Navigation Links
Hospital Type Linked to Racial Disparities in Kids With Appendicitis Complication
Date:1/4/2013

FRIDAY, Jan. 4 (HealthDay News) -- The type of hospital in which minority children with appendicitis receive care may affect their chances of developing a perforated or ruptured appendix, according to a new study.

However, the study authors said that more research is needed to explain why this racial disparity exists and what steps can be taken to prevent it.

If not treated within one or two days, appendicitis can lead to a perforated appendix. As a result, this painful condition can serve as a marker for inadequate access to health care, the UCLA Medical Center researchers explained in a news release from the American College of Surgeons.

"Appendicitis is a time-dependent disease process that leads to a more complicated medical outcome, and that outcome, perforated appendicitis, has increased hospital costs and increased burden to both the patient and society," according to study author Dr. Stephen Shew, an associate professor of surgery at UCLA Medical Center, and a pediatric surgeon at Mattel Children's hospital in Los Angeles.

In conducting the study, Shew's team examined discharge data on nearly 108,000 children aged 2 to 18 who were treated for appendicitis at 386 California hospitals between 1999 and 2007. Of the children treated, 53 percent were Hispanic, 36 percent were white, 3 percent were black, 5 percent were Asian and 8 percent were of an unknown race.

The researchers divided the children into three groups based on where they were treated: a community hospital, a children's hospital or a county hospital.

After taking age, income level and other risk factors for a perforated appendix into account, the investigators found that among kids treated at community hospitals, Hispanic children were 23 percent more likely than white children to experience this condition. Meanwhile, Asian children were 34 percent more likely than whites to have a perforated appendix.

Among the children treated at children's hospitals, the Hispanic children were 18 percent more likely to experience this complication than white children.

The racial disparity was not found at county hospitals. The study authors noted, however, that black patients treated at children's and county hospitals had a higher risk for a perforated appendix than other black children treated at community hospitals.

"The goal is to figure out why these racial disparities exist and what interventions could be put in place to help eliminate them," Shew said in the news release. He added that more research is needed on this topic, including if language barriers prevent access to care or affect patients' understanding of their symptoms.

"We don't know what explains these findings; however we suspect that there are some other barriers in play," Shew said. "As investigators it behooves us to look further into prehospital factors that may contribute to this racial disparity and ultimately find what interventions can be implemented to provide much quicker access to care, so children can get treated more effectively."

An estimated 80,000 children in the United States develop appendicitis each year. The condition is the most common reason for emergency abdominal surgery in children, according to background information in the news release.

The study was published in the January issue of the Journal of American College of Surgeons.

More information

The U.S. National Library of Medicine has more about health disparities.

-- Mary Elizabeth Dallas

SOURCE: American College of Surgeons, news release, Dec. 28, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Predictors identified for rehospitalization among post-acute stroke patients
3. More Smog Might Mean More Hospitalizations
4. After Hospitalization, Men More Likely to Show Up in ER
5. Choosing the right hospital may save your babys life
6. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
7. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
8. Rate of Hospitalizations for Stroke Has Declined in U.S.
9. Hospital readmission rates linked to availability of care, socioeconomics
10. Availability of Beds, Poverty Drive Costly Hospital Readmissions
11. Inhaled Steroids Lead to Big Drop in Asthma Deaths at Texas Hospital: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Hospital Type Linked to Racial Disparities in Kids With Appendicitis Complication
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to ... of individuals in the United States and Canada wear eyeglasses. Once considered to be ... vision and make a fashion statement. Even celebrities use glasses as a way of ...
(Date:6/26/2016)... Cary, North Carolina (PRWEB) , ... June 26, 2016 , ... ... the release of a new product that was developed to enhance the health of ... harvested for centuries. , The two main herbs in the PawPaws Cat Kidney ...
(Date:6/25/2016)... , ... June 25, 2016 , ... Austin residents seeking ... American College of Mohs Surgery and to Dr. Russell Peckham for medical and surgical ... effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by ...
(Date:6/25/2016)... ... 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned ... the David Geffen School of Medicine at UCLA. He trained in Internal Medicine at ... fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity ...
(Date:6/24/2016)... ... 2016 , ... A recent article published June 14 on E ... goes on to state that individuals are now more comfortable seeking to undergo not ... as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... June 27, 2016 Jazz Pharmaceuticals plc (Nasdaq: ... under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as ... Celator Pharmaceuticals, Inc. ("Celator"; Nasdaq: CPXX ) ... Daylight Time). As previously announced on May ... definitive merger agreement under which Jazz Pharmaceuticals has commenced ...
(Date:6/26/2016)... , June 26, 2016 ... value-based care operating models within the health care industry ... greater financial efficiency , Deloitte offers a suite ... key business issues impacting efficient cost optimization: labor resource ... , These services facilitate better outcomes and better economics ...
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
Breaking Medicine Technology: