[Trends in adenoidectomy in children in Beijing tertiary hospitals from 2013 to 2022]

J Q Liang ¹, Z Y Zhang ², R K Wang ¹

⁰Capital Center for Children's Health, Capital Medical University, Beijing 100020, China.

Zhonghua Yu Fang Yi Xue Za Zhi [chinese Journal of Preventive Medicine] +

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November 25, 2025

View abstract on PubMed

Summary

Pediatric adenoidectomy costs in Beijing remained stable from 2013-2022. Coblation techniques reduced length of stay (LOS) and overall costs compared to traditional methods, despite higher surgical fees.

Area Of Science

Pediatric Otolaryngology
Health Services Research
Surgical Outcomes

Background

Pediatric adenoidectomy is a common procedure with evolving techniques.
Understanding inpatient burden trends is crucial for healthcare resource management.
Beijing tertiary hospitals serve a large pediatric population undergoing this surgery.

Purpose Of The Study

To analyze changes in surgical techniques and inpatient costs for pediatric adenoidectomy.
To assess trends in hospitalization expenses and cost components over a decade (2013-2022).
To compare the impact of coblation versus non-coblation techniques on healthcare costs and length of stay (LOS).

Main Methods

Retrospective observational study using Beijing's regional health information platform.
Data extracted for children ≤14 years undergoing adenoidectomy (2013-2022).
Mann-Kendall trend test and chi-squared tests used for statistical analysis of costs, LOS, and techniques.

Main Results

Total hospitalization costs remained stable, while surgical costs significantly increased.
Average length of stay (LOS) decreased significantly from 10.56 to 3.26 days.
Coblation use increased, associated with shorter LOS, lower total costs, and a higher proportion of surgical fees compared to non-coblation.

Conclusions

Pediatric adenoidectomy inpatient burden in Beijing tertiary hospitals remained stable from 2013-2022.
Coblation technique is linked to improved efficiency, shorter LOS, and reduced overall costs.
While surgical fees increased with coblation, it did not significantly raise overall healthcare expenditure.