The Decline of the Open Ureteral Reimplant in the United States: National Data From 2003 to 2013. Urology Kurtz, M. P., Leow, J. J., Varda, B. K., Logvinenko, T., McQuaid, J. W., Yu, R. N., Nelson, C. P., Chung, B. I., Chang, S. L. 2017; 100: 193-197


To examine trends in the number of cases of primary vesicoureteral reflux managed by ureteral reimplantation nationally over the last decade. Substantial changes have occurred in management of vesicoureteral reflux (VUR) over time, but trends in use of ureteral reimplantation have yet to be investigated on a national scale with annualized data.Using the Premier Healthcare Database, we extracted hospital discharge data for pediatric patients (age?=?18 years) with a procedure code for ureteroneocystostomy (International Classification of Diseases, Ninth Revision, 56.74) between January 1, 2003 and December 31, 2013. We excluded patients with secondary VUR. The presence of a temporal trend in reimplantation was examined via regression using generalized estimating equations.In 4301 cases of primary VUR (23,602 weighted), there was a substantial decrease in the number of reimplantations performed, with an estimated decline in the rate of 0.239 cases per attending per year (P?=?.006). Average patient age declined 1.2 months in each year (P?

View details for DOI 10.1016/j.urology.2016.07.024

View details for PubMedID 27473557