PD37-06 GROWTH IN NEWBORN CIRCUMCISIONS PERFORMED BY PEDIATRIC UROLOGISTS AND ADVANCED PRACTICE PROVIDERS FROM 2010-2020 IN THE UNITED STATES

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD37-06 GROWTH IN NEWBORN CIRCUMCISIONS PERFORMED BY PEDIATRIC UROLOGISTS AND ADVANCED PRACTICE PROVIDERS FROM 2010-2020 IN THE UNITED STATES Emilie Johnson, Hyman, Camille Hardy Maizels, Catherine Seager, Derek Matoka, Dennis Liu, Edward Gong, Jane Holl, and Modi Parth Emilie JohnsonEmilie Johnson More articles by this author , Hyman Hyman More articles by this author , Camille Hardy MaizelsCamille Hardy Maizels More articles by this author , Catherine SeagerCatherine Seager More articles by this author , Derek MatokaDerek Matoka More articles by this author , Dennis LiuDennis Liu More articles by this author , Edward GongEdward Gong More articles by this author , Jane HollJane Holl More articles by this author , and Modi ParthModi Parth More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003335.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Roughly 50% of boys born in the United States (US) undergo newborn circumcision (NC), most often by obstetricians or pediatricians before hospital discharge. Anecdotally, pediatric urologists are facing increasing NC demand due to factors including declining clinician interest and staffing shortages. A few institutions have also recently reported experiences with advanced practice providers (APPs) performing NC. To illuminate recent practice patterns more fully, this study analyzed the proportion of NCs performed by different specialists over time. METHODS: The IBM® MarketScan® Commercial Database was queried for NC private health insurance claims (Common Procedural Terminology 54150) between 2010 and 2020. Setting (inpatient/outpatient), US region, clinician specialty, and patient age (days) were determined for the full study time-period, and by study year. Simple linear regression assessed growth in proportion of NCs performed by pediatric urologists and APPs (nurse practitioner/physician assistant/midwife) over time. RESULTS: In total, 952,772 boys underwent NC (Table 1). Most NCs were inpatient (59%) by obstetricians (46%) or pediatricians (33%); APPs performed 0.8%, and pediatric urologists performed 0.6%. The proportion of NCs performed by pediatric urologists increased from 0.3% in 2010 to 1.7% in 2020, and for APPs increased from 0.5% to 2.3%, p<0.0001 for both (Figure 1). Growth for both APPs and pediatric urologists predominantly occurred from 2016 to 2020. In 2020, pediatric urologists and APPs performed the highest percentage of NCs in the South (2.9% & 2.5% respectively), followed by the Northeast (2.5% & 1.4% respectively). CONCLUSIONS: The proportion of NCs performed by pediatric urologists and APPs increased significantly between 2010 and 2020, though both specialties still perform a minority of NCs. These data provide important baseline information for NC workforce planning, including evaluating collaborative care models where pediatric urologists train APPs to perform NCs. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e989 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Emilie Johnson More articles by this author Hyman More articles by this author Camille Hardy Maizels More articles by this author Catherine Seager More articles by this author Derek Matoka More articles by this author Dennis Liu More articles by this author Edward Gong More articles by this author Jane Holl More articles by this author Modi Parth More articles by this author Expand All Advertisement PDF downloadLoading ...