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:6/26/2017)... ... June 26, 2017 , ... ... recent review of government data released by the United Soybean Board. , ... Maryland’s soybean farmers have increased their productivity on less land per bushel, the ...
(Date:6/26/2017)... (PRWEB) , ... June 26, 2017 , ... New patients ... from Dr. Angela Cotey, with or without a referral. Dr. Cotey is a trusted ... of this preferred tooth replacement option. , Patients with missing teeth in Fitchburg, WI, ...
(Date:6/25/2017)... ... 2017 , ... CareSet Labs released the Root NPI Graph today at the ... greatly improved version of the Doctor Referral teaming dataset commonly available from Medicare. , ... called the the “Doctor Referral Dataset” as released by Medicare and “DocGraph” as released ...
(Date:6/24/2017)... (PRWEB) , ... June 24, 2017 , ... ... Dental365 family. Located at 217 Portion Road in Lake Ronkonkoma, Dental365 offers patients ... and weekends so that visits to the dentist fit into their patients’ busy ...
(Date:6/23/2017)... ... 2017 , ... By scoring 100% for fiscal management and accountability, the Arthritis ... charity evaluator, Charity Navigator, validating ANRF's work as a top charity in America. , ... Navigator and earns ANRF a spot on their “ 10 Charities Worth Watching ” ...
Breaking Medicine News(10 mins):
(Date:5/26/2017)... 26, 2017  Endo International plc (NASDAQ: ENDP ... CEO, will represent the Company in a fireside chat at ... Tuesday, June 13, 2017 at 10:40 a.m. PT / 1:40 ... in Rancho Palos Verdes, CA. ... will be available on the Company,s website at http://www.endo.com/investors/overview ...
(Date:5/23/2017)... Calif. , May 23, 2017  Leaf ... most innovative medical devices for pressure ulcer prevention, ... the American Association of Critical Care Nurses, National ... May 22-25. The Leaf Patient Monitoring ... specifically for the hospital environment.  The system seamlessly ...
(Date:5/18/2017)... May 18, 2017  Two Bayer U.S. Pharmaceutical leaders ... during its recent 28 th Woman of ... event showcases HBA,s longstanding mission of furthering the advancement ... Cindy Powell-Steffen , senior director of ... division, and Libby Howe , a regional business ...
Breaking Medicine Technology: