Changing epidemiology of acute appendicitis in the United States: study period 1993-2008.

@article{Buckius2012ChangingEO,
  title={Changing epidemiology of acute appendicitis in the United States: study period 1993-2008.},
  author={Michelle T Buckius and Brian Mcgrath and John Stephen Monk and Rodney D Grim and Ted Bell and Vanita Ahuja},
  journal={The Journal of surgical research},
  year={2012},
  volume={175 2},
  pages={
          185-90
        }
}
BACKGROUND Addis et al. [5] described the epidemiology of appendicitis in the United States from 1970 to 1984. [...] Key Method Operatively managed, uncomplicated, and complex cases of AA were included. Incidental appendectomy and right hemicolectomy were excluded. Descriptive, ANOVA, χ(2), and test of proportion statistics were used to evaluate frequency of admissions, incidence rate, and demographic changes in appendicitis. Expand

Paper Mentions

Interventional Clinical Trial
Patient will have usual appendectomy surgery with an injection of local or saline at incision site either before or after the incision at random. The clinical hypothesis of… Expand
ConditionsAppendicitis, Post Operative Pain
InterventionDrug, Other
Interventional Clinical Trial
There is concern that pain prescription after outpatient pediatric surgical procedures is excessive and is in excess of patient need. Current practice following pediatric appendectomy… Expand
ConditionsAppendicitis, Pain, Postoperative
InterventionDrug
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Changes in the epidemiology of acute appendicitis and appendectomy in Danish children 1996-2004.
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TLDR
The incidence of uncomplicated appendicitis appears to be declining more rapidly than that of complicated appendectomy, and this finding does not necessarily imply poorer management of the disease, but-as suggested by others-could be due to different behaviours of uncomPLicated and complicated appendiciti. Expand
Epidemiologic features of acute appendicitis in Ontario, Canada.
TLDR
The frequency of acute appendicitis appears to be decreasing whereas the proportion of cases with perforation seems to be increasing, which may reflect a change in the population structure in Ontario and restrictions placed on the patient access to the health care system. Expand
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TLDR
The authors analyzed National Hospital Discharge Survey data for the years 1979-1984 to describe the epidemiology of appendicitis and appendectomy in the United States and found that for the elderly, the preventive value of an incidental procedure is considerably lower. Expand
Epidemiology of Appendectomy and Appendicitis in the Valencian Community (Spain), 1998–2007
TLDR
The incidence of appendectomy in the Valencian community (Spain) presents a slight descending trend, and this decline is more intense in females, while the appendix perforation rate is lower than in other studies. Expand
The epidemiology of acute appendicitis in California: racial, gender, and seasonal variation.
TLDR
Comparison of age and sex-specific incidence rates for four racial/ethnic groups revealed rates in blacks and the Asian/other group one-half or less of the rates for whites and Hispanics between the ages of 5 and 29 years. Expand
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In hospital mortality for pyelonephritis was associated with patient rather than hospital characteristics suggesting uniform application of standard care across hospitals and populations. Expand
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TLDR
The 25-year decline in nonperforated appendicitis and the recent increase in appendectomies coincident with more frequent use of CT imaging and laparoscopic appendECTomies did not result in expected decreases in perforation rates, and a disconnection of trends suggests that perforated and nonper forated appendicedis may have different pathophysiologies. Expand
Racial and Socioeconomic Disparity in Perforated Appendicitis Among Children: Where Is the Problem?
TLDR
Although racial and socioeconomic disparities in the rates of perforated appendicitis among children have been reported, this study found no significant evidence for such inequality at a major children's hospital with a well-established, comprehensive, primary referral system. Expand
Increasing Prevalence of Medically Complex Children in US Hospitals
TLDR
The relative medical complexity of hospitalized pediatric patients has increased over the past 15 years and consistent increases in hospitalization rates were noted among children with diagnoses in multiple CCC categories, whereas hospitalization rate of children with CP alone have remained stable. Expand
Racial and socioeconomic disparity in perforated appendicitis among children: where is the problem?
TLDR
Although racial and socio-economic disparities in the rates of perforated appendicitis among children have been reported, it is found no significant evidence for such inequality at this institution, which may reflect improved access, early diagnosis and referral by primary care physicians in the community. Expand
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