To the Editor We read with interest the report by Hills-Dunlap et al1 that describes variation in the age at which pediatric umbilical hernias are repaired. They further associate lower age of repair with patient demographic factors including public insurance, lower income, and female sex. This work corroborates variation that we and others have observed in the age of umbilical hernia repairs and makes clear that there remains much to be understood about even this comparatively simple operation.
Kohler JE, Nichol PF, Cartmill RS. Need for Consensus Guidelines in Pediatric Umbilical Hernia Repair. JAMA Pediatr. 2019;173(11):1109–1110. doi:https://doi.org/10.1001/jamapediatrics.2019.3414
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