{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T03:00:03Z","timestamp":1793934003568,"version":"4.8.0"},"reference-count":31,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>Pediatric surgical procedures are being performed in a variety of hospitals with large differences in surgical volume. We examined the frequency and variety of inpatient pediatric surgical procedures in the United States by hospital type and geographic region using a nationally representative sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The 2009 Kids\u2019 Inpatient Database for patients &amp;lt;18 years old was used to calculate surgical frequencies by using International Classification of Diseases, Ninth Revision, Clinical Modification, (ICD-9-CM) codes. We performed stratified analysis by hospital type (free-standing children\u2019s hospital, children\u2019s unit within an adult hospital, and general hospital) and geographic region (South, West, Midwest, Northeast) to compare frequencies of surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 216\u2009081 procedures were projected for 2009 with the top 20 procedures accounting for &amp;gt;90% of cases. As many as 40% of all pediatric inpatient surgical procedures are being performed in adult general hospitals. Infrequent complex low-volume neonatal surgical procedures (pullthrough for Hirschsprung disease, surgery for malrotation, esophageal atresia repair, and diaphragmatic hernia repair) were 6.8 to 16 times more likely to occur in a children's hospital. Significant regional variation in procedure frequency rates occurred for appendectomy and cholecystectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>This report is the first to characterize pediatric surgical inpatient volume in the United States. Such data may influence the distribution of pediatric surgeons, number of trainees, and training curricula for pediatric surgeons, pediatricians, general surgeons and other surgical specialists who might operate on children. In addition, it raises the question of whether complex pediatric surgical procedures should preferably be performed at dedicated high volume children's hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2013-1243","type":"journal-article","created":{"date-parts":[[2013,11,25]],"date-time":"2013-11-25T21:48:57Z","timestamp":1385416137000},"page":"e1466-e1472","source":"Crossref","is-referenced-by-count":186,"title":["Frequency and Variety of Inpatient Pediatric Surgical Procedures in the United States"],"prefix":"10.1542","volume":"132","author":[{"given":"Stig","family":"S\u00f8mme","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Department of Surgery, University of Colorado Denver School of Medicine, Aurora, Colorado; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bronsert","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Colorado Denver, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Morrato","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Colorado Denver, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Department of Surgery, University of Colorado Denver School of Medicine, Aurora, Colorado; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2013,12,1]]},"reference":[{"key":"2021120823370668300_B1"},{"key":"2021120823370668300_B2"},{"key":"2021120823370668300_B3"},{"key":"2021120823370668300_B4"},{"key":"2021120823370668300_B5"},{"key":"2021120823370668300_B6"},{"issue":"5","key":"2021120823370668300_B7","first-page":"754","article-title":"The need for pediatric surgeons as determined by the volume of work and the mode of delivery of surgical care.","volume":"76","author":"Ravitch","year":"1974","journal-title":"Surgery"},{"issue":"12","key":"2021120823370668300_B8","doi-asserted-by":"crossref","first-page":"2714","DOI":"10.1007\/s00268-009-0219-8","article-title":"Report of 2,087,915 surgical admissions in U.S. children: inpatient mortality rates by procedure and specialty.","volume":"33","author":"Abdullah","year":"2009","journal-title":"World J Surg"},{"issue":"1","key":"2021120823370668300_B9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1055\/s-0032-1306262","article-title":"Alignment of training curriculum and surgical practice: implications for competency, manpower, and practice modeling.","volume":"22","author":"S\u00f8mme","year":"2012","journal-title":"Eur J Pediatr Surg"},{"issue":"3","key":"2021120823370668300_B10","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/MOP.0b013e3283005857","article-title":"Surgical outcomes research: a progression from performance audits, to assessment of administrative databases, to prospective risk-adjusted analysis\u2014how far have we come?","volume":"20","author":"Morrato","year":"2008","journal-title":"Curr Opin Pediatr"},{"key":"2021120823370668300_B11","unstructured":"HCUP Kids\u2019 Inpatient Database (KID). 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