Association of socioeconomic status with development and severity of necrotizing enterocolitis.

Purpose: Necrotizing enterocolitis (NEC) commonly afflicts premature infants. Prematurity is associated with lower socioeconomic status (SES); however, it is unclear whether lower SES is independently associated with NEC development or severity of NEC.

Methods: The Pediatric Health Information System (PHIS) database was used to identify infants ≤60 days old with NEC from 2016 to 2023.

Reduction of prophylactic antibiotics for elective pediatric cholecystectomy: A QI initiative to promote antimicrobial stewardship.

Purpose: Antibiotic prophylaxis minimizes the risk of infection, but overtreatment leads to antimicrobial resistance. Adult studies suggest antibiotic prophylaxis for elective cholecystectomy may not be needed. Our quality improvement project aimed to decrease prophylactic antibiotic use for elective cholecystectomies from 100 % to ≤50 % and maintain that rate for one year.

NIH funding for the pediatric surgeon-scientist: An analysis of current trends.

Background/purpose: Previous studies highlighted the success of pediatric surgeons in obtaining NIH funding. Given increasing clinical demands, we sought to analyze the current state of NIH funding for pediatric surgeon-scientists.

Methods: APSA membership in August 2023 was filtered for Regular/Associate members and referenced through NIH RePORTER.

Anesthesia considerations for pediatric metabolic and bariatric surgery.

Childhood obesity is a rapidly growing global health issue, linked to significant lifelong morbidity and mortality. Its impact on various organ systems increases perioperative complications. Obesity treatment in children and adolescents involves lifestyle, dietary, and behavioral modifications, as well as pharmacologic interventions that targets hormonal, metabolic, and neurochemical abnormalities.

Burn-Related Violence Against Women in the United States: Findings From the ABA Burn Registry.

Violence against women is a global public health problem. Centers for Disease Control and Precention (CDC) data show 41% of US women have experienced intimate partner violence. Burn-related violence against women is an extremely confronting form of physical violence.

Challenges of Managing Type 3c Diabetes in the Context of Pancreatic Resection, Cancer and Trauma.

Type 3c diabetes mellitus (T3cDM), also known as pancreatogenic or pancreoprivic diabetes, is a specific type of DM that often develops as a result of diseases affecting the exocrine pancreas, exhibiting an array of hormonal and metabolic characteristics. Several pancreatic exocrine diseases and surgical procedures may cause T3cDM. Diagnosing T3cDM remains difficult as the disease characteristics frequently overlap with clinical presentations of type 1 DM (T1DM) or type 2 DM (T2DM).

A Geographic Population-level Analysis of Access to Total Shoulder Arthroplasty in the State of Texas.

Introduction: Managing costs and improving access to care are two important goals of healthcare policy. The purposes of this study were to (1) evaluate the changes in distribution of total shoulder arthroplasty (TSA) cases in the state of Texas from 2010 to 2015 and (2) to evaluate patient access to TSA surgery centers as measured by driving miles.

Methods: Inpatient (IP) and outpatient (OP) records were obtained from 2010 to 2015 from the Texas Department of State Health Services.

Quantification of patient-level costs in outpatient total shoulder arthroplasty.

Background: Patient-level costs of inpatient and outpatient total shoulder arthroplasty (TSA) irrespective of payer status are seldom reported. The purpose of this study was to compare patient-level costs of primary elective TSA between inpatient and outpatient surgery centers.

Methods: By use of the Texas Health Care Information Collection database, inpatient and outpatient TSAs performed between 2010 and 2015 were identified according to billing codes.