title: Head and neck endocrine surgery in children: 1997 and 2000.
abstract: OBJECTIVE
  To characterize children undergoing parathyroid, thyroid, and thyroglossal duct cyst surgery in 1997 and 2000 using a nationally representative discharge database to determine whether rates and outcomes of these surgical treatments vary by age, sex, and health care system attributes.
  
  
  METHODS
  The 1997 and 2000 Kids' Inpatient Database, available through the Agency for Healthcare Research and Quality.
  
  
  METHODS
  All patients 18 years and younger undergoing head and neck endocrine (HNE) procedures were included.
  
  
  METHODS
  The sampling scheme of this database allowed for calculation of national and regional estimates using Stata 7.0.
  
  
  RESULTS
  An estimated 2077 and 1871 inpatient pediatric HNE procedures were performed nationally in 1997 and 2000, respectively. Most were performed at general (nonpediatric) teaching hospitals. There were an estimated 1102 thyroglossal duct cyst excisions, making this the most common HNE procedure and diagnosis. Thyroid lobectomy was the second most common HNE surgical treatment. Thyroid malignant neoplasm (usually treated by total thyroidectomy) was the second most common diagnosis. Neck dissections were performed in 32% of patients with thyroid malignant neoplasm. These HNE procedures accounted for more than 28 million dollars in hospital charges in 1997 and nearly 38 million dollars in 2000.
  
  
  CONCLUSIONS
  Surgical treatment trends for pediatric HNE procedures remained stable between 1997 and 2000. Thyroglossal duct cyst excision and thyroid lobectomy are the most common procedures. There were regional differences in the rates of most HNE surgical treatments. In addition, hospital charges increased between 1997 and 2000.
authors: Otolaryngology Service, Madigan Army Medical Center, Tacoma, USA.
authors: Wayne J
authors: WJ
authors: Harsha
authors: Jonathan A
authors: JA
authors: Perkins
authors: Charlotte W
authors: CW
authors: Lewis
authors: Scott C
authors: SC
authors: Manning
mesh_terms: D000293:Adolescent; D002648:Child; D016208:Databases, Factual; D005260:Female; D006801:Humans; D008297:Male; D037981:Neck Dissection; D010279:Parathyroid Diseases / Q000601:surgery*; D013955:Thyroglossal Cyst / Q000601:surgery*; D013959:Thyroid Diseases / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000706:statistics & numerical data; D014481:United States