Siah Kim, Anita Van Zwieten, Jennifer Lorenzo, Rabia Khalid, Suncica Lah, Kerry Chen, Madeleine Didsbury, Anna Francis, Steven Mctaggart, Amanda Walker, Fiona E Mackie, Chanel Prestidge, Armando Teixeira-Pinto, Allison Tong, Katrina Blazek, Belinda Barton, Jonathan C Craig, Germaine Wong
Cognitive and academic outcomes in children with chronic kidney disease
Pediatric nephrology (Berlin, Germany)
males females known varied responses medical interventions study aimed determine effect sex surgical outcomes pyloromyotomy using kids inpatient database years 20032012 performed serial crosssectional analysis nationally representative sample patients aged 1 underwent pyloromyotomy hypertrophic pyloric stenosis primary predictor interest sex outcomes included mortality inhospital complications cost length stay regression models adjusted race age group comorbidity complications whether operation performed day admission region year fixed effects 48834 weighted operations 818 males 182 females common reported race white 473 patients 29 days old 725 difference odds postoperative complications females significantly longer length stay incidence rate ratio 128 95 confidence interval 95 ci 118139 p 001 higher cost 5 95 ci 102108 p 001 higher odds mortality odds ratio 326 95 ci 152698 p 001 study demonstrated females worse outcomes pyloromyotomy compared males findings striking important consider treating either sex help set physician family expectations perioperatively studies needed determine differences exist develop targeted treatment strategies females males pyloric stenosis