Surgeries and health outcomes among patients with spina bifida

Noreen B. Alabi, Judy Thibadeau, John S. Wiener, Mike J. Conklin, Mark Dias, Kathleen J. Sawin, Rodolfo Valdez

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: Patients with spina bifida (SB) typically develop serious secondary conditions and undergo surgical procedures related to neurologic disorders, orthopedic abnormalities, bladder and bowel dysfunction, and skin breakdown. In this study, we describe the age distribution of common surgical procedures and health outcomes in patients with SB. METHODS: Using serial cross-sectional data from the National Spina Bifida Patient Registry (2009-2013; n = 4664), we examined surgical procedures (gastrointestinal, neurologic, orthopedic, skin, urologic, and other) and health outcomes (fecal continence, urinary continence, skin breakdown, and ambulation status) of patients with SB by age and SB type (myelomeningocele and nonmyelomeningocele). RESULTS: All patients who were enrolled had available health outcome data, and 81.5% (n = 3801) of patients had complete surgical procedure data, which totaled 18 891 procedures across their lifetimes. Almost all procedures (91.4%) occurred among participants with myelomeningocele SB. For both types of SB, the distribution of procedures varied by age. The most frequent procedures were neurologic, with approximately half (53%) occurring in patients <1 year of age; orthopedic and urologic procedures followed in frequency but tended to occur at older ages. The health outcomes for patients with myelomeningocele SB revealed lower frequencies of positive health outcomes than those for patients with nonmyelomeningocele SB across all age groups. Overall, the rates of fecal and urinary continence and skin breakdown increased with age whereas the ability to ambulate declined with age. CONCLUSIONS: Understanding the surgical procedures and health outcome variations by age and SB type can help clinicians and populations that are affected set expectations regarding the occurrence of these procedures and the outcomes throughout the patients' life spans.

Original languageEnglish (US)
Article numbere20173730
JournalPediatrics
Volume142
Issue number3
DOIs
StatePublished - Sep 1 2018

Fingerprint

Spinal Dysraphism
Health
Meningomyelocele
Skin
Digestive System Surgical Procedures
Orthopedics
Orthopedic Procedures
Neurosurgical Procedures
Age Distribution
Nervous System Diseases
Nervous System
Walking
Registries
Urinary Bladder
Age Groups

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Alabi, N. B., Thibadeau, J., Wiener, J. S., Conklin, M. J., Dias, M., Sawin, K. J., & Valdez, R. (2018). Surgeries and health outcomes among patients with spina bifida. Pediatrics, 142(3), [e20173730]. https://doi.org/10.1542/peds.2017-3730
Alabi, Noreen B. ; Thibadeau, Judy ; Wiener, John S. ; Conklin, Mike J. ; Dias, Mark ; Sawin, Kathleen J. ; Valdez, Rodolfo. / Surgeries and health outcomes among patients with spina bifida. In: Pediatrics. 2018 ; Vol. 142, No. 3.
@article{edf77579bbb3486189d71b9d60b0f5e2,
title = "Surgeries and health outcomes among patients with spina bifida",
abstract = "BACKGROUND AND OBJECTIVES: Patients with spina bifida (SB) typically develop serious secondary conditions and undergo surgical procedures related to neurologic disorders, orthopedic abnormalities, bladder and bowel dysfunction, and skin breakdown. In this study, we describe the age distribution of common surgical procedures and health outcomes in patients with SB. METHODS: Using serial cross-sectional data from the National Spina Bifida Patient Registry (2009-2013; n = 4664), we examined surgical procedures (gastrointestinal, neurologic, orthopedic, skin, urologic, and other) and health outcomes (fecal continence, urinary continence, skin breakdown, and ambulation status) of patients with SB by age and SB type (myelomeningocele and nonmyelomeningocele). RESULTS: All patients who were enrolled had available health outcome data, and 81.5{\%} (n = 3801) of patients had complete surgical procedure data, which totaled 18 891 procedures across their lifetimes. Almost all procedures (91.4{\%}) occurred among participants with myelomeningocele SB. For both types of SB, the distribution of procedures varied by age. The most frequent procedures were neurologic, with approximately half (53{\%}) occurring in patients <1 year of age; orthopedic and urologic procedures followed in frequency but tended to occur at older ages. The health outcomes for patients with myelomeningocele SB revealed lower frequencies of positive health outcomes than those for patients with nonmyelomeningocele SB across all age groups. Overall, the rates of fecal and urinary continence and skin breakdown increased with age whereas the ability to ambulate declined with age. CONCLUSIONS: Understanding the surgical procedures and health outcome variations by age and SB type can help clinicians and populations that are affected set expectations regarding the occurrence of these procedures and the outcomes throughout the patients' life spans.",
author = "Alabi, {Noreen B.} and Judy Thibadeau and Wiener, {John S.} and Conklin, {Mike J.} and Mark Dias and Sawin, {Kathleen J.} and Rodolfo Valdez",
year = "2018",
month = "9",
day = "1",
doi = "10.1542/peds.2017-3730",
language = "English (US)",
volume = "142",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "3",

}

Alabi, NB, Thibadeau, J, Wiener, JS, Conklin, MJ, Dias, M, Sawin, KJ & Valdez, R 2018, 'Surgeries and health outcomes among patients with spina bifida', Pediatrics, vol. 142, no. 3, e20173730. https://doi.org/10.1542/peds.2017-3730

Surgeries and health outcomes among patients with spina bifida. / Alabi, Noreen B.; Thibadeau, Judy; Wiener, John S.; Conklin, Mike J.; Dias, Mark; Sawin, Kathleen J.; Valdez, Rodolfo.

In: Pediatrics, Vol. 142, No. 3, e20173730, 01.09.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Surgeries and health outcomes among patients with spina bifida

AU - Alabi, Noreen B.

AU - Thibadeau, Judy

AU - Wiener, John S.

AU - Conklin, Mike J.

AU - Dias, Mark

AU - Sawin, Kathleen J.

AU - Valdez, Rodolfo

PY - 2018/9/1

Y1 - 2018/9/1

N2 - BACKGROUND AND OBJECTIVES: Patients with spina bifida (SB) typically develop serious secondary conditions and undergo surgical procedures related to neurologic disorders, orthopedic abnormalities, bladder and bowel dysfunction, and skin breakdown. In this study, we describe the age distribution of common surgical procedures and health outcomes in patients with SB. METHODS: Using serial cross-sectional data from the National Spina Bifida Patient Registry (2009-2013; n = 4664), we examined surgical procedures (gastrointestinal, neurologic, orthopedic, skin, urologic, and other) and health outcomes (fecal continence, urinary continence, skin breakdown, and ambulation status) of patients with SB by age and SB type (myelomeningocele and nonmyelomeningocele). RESULTS: All patients who were enrolled had available health outcome data, and 81.5% (n = 3801) of patients had complete surgical procedure data, which totaled 18 891 procedures across their lifetimes. Almost all procedures (91.4%) occurred among participants with myelomeningocele SB. For both types of SB, the distribution of procedures varied by age. The most frequent procedures were neurologic, with approximately half (53%) occurring in patients <1 year of age; orthopedic and urologic procedures followed in frequency but tended to occur at older ages. The health outcomes for patients with myelomeningocele SB revealed lower frequencies of positive health outcomes than those for patients with nonmyelomeningocele SB across all age groups. Overall, the rates of fecal and urinary continence and skin breakdown increased with age whereas the ability to ambulate declined with age. CONCLUSIONS: Understanding the surgical procedures and health outcome variations by age and SB type can help clinicians and populations that are affected set expectations regarding the occurrence of these procedures and the outcomes throughout the patients' life spans.

AB - BACKGROUND AND OBJECTIVES: Patients with spina bifida (SB) typically develop serious secondary conditions and undergo surgical procedures related to neurologic disorders, orthopedic abnormalities, bladder and bowel dysfunction, and skin breakdown. In this study, we describe the age distribution of common surgical procedures and health outcomes in patients with SB. METHODS: Using serial cross-sectional data from the National Spina Bifida Patient Registry (2009-2013; n = 4664), we examined surgical procedures (gastrointestinal, neurologic, orthopedic, skin, urologic, and other) and health outcomes (fecal continence, urinary continence, skin breakdown, and ambulation status) of patients with SB by age and SB type (myelomeningocele and nonmyelomeningocele). RESULTS: All patients who were enrolled had available health outcome data, and 81.5% (n = 3801) of patients had complete surgical procedure data, which totaled 18 891 procedures across their lifetimes. Almost all procedures (91.4%) occurred among participants with myelomeningocele SB. For both types of SB, the distribution of procedures varied by age. The most frequent procedures were neurologic, with approximately half (53%) occurring in patients <1 year of age; orthopedic and urologic procedures followed in frequency but tended to occur at older ages. The health outcomes for patients with myelomeningocele SB revealed lower frequencies of positive health outcomes than those for patients with nonmyelomeningocele SB across all age groups. Overall, the rates of fecal and urinary continence and skin breakdown increased with age whereas the ability to ambulate declined with age. CONCLUSIONS: Understanding the surgical procedures and health outcome variations by age and SB type can help clinicians and populations that are affected set expectations regarding the occurrence of these procedures and the outcomes throughout the patients' life spans.

UR - http://www.scopus.com/inward/record.url?scp=85052737600&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052737600&partnerID=8YFLogxK

U2 - 10.1542/peds.2017-3730

DO - 10.1542/peds.2017-3730

M3 - Article

VL - 142

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 3

M1 - e20173730

ER -

Alabi NB, Thibadeau J, Wiener JS, Conklin MJ, Dias M, Sawin KJ et al. Surgeries and health outcomes among patients with spina bifida. Pediatrics. 2018 Sep 1;142(3). e20173730. https://doi.org/10.1542/peds.2017-3730