Epidemiology of cerebrospinal fluid shunting

Charles P. Bondurant, David F. Jimenez

Research output: Contribution to journalArticlepeer-review

196 Scopus citations


The epidemiology of cerebrospinal fluid (CSF) shunting in the United States is not well known; however, with recent national surveys, the prevalence, incidence, and cost of these procedures can be estimated. The prevalence of CSF shunts in the United States appears to be greater than 125,000, though this is likely an underestimate of the true value. There are approximately 69,000 discharges each year with the diagnosis of hydrocephalus. These visits produce nearly 36,000 shunt-related procedures, 33,000 of which involve the placement of a shunt. CSF shunting procedures account for almost US$ 100 million of national health care expenditures each year. Unfortunately, nearly half of these dollars are spent on revision. The rates and costs of CSF shunting underscore the need for continued improvement in both materials and techniques.

Original languageEnglish (US)
Pages (from-to)254-258
Number of pages5
JournalPediatric Neurosurgery
Issue number5
StatePublished - Jan 1 1995


  • Cerebrospinal fluid
  • Epidemiology
  • Hydrocephalus
  • Shunt
  • Survey

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology


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