Epidemiology and trend of pediatric adenoidectomy: a population-based study in Taiwan from 1997 to 2012

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Abstract
Objectives: To assess population-level data for pediatric adenoidectomy. Methods: Using data from the Taiwan National Health Insurance Research Database for the 1997–2012 period, all inpatients p < .001). Boys exhibited higher incidence rates than did girls (p < .001). Longitudinal data revealed an increase in the incidence rates from 1997 (14.8/100,000) to 2012 (26.9/100,000) (p trend < .001). The proportion of adenoidectomies performed at medical centers decreased from 60.5 to 46.9%, whereas those performed at regional hospitals increased from 36.4 to 47.2% (all p trend < .001). The proportion of pediatric adenoidectomies performed for sleep-disordered breathing (SDB) increased significantly from 10.1 to 35.6%, whereas those for infections decreased from 32.3 to 8.0% (all p trend < .001). Conclusions: This study revealed an increasing trend of pediatric inpatient adenoidectomy incidence rates during 1997–2012 in Taiwan. Moreover, surgical indications have shifted from infections to SDB.
Funding Information
  • Taipei Hospital
  • Ministry of Health and Welfare (201502)

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