Association Between Social Determinants of Health and Choice of Urinary Reconstruction in Children
hosted by Dr. Megan Reedy Vituri
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
The study was a single institution retrospective study of 208 patients with neurogenic bladder, anorectal malformations, myelomeningocele, and other spinal cord pathology who underwent urinary reconstruction between 2014 and 2021
About 74% of patients underwent continent reconstruction and 26% underwent incontinent reconstruction
There was no difference in reconstruction type based on insurance type
There was no difference in reconstruction type based on childhood opportunity index
Patients who had incontinent reconstruction were more likely to have food insecurity
Patients who had incontinent reconstruction were more likely to have missed appointments
Patients who had incontinent reconstruction were more likely to have unmarried parents
Patients who traveled from out of state were more likely to have a continent diversion
Social stability and the ability to engage with follow-up may be influencing what surgeons offer families as well as what families can realistically manage
The best reconstruction isn't just one that's technically feasible, it also needs to be sustainable for patients and their families