Race, Area Deprivation, and Patterns of Care in Pediatric Pilonidal Disease.

Cohort studyThe American surgeon· Jul 2026

Race, Area Deprivation, and Patterns of Care in Pediatric Pilonidal Disease.

Kaleb M Keener, Haley Anderson Feltracco, Mackenzie R O'Connell … Jose H Salazar

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Colon & Rectal SurgeryCohort studyClinical practice

Black children with pilonidal abscess missed 30-day follow-up far more than non-Black children.

Race, Area Deprivation, and Patterns of Care in Pediatric Pilonidal Disease.

Kaleb M Keener … Jose H Salazar

The American surgeon · Jul 2026

Background

Pilonidal abscess is common in adolescents and recurs frequently.

Methods

We retrospectively reviewed pediatric patients (<18 years) treated for pilonidal abscess during 2020-2024.

Results

black patients missed 30-day follow-up nearly twice as often

OR 0.38 (95% CI 0.15 to 0.91)

null 1

0.15

0.91

CI excludes the null - significant

More results

Among 133 encounters, mean age was 15.6 years and 68% were female.

Median national Area Deprivation Index was 76 (IQR 48-89).

Area Deprivation Index was not associated with treatment location, follow-up, or recurrence.

More results

Ethnicity was associated with treatment location ( P = 0.015); Hispanic patients had lower odds of OR management (OR 0.38, 95% CI 0.15-0.91).

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Conclusion

These preliminary observations, limited by narrow Area Deprivation Index dispersion, warrant prospective, multi-institutional confirmation with granular SDOH variables and multivariable modeling.

Race, Area Deprivation, and Patterns of Care in Pediatric Pilonidal Disease.

Race, Area Deprivation, and Patterns of Care in Pediatric Pilonidal Disease.

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