Navigation Links
Study shows insurance status, not race, linked to complications in patients with acute appendicitis
Date:9/11/2007

CHICAGO (September 11, 2007) - In what is being described as an "unexpected finding," new research suggests no correlation between a patient's race and complications with acute appendicitis. The study, which will be published in the September issue of The Journal of the American College of Surgeons, found that uninsured or publicly insured patients with acute appendicitis have an increased likelihood of perforation, or rupture, of the appendix in comparison to patients with private insurance. However, the study found no relationship between race and perforation, which contradicts a large body of literature documenting impaired access to health care among minority populations.

The lack of a link between race and perforation was unexpected," said Fredric M. Pieracci, MD, resident in general surgery and preventive medicine at Weill Cornell Medical College. "Based on other research we anticipated our findings would show that minority populations would have increased perforations due to delays in treatment and access to care. Instead, we found evidence for an independent effect of insurance status on the likelihood of perforation in patients with acute appendicitis. Insurance reform may provide one method by which this disparity could be attenuated or eliminated.

Acute appendicitis has been studied widely as a gauge of effective and equitable health care. Appendicitis is an inflammation of the appendix that is considered a medical emergency. If treatment is delayed, the appendix can rupture, causing infection and even death.

Using the New York State Statewide Planning and Research Cooperative System (SPARCS) database, researchers identified 31,245 adult patients (18 years) with appendicitis. Race information was available for 29,637 (94.9%). Of these 29,637 patients, 7,969 (26.9%) had perforation of the appendix. Patients lacking race information were excluded from the analysis. Insurance status was also obtained from the SPARCS database.

A multivariable analysis showed no significant differences in the likelihood of perforation when comparing Caucasian, African-American, Hispanic and Asian patients. However, as compared with patients with private insurance, uninsured (OR=1.18, 95% CI [1.07, 1.30], p=0.0005), Medicaid (OR=1.22, 95% CI [1.12, 1.33], p< p.0001) and Medicare patients (OR 1.14, 95% CI [1.03, 1.25], p=0.01) were all more likely to have perforated.

Dr. Pieracci said this effect may be due to several factors. First, because both uninsured and publicly insured patients are less likely to have a usual source of health care, difficulty in consulting a health care provider may delay hospitalization. In addition, longer waiting times once care has been sought may contribute to delayed treatment. Perhaps most importantly, said Dr. Pieracci, uninsured patients may delay seeking care for fear of financial repercussions.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Rural Canadians travel far for specialists: study
2. A new study surpasses Gene Therapy Hurdle
3. Tomato Sauce reduces Cancer Risk- Study
4. A question on study of Adult Stem Cell
5. Study on obesity and heart failure
6. National Lung Study in the process
7. Marijuana gateway theory strengthened by study of twins
8. Old theory of adaptation confirmed by new study
9. Study casts doubt on keyboard ills
10. Gene study links endometriosis, infertility
11. Study reveals how stress can make you sick
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... , ... October 13, 2017 , ... Ellevate Network, the ... business to advocate for action towards gender equality at their inaugural Summit in New ... the globe, and reached a social audience of over 3 million. To watch the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Coveros, a leader in ... awarded a contract by the Center for Medicare and Medicaid Services (CMS). The ... enterprise use of Agile methodologies in a consistent and high value manner across ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... treating sleep apnea using cutting-edge Oventus O2Vent technology. As many as ... disorder characterized by frequent cessation in breathing. Oral appliances can offer significant relief ...
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of Medical ... Friedman, PhD, FACMI, during the Opening Session of AMIA’s Annual Symposium in Washington, D.C. ... honor of Morris F. Collen, a pioneer in the field of medical informatics, this ...
(Date:10/12/2017)... ... , ... HMP , a leader in healthcare events and education, today announced ... Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie & Ozzie ... competition recognizes editorial and design excellence across a range of sectors. This year’s program ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... -- AllianceRx Walgreens Prime, the combined central specialty pharmacy and ... manager Prime Therapeutics LLC (Prime), today officially began the ... of new signage at its headquarters in ... few other company-owned facilities across the country. This also ... whom will begin to see the AllianceRx Walgreens Prime ...
(Date:9/28/2017)... , Sept. 28, 2017 Hill-Rom Holdings, ... 2017 earnings conference call and webcast on Friday, November ... a.m. (EDT) and ending at approximately 8:30 a.m. (CDT) ... discussing the company,s 2017 financial performance and guidance for ... opportunities, initiatives to enhance operational performance, and long-range financial ...
(Date:9/27/2017)... and NEW YORK , Sept. 27, 2017  DarioHealth ... and big data solutions, today announced that its MyDario product is expected ... local TV listings for when The Dr. Oz Show airs in your ... The nine-time Emmy ... ...
Breaking Medicine Technology: