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

Regular Visits to a Doctor Reduce Risk of Severe Appendicitis

by Julia Samuel on February 1, 2018 at 5:06 PM
Font : A-A+

Regular Visits to a Doctor Reduce Risk of Severe Appendicitis

Families who visit a doctor regularly were less likely to experience a common complication of appendicitis.

After symptoms appear, delays in treatment lead to higher rates of a perforated or ruptured appendix. The study suggests that families with an established relationship with their primary care doctor are more likely to seek emergency care promptly when a child is experiencing painful symptoms, says lead author Mehul Raval, MD.

Advertisement


Raval is an assistant professor of surgery and pediatrics at Emory School of Medicine and Children's Healthcare of Atlanta, and director of the Center for Clinical Outcomes Research and Public Health.

"Starting with debates over Medicaid expansion, extending to a recent discussion surrounding reauthorization of the Children's Health Insurance Plan, we've been very focused on making sure that children have access to the proper healthcare," Raval says.
Advertisement

"This study takes things a step further. We highlight that having access to healthcare is a great start, but actually utilizing healthcare appropriately can be tremendously beneficial."

"Appropriate utilization of available care is multifactorial and measures the less modifiable attributes of health literacy and trust in the medical system," he adds. "This is one of the first studies of its kind to demonstrate an association between utilization of primary care services and outcomes for an acute surgical condition."

The admission rate for perforated appendicitis is tracked nationwide by the Agency for Healthcare Research and Quality as a community-level indicator of quality and access. A perforated appendix means a longer hospital stay and is more likely to lead to systemic infection and the dangerous complication of sepsis.

All of the roughly 19,000 children covered in the study had insurance. Raval, Emory general surgery resident Katherine Baxter, MD, and colleagues analyzed claims from the years 2010-2013 from the Truven MarketScan insurance database, which covers large employers.

Overall, 86.3 percent of the children who came to a medical center with appendicitis had an outpatient health care visit within the last year. Those with perforated appendicitis were less likely to have had an outpatient visit (82.7 percent of 5509 children) compared to those with acute appendicitis (87.8 percent of 13,600 children).

Raval and Baxter noticed that those in families with high out-of-pocket insurance plans had a 40 percent higher rate of perforation.

"The correlation between health care utilization and decreased appendiceal perforation remained significant after controlling for socioeconomic status (SES)," the authors write. "These results are even more striking since all patients were insured and had relatively equivalent baseline health care access."

In fact, families in the middle-income groups - 25 to 75 percentile, corresponding to household incomes of $57,100 to $72,400 -- had higher rates of perforation compared with the lowest income group. Their rates were 23 percent and 38 percent higher (25 to 50 and 50 to 75 percentile, respectively) compared to the lowest income group. The 50-75 percentile group had the largest proportion of high out-of-pocket plans.

Source: Eurekalert
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
Cochlear Implants may Consequently Drive Hearing Loss
E-cigarettes Use Linked to Erectile Dysfunction
Memory Loss - Can it be Recovered?
View all

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

More News on:
Appendicitis Appendectomy Amyotrophic Lateral Sclerosis (ALS) Eradicate Quackery, Save Lives Different Medical Specialists and their Area of Medical Expertise Abdominal Pain Acute Coronary Syndrome Appendicitis in Children 

Recommended Reading
Appendicitis in Children
Appendicitis in children produces symptoms of abdominal pain and swelling, nausea, vomiting and ......
Appendicitis
Appendicitis is inflammation of the appendix with intense, migrating abdominal pain caused by ......
Paediatric Laparoscopic Surgery / Key Hole Surgery
Medindia provides a very interesting Paediatric Laparoscopic surgery section for doctors...
Abdominal Pain
Abdominal pain occurs due to multiple causes. Pain due to obstruction in the small intestine ......
Acute Coronary Syndrome
Acute coronary syndrome (ACS) is a sudden, acute life-threatening condition caused by a dramatic red...
Amyotrophic Lateral Sclerosis (ALS)
Find out more about the degenerative disease- Amyotrophic lateral sclerosis....
Different Medical Specialists and their Area of Medical Expertise
A medical specialist is a recognized expert in his field and is usually accredited by a medical boa...
Eradicate Quackery, Save Lives
Quackery means promotion of a medical cure which is otherwise scientifically unproven and baseless....

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 - 2021

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