Pd60-11 Pediatric Urology Trends in New York State: Surgeons Increasingly More Sub-Specialized

You have accessJournal of UrologyEducation Research III (PD60)1 May 2024PD60-11 PEDIATRIC UROLOGY TRENDS IN NEW YORK STATE: SURGEONS INCREASINGLY MORE SUB-SPECIALIZED Arshia Aalami Harandi, Jonathan Aronov, Spencer Griffin, and Michael Ernst Arshia Aalami HarandiArshia Aalami Harandi , Jonathan AronovJonathan Aronov , Spencer GriffinSpencer Griffin , and Michael ErnstMichael Ernst View All Author Informationhttps://doi.org/10.1097/01.JU.0001009460.27205.df.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The field of pediatric urology is the intersection between urology and pediatric surgery. Though fellowships in pediatric urology have existed since the 1980s, the first subspecialty examination in pediatric urology occurred in 2008. While general surgeons and adult urologists are trained in the common procedures in pediatric urology, there is an impetus for these cases being performed by subspecialized surgeons. This study sought to investigate the trends in training of surgeons performing common pediatric urology cases within New York state. METHODS: This was a retrospective analysis of the New York State Statewide Planning and Research Cooperative System database from 2003-2018. Cases of orchiopexy, distal hypospadias repair, hydrocelectomy, pyeloplasty, and ureteral reimplantation were identified via their appropriate CPT code. Cases of patients older than 18 or those without adequate information about the provider were excluded. Providers were identified via their reported NPI or New York State License Number and their surgical training was ascertained with extensive internet search. The number of cases performed were compared with regards to the surgeon's training. Statistical analysis included Chi-Squared and Student's t-test, performed in SPSS v 27.0 with an alpha value of 0.05. RESULTS: Our query resulted in 48,314 cases performed over a 16-year period. Table 1 delineates trends in cases being performed by Urologists versus General Surgeons with Urologists performing 90.4% of cases in 2015-2018 compared to 74.1% in 2003-2006. The cases most likely to be performed by general surgeons were hydrocelectomy (22.3%) followed by orchiopexy (12.4%). Adult urologists performed only 15% of all cases but accounted for a majority (51.8%) of emergent orchiopexy cases. Pediatrics trained urologists accounted for nearly all distal hypospadias cases (97.2%) and all the ureteral reimplant cases (100%). The age of patients operated on was significantly higher for adult urologists than pediatric urologists (9.1 vs. 4.3 years, p<.001). CONCLUSIONS: There has been a steady trend in increasing proportion of common pediatric urology procedures performed by those with pediatric fellowship training. These data suggest additional training in pediatrics is becoming more customary among those performing common pediatric urology cases. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1277 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Arshia Aalami Harandi More articles by this author Jonathan Aronov More articles by this author Spencer Griffin More articles by this author Michael Ernst More articles by this author Expand All Advertisement PDF downloadLoading ...