and spontaneous pneumothorax at age 8 to 17 years (77%). Furthermore, 1,668 pediatric pulmonary procedures (0\u201317 years) were identified (668 pulmonary resections). Two age peaks were identified: 13% of patients were operated on before 1 year old and 50% of patients were between 15 and 17 years old. Video-assisted-thoracoscopic-surgery (VATS) for pulmonary resections was applied in 62% of cases. 96% of pulmonary resections in patients &lt;1 year and 70% of pulmonary resections in children between 1 and 14 years were performed by pediatric surgeons. Of patients between 15 and 17 years old, only 14% were operated on in pediatric surgery. The estimated average pulmonary resection caseload was 3.2 cases per year and per institution for pediatric surgery and 1.5 for adult surgery.<\/jats:p><jats:p>\n          Conclusion\u2003Indications for pulmonary surgery in children arise from rare diagnoses. In total, 66% of lung resections are performed in patients &lt;1 year and &gt;14 years. The majority of lung resections are performed as VATS. Patients \u226414 years are predominantly operated on by pediatric surgeons. The accessibility of pediatric pulmonary surgery is acceptable, but there is a low caseload per center.<\/jats:p>","DOI":"10.1055\/s-0041-1731030","type":"journal-article","created":{"date-parts":[[2021,6,20]],"date-time":"2021-06-20T22:30:25Z","timestamp":1624228225000},"page":"327-333","source":"Crossref","is-referenced-by-count":3,"title":["Analysis of Pulmonary Surgery in Children and Adolescents in Germany: Who Is doing What?"],"prefix":"10.1055","volume":"32","author":[{"given":"Carla E.","family":"B\u00f6ckle","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hannover Medical School, Hannover, Lower Saxony, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Blaser","sequence":"additional","affiliation":[{"name":"Techniker Krankenkasse (Health Insurance)-Representative Office of Lower Saxony, Hannover, Lower Saxony, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagoud","family":"Schukfeh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hannover Medical School, Hannover, Lower Saxony, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Zeidler","sequence":"additional","affiliation":[{"name":"Leibniz University Hannover-Center for Health Economics Research Hannover (CHERH), Hannover, Lower Saxony, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benno M.","family":"Ure","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hannover Medical School, Hannover, Lower Saxony, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8532-2794","authenticated-orcid":false,"given":"Jens","family":"Dingemann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hannover Medical School, 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