Evidence map›Paper›PMID 31654109›Full record

ArticlePediatric surgery international2020

Evaluation of disparity in care for perforated appendicitis in a universal healthcare system.

Laura M Fluke, Christian S McEvoy, Anne H Peruski, Christina A Shibley, Brian T Adams, Samuel E Stinnette, Robert L Ricca

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Is acute appendicitis more severe in foreign workers of northern Israel? A retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Laura M FlukeDepartment of Pediatric Surgery, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
Christian S McEvoyDepartment of Pediatric Surgery, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
Anne H PeruskiHealth Analysis Department, Navy and Marine Corps Public Health Center, Portsmouth, VA, 23708, USA.
Christina A ShibleyHealth Analysis Department, Navy and Marine Corps Public Health Center, Portsmouth, VA, 23708, USA.
Brian T AdamsHealth Analysis Department, Navy and Marine Corps Public Health Center, Portsmouth, VA, 23708, USA.
Samuel E StinnetteHealth Analysis Department, Navy and Marine Corps Public Health Center, Portsmouth, VA, 23708, USA.
Robert L RiccaDepartment of Pediatric Surgery, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA. robert.l.ricca.mil@mail.mil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRacial and socioeconomic disparities have been reported in the management of appendicitis. Perforated appendicitis (PA) is used as an index for barriers to care due to delays in treatment. This study evaluates the effect of racial and socioeconomic differences on the likelihood of PA in a universally insured national healthcare system.

methodsA retrospective review of pediatric patients enrolled in TRICARE who underwent appendectomy during a 5-year period was performed. Logistic regression was used to examine the association between ethnicity, age, gender, parent, or guardian marital status and deployment status of the active duty parent, type of facility, and type of admission with the odds of perforated appendicitis.

resultsA total of 3124 children met inclusion criteria. One-third of children carried the diagnosis of PA. Increased odds of PA was associated with younger age of patient among children of military personnel with enlisted ranks and senior officer ranks.

conclusionIn a universal healthcare system, no disparities across race with regard to presentation of appendicitis were identified. Increased odds of perforated appendicitis were observed in younger patients, but this was demonstrated in families of both high and low socioeconomic status. Universal coverage does appear to eliminate some barriers to healthcare.

Indexed as

Healthcare DisparitiesUniversal Health CareAdolescentAppendectomyAppendicitisChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesAccess to carePediatric appendicitisSocioeconomic disparityUniversal healthcare coverage

Identifiers

PMID31654109

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.