ArticleBMC gastroenterology2015
Epidemiology of appendicitis and appendectomy for the low-income population in Taiwan, 2003-2011.
Article in BMC gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 50 citations in OpenAlex.
- Global Incidence of Appendectomy: A Population-Based Study of the Organisation for Economic Co-operation and Development.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Changing trends in appendiceal pathology: a 16-year retrospective extension study of surgically removed appendices in a tropical teaching hospital.BMC gastroenterology · 2025Article
- Article
- Association Between Allergic Rhinitis and Children With Appendectomy-A Nationwide Population-Based Retrospective Cohort Study.Health science reports · 2025Article
- Retrospective Cohort Study to Determine the Effect of Socioeconomic Status and Distance to Hospital on Negative Appendicectomy Rates in a Rural Setting.The Australian journal of rural health · 2025Article
- Colorectal screening following appendectomy in adult patients: a systematic review.Annals of coloproctology · 2024Review
- Assessment of Alvarado criteria, ultrasound, CRP, and their combination in patients with suspected acute appendicitis: a single centre study.BMC gastroenterology · 2024Article
- Does medical disparity exist while treating severe mental illness patients with acute appendicitis in emergency departments? A real-world database study.BMC psychiatry · 2022Article
- Hyperbilirubinemia and Hyponatremia as Predictors of Complicated Appendicitis.Medical sciences (Basel, Switzerland) · 2022Article
- Utility of Red Cell Distribution Width (RDW) as a Noninvasive Biomarker for the Diagnosis of Acute Appendicitis: A Systematic Review and Meta-Analysis of 5222 Cases.Diagnostics (Basel, Switzerland) · 2022Review
- The Global Burden of Appendicitis in 204 Countries and Territories from 1990 to 2019.Clinical epidemiology · 2022Article
- General Versus Neuraxial Anesthesia for Appendectomy: A Multicenter International Study.World journal of surgery · 2021Article
- Risk of Inflammatory Bowel Disease Following Appendectomy in Adulthood.Frontiers in medicine · 2021Article
- Do Racial/Ethnic and Economic Factors Affect the Rate of Complicated Appendicitis in Children?Surgery research and practice · 2020Article
- Clinical Outcomes and Healthcare Costs Associated with Laparoscopic Appendectomy in a Middle-Income Country with Universal Health Coverage.World journal of surgery · 2019Article
- Management of Appendicitis Globally Based on Income of Countries (MAGIC) Study.World journal of surgery · 2018Article
- Appendicitis: Rural Patient Status is Associated with Increased Duration of Prehospital Symptoms and Worse Outcomes in High- and Low-Middle-Income Countries.World journal of surgery · 2018Article
- Effect of socioeconomic inequalities on cholecystectomy outcomes: a 10-year population-based analysis.International journal for equity in health · 2018Article
- Antipsychotic use is a risk factor for hyponatremia in patients with schizophrenia: a 15-year follow-up study.Psychopharmacology · 2017Article
- Trends and outcomes in the utilization of laparoscopic appendectomies in a low-income population in Taiwan from 2003 to 2011.International journal for equity in health · 2015Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough numerous epidemiological studies on appendicitis have been conducted worldwide, only a few studies have paid attention to the effect of socioeconomic status on appendicitis, particularly studies focusing on the low-income population (LIP).
methodsWe analyzed the epidemiological features of appendicitis in Taiwan using data from the National Health Insurance Research Database from 2003 to 2011. All cases diagnosed as appendicitis were enrolled.
resultsBetween 2003 and 2011, 2,916 patients from the LIP and 209,206 patients from the normal population (NP) were diagnosed with appendicitis. Our finding revealed that the ratios of comorbidities, complicated appendicitis, and readmissions in LIP patients were slightly higher than those of NP patients. LIP patients were more likely to live in suburban and rural areas, and hence a higher proportion of them were hospitalized in a district or regional hospital compared with NP patients. The crucially finding was that the overall incidence ratios of appendicitis, acute appendicitis, and perforated appendicitis in the LIP were substantially higher than those in the NP (36.25%, 35.33%, and 37.28%, respectively). The mean LOS in LIP patients was longer than that of NP patients. The overall case-fatality ratio of appendectomy in the LIP was higher when compared with the NP (0.41% versus 0.12%, p < 0.05). We also observed that appendicitis was occurred frequently in male patients, with a higher incidence for those aged 15-29 years in both the LIP and NP. The incidences of incidental appendectomy showed a decreasing trend in both the LIP and NP. Finally, a valuable discovery was that the total hospital cost was comparable between the laparoscopic appendectomy (LA) and open appendectomy (OA) (1,178 ± 13 USD versus 1,191 ± 19 USD, p < 0.05) in LIP patients because they saved more hospitalization costs than NP patients when the previous one chose the LA.
conclusionThis study confirmed that a lower socioeconomic status has significantly negative impact on the occurrence and treatment of appendicitis and appendectomy. In terms of hospital costs and LOS, LIP patients benefit more from the LA approach than they do from the OA approach in the treatment of appendicitis.
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