Demographic and socioeconomic trends in the use of laparoscopic appendectomy from 1997 to 2003

American Journal of Surgery
Corey Van HoveBrett Sheppard

Abstract

Because there is conflicting evidence regarding the benefits of laparoscopic appendectomy, we hypothesized that there would be measurable differences in its use among various socioeconomic groups and geographic areas. The Nationwide Inpatient Sample was queried for appendectomies performed between the years of 1997 and 2003. Rates of laparoscopic appendectomy were compared among hospital subtypes and demographic groups. The percentage of appendectomies performed laparoscopically has increased from 19.1% in 1997 to 37.9% in 2003. Only 11.8% of cases of complicated appendicitis were treated laparoscopically in 1997, compared with 23.5% in 2003. Nonwhite patients and those from low-income areas continue to be less likely to undergo laparoscopic appendectomy (P < .001). Our analysis indicates that despite expanding use of laparoscopic appendectomy nationwide, patients who live in zip codes areas with a preponderance of minorities or low-income earners are more likely to have open appendectomy.

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Citations

Feb 24, 2010·Surgical Endoscopy·Hung-Wen LaiMin-Ho Huang
Jul 5, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hossein MasoomiMichael J Stamos
Feb 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hurng-Sheng WuMin-Ho Huang
Jul 28, 2011·Surgical Infections·Patrick L WagnerPhilip S Barie
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Jan 28, 2014·Journal of Minimally Invasive Gynecology·Jinhyung LeePooja R Patel
Oct 27, 2015·International Journal for Equity in Health·Kai-Biao LinChien-Lung Chan
Nov 18, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dorin PopaAbe Fingerhut
Sep 15, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Daphnée MicheletSouhayl Dahmani
Mar 30, 2017·Journal of Minimally Invasive Gynecology·Anju RanjitSarah L Cohen
Oct 12, 2010·The Cochrane Database of Systematic Reviews·Stefan SauerlandEdmund Am Neugebauer
Nov 30, 2018·The Cochrane Database of Systematic Reviews·Thomas JaschinskiStefan Sauerland
Jun 22, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yao TianMehul V Raval

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