About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Complications in Patients With Acute Appendicitis Linked to Insurance Status and Not Race

by Medindia Content Team on September 14, 2007 at 3:04 PM
Font : A-A+

Complications in Patients With Acute Appendicitis Linked to Insurance Status and Not Race

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 calls it as an "unexpected finding," 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.

The study confirms that there is no relationship between race and perforation, which contradicts a large body of literature documenting impaired access to health care among minority populations.

Advertisement

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.
Advertisement

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 (¡Ư18 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.

Source: Eurekalert
LIN/J
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
January is the Thyroid Awareness Month in 2022
Menstrual Disorders
Coffee May Help You Fight Endometrial Cancer
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Appendicitis Appendectomy Star Health and Allied Insurance ICICI Lombard General Insurance Company Limited Health Insurance - Ombudsman Health Insurance - Basics New India Assurance Policies Awareness about Healthcare Insurance in India Premium Calculation by Health Insurance Companies Fraudulent Health Insurance Claims 

Recommended Reading
Acute Appendicitis
Case study of acute appendicitis - A 13 year old boy was sent back home from school because he ......
Appendectomy - Animation
Slides and animation of Appendicitis and Appendectomy by both Open and Laparoscopic surgical ......
Emergency Appendectomy For Prince Harry’s Girlfriend
Chelsy Davy, British Prince Harry's girlfriend, has been rushed in for an emergency appendix ......
Insurance Coverage Sought for Treatment Under Native Systems too
Indian insurance firms are reluctant to offer cover to those who undergo native medicine treatment....
Appendicitis
Appendicitis is inflammation of the appendix with intense, migrating abdominal pain caused by obstru...
Awareness about Healthcare Insurance in India
A basic awareness about Indian health insurance for any layman for quick reference presented in a cr...
Fraudulent Health Insurance Claims
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its i...
Health Insurance - Basics
Health insurance guarantees payments to a person in the event of sickness or injury.and works as pr...
Health Insurance - Ombudsman
Insurance Ombudsman institutions work for the purpose of quick disposal of the grievances of the ins...
ICICI Lombard General Insurance Company Limited
Major health care plans from the ICICI Lombard include complete health insurance ihealth plan, perso...
New India Assurance Policies
The existing Mediclaim and Health Plus Medical expenses policies have been discontinued and Mediclai...
Premium Calculation by Health Insurance Companies
This article gives an insight as to how healthcare insurance policy premiums are collected by Insura...
Star Health and Allied Insurance
Star Health & Allied Insurance offers a convenient insurance for the corporate people when they tra...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2022

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use
open close
CONSULT A DOCTOR
I have read and I do accept terms of use - Telemedicine

Advantage Medindia: FREE subscription for 'Personalised Health & Wellness website with consultation' (Value Rs.300/-)