Race and insurance status influence the likelihood of undergoing laparoscopic appendectomy versus open appendectomy for the treatment of acute appendicitis.
Dr Fredric Pieracci and colleagues from New York hypothesized that these disparities are caused by presenting hospitals' use of laparoscopic appendectomy.
|Privately insured patients were more likely to undergo laparoscopic appendectomy|
|American Journal of Surgery|
The team analyzed 26,104 appendectomies for acute appendicitis in New York State during 2003 and 2004.
Multiple logistic regression was used to determine independent predictors for undergoing laparoscopic appendectomy versus open appendectomy.
Before adjustment for individual hospital use of laparoscopic appendectomy, white patients were found to be more likely to undergo laparoscopic appendectomy.
The researchers also found that privately insured patients were more likely to undergo laparoscopic appendectomy.
Controlling for differential hospitals' use of laparoscopic appendectomy decreased the odds ratio for laparoscopic surgery to 1.1 for white patients.
The research team noted that controlling for these differences for privately insured patients reduced the odds ratio for laparoscopic surgery to 1.2.
Dr Pieracci's team commented, "Differences in presenting hospitals' use of laparoscopic appendectomy maintain racial and, to a lesser extent, insurance-related disparities in the surgical management of patients with acute appendicitis."