The Dutch Incidence of Infantile Hypertrophic Pyloric Stenosis and the Influence of Seasons

Fenne A. I. M. van den Bunder; Jan Hein Allema; Marc A. Benninga; Ivo de Blaauw; Tim van de Brug; Marcel den Dulk; Jan B. F. Hulscher; Claudia M. G. Keyzer-Dekker; Marieke J. Witvliet; Ernest L. W. van Heurn; Joep P. M. Derikx

doi:10.1055/s-0040-1721055

European Journal of Pediatric Surgery, Inhaltsverzeichnis

Eur J Pediatr Surg 2021; 31(06): 525-529
DOI: 10.1055/s-0040-1721055

Original Article

The Dutch Incidence of Infantile Hypertrophic Pyloric Stenosis and the Influence of Seasons

Fenne A. I. M. van den Bunder

¹Department of Pediatric Surgery, University of Amsterdam and Vrije Universiteit, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands

,

Jan Hein Allema

²Department of Pediatric Surgery, Juliana Children's Hospital, HAGA Hospital, The Hague, The Netherlands

,

Marc A. Benninga

³Department of Pediatric Gastroenterology, University of Amsterdam and Vrije Universiteit, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands

,

Ivo de Blaauw

⁴Department of Pediatric Surgery, Radboud University, Amalia Children's Hospital, Radboud UMC, Nijmegen, The Netherlands

,

Tim van de Brug

⁵Department of Epidemiology and Biostatistics, Vrije Universiteit Amsterdam, Amsterdam UMC, The Netherlands

,

Marcel den Dulk

⁶Department of Surgery, MUMC, Maastricht University, Maastricht, The Netherlands

,

Jan B. F. Hulscher

⁷Department of Pediatric Surgery, University of Groningen, Beatrix Children's Hospital, UMC Groningen, Groningen, The Netherlands

,

Claudia M. G. Keyzer-Dekker

⁸Department of Pediatric Surgery, Erasmus Medical Center, Erasmus University, Sophia Children's Hospital, Rotterdam, The Netherlands

,

Marieke J. Witvliet

⁹Department of Pediatric Surgery, University of Utrecht, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands

,

Ernest L. W. van Heurn

¹Department of Pediatric Surgery, University of Amsterdam and Vrije Universiteit, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands

,

Joep P. M. Derikx

¹Department of Pediatric Surgery, University of Amsterdam and Vrije Universiteit, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands

› Institutsangaben

Abstract

Introduction Studies report contradicting results on the incidence of infantile hypertrophic pyloric stenosis (IHPS) and its association with seasons. We aim to assess the IHPS incidence in the Netherlands and to determine whether seasonal variation is present in a nationwide cohort.

Materials and Methods All infants with IHPS hospitalized in the Netherlands between 2007 and 2017 were included in this retrospective cohort study. Incidence rates per 1,000 livebirths (LB) were calculated using total number of LB during the matched month, season, or year, respectively. Seasonal variation based on month of birth and month of surgery was analyzed using linear mixed model and one-way ANOVA, respectively.

Results A total of 2,479 infants were included, of which the majority was male (75.9%). Median (interquartile range) age at surgery was 34 (18) days. The average IHPS incidence rate was 1.28 per 1,000 LB (variation: 1.09–1.47 per 1,000 LB). We did not find a conclusive trend over time in IHPS incidence. Differences in incidence between season of birth and season of surgery were not significant (p = 0.677 and p = 0.206, respectively).

Conclusion We found an average IHPS incidence of 1.28 per 1,000 LB in the Netherlands. Our results showed no changing trend in incidence and no seasonal variation.

Keywords

hypertrophic pyloric stenosis - infantile hypertrophic pyloric stenosis - incidence - seasonal variation - epidemiology

Volltext

Referenzen

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