Racial disparities in outcomes after appendectomy for acute appendicitis.

Published

Journal Article

BACKGROUND: Although black patients with acute appendicitis have been shown to be less likely than whites to undergo laparoscopic appendectomy, it is unknown whether they suffer increased complications after surgical management of acute appendicitis. METHODS: A retrospective analysis of all patients undergoing appendectomy for acute appendicitis from 2005 through 2009, using the National Surgical Quality Improvement Program database, was conducted. Rates of serious and overall morbidity were compared between blacks and whites, with adjustment for preoperative risk factors, the severity of appendicitis, and surgical approach. RESULTS: Blacks were more likely than whites to suffer serious postoperative complications (4.8% vs 3.3%; adjusted odds ratio vs whites, 1.39; 95% confidence interval, 1.16-1.67; P = .0002) or any complication (8.4% vs 6.0%; adjusted odds ratio vs whites, 1.31; 95% confidence interval, 1.14-1.50; P = .0007). CONCLUSIONS: Racial disparities in postoperative outcomes exist for even a procedure as ubiquitous as appendectomy. More research is needed to determine the underlying reasons for these disparities.

Full Text

Duke Authors

Cited Authors

  • Scarborough, JE; Bennett, KM; Pappas, TN

Published Date

  • July 2012

Published In

Volume / Issue

  • 204 / 1

Start / End Page

  • 11 - 17

PubMed ID

  • 22154135

Pubmed Central ID

  • 22154135

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2011.05.020

Language

  • eng

Conference Location

  • United States