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Balloon Sinuplasty Utilization in the Pediatric Population: A National Database Perspective
Gerard Thong1, Natasha D Dombrowski1, Kosuke Kawai1,2
1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, USA.
Summary
Balloon sinuplasty (BS) did not increase in pediatric use and showed no difference in readmissions compared to endoscopic sinus surgery (ESS). However, BS procedures were more costly for treating chronic rhinosinusitis in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Health Services Research
Background:
- Chronic rhinosinusitis is a common condition in children.
- Balloon sinuplasty (BS) is an alternative surgical option to traditional endoscopic sinus surgery (ESS).
- Understanding the utilization and outcomes of BS in pediatric populations is important for clinical decision-making.
Purpose of the Study:
- To examine the utilization trends of balloon sinuplasty (BS) in children.
- To compare patient demographics, readmission rates, and costs between BS and traditional endoscopic sinus surgery (ESS).
Main Methods:
- Retrospective review of a national pediatric database (Pediatric Health Information System).
- Analysis of children aged 18 years or younger who underwent BS or ESS.
- Evaluation of data from 5 years before and after the introduction of BS billing codes.
Main Results:
- A total of 14,079 patients were analyzed; 524 underwent BS and 13,555 underwent ESS.
- There was no significant increase in BS utilization between 2011 and 2016.
- BS was more common in younger children, had similar 30-day readmission rates (4.4% vs. 3.5%), and was associated with higher median costs ($6560 vs. $5630) compared to ESS.
Conclusions:
- Balloon sinuplasty utilization has not increased in the pediatric population.
- BS and ESS demonstrated comparable readmission rates in children.
- Balloon sinuplasty is associated with higher costs than traditional ESS, and its role in pediatric chronic rhinosinusitis remains to be clarified.
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