AAP ArticleGastroschisis outcomes in North America: a comparison of Canada and the United States
Section snippets
Data sources
After obtaining approval from the Montreal Children's Hospital Research Ethics Board (14-420-PED) and from the Canadian Pediatric Surgery Network (CAPSNet) steering committee, two databases from Canada (CAPSNet) and the United States (Kids' Inpatient Database [KID]) were accessed and analyzed.
Study cohorts
Overall, 695 patients in Canada and 5216 patients in the US met inclusion criteria for the study. Missing data were excluded wherever applicable. The proportion of missing BW and GA data (44.6% and 41.9%, respectively) was high in the American cohort.
Comparison of Canada and US GS populations
The characteristics of the Canadian and American cohorts are shown in Table 1. In Canada, there were 16 treating hospitals, including 6 (37%), 7 (44%), and 3 (19%) hospitals with low, medium, and high NICU GS volume, respectively. In the US, the
Discussion
Cross-border outcomes comparisons between Canada and the United States have been a point of interest in several medical fields [2], [3], [4]. Our group has recently reported the first outcomes comparison of a pediatric surgical disease, appendicitis, between the two countries [4]. We failed to show an overall advantage in outcomes of this very common condition within the Canadian single payer system, but did show advantages when Canadian patients were compared to US patients with public or no
Acknowledgement
We would like to thank Dr. Xianming Tan of the Biostatistics Core Facility, McGill University Health Centre Research Institute, for providing assistance with the statistical analyses.
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