Key result
Lack of health insurance was not associated with increased appendiceal perforation, but uninsured patients had a higher rate of negative appendicectomy (22% vs 17%, P=0.014).
Why the study?
Does lack of health insurance increase the risk of appendiceal perforation in adults with appendicitis?
Population
1479 patients admitted to the Prince of Wales Hospital, New South Wales over a 10-year period.
Comparison
Uninsured status vs Insured status
Design
Cohort
Follow-up
10 years (retrospective review period)
Authors
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Insurance status may affect appendiceal perforation risk in public hospitals; leaves open whether targeted policies can reduce disparities.
Observational (n=1,479)
No
Does lack of health insurance increase the risk of appendiceal perforation in adults with appendicitis?
Lack of health insurance does not increase the risk of appendiceal perforation, though age over 50 is a significant risk factor.
Wong et al. (1999) conducted an observational in Appendicitis (n=1,479). Lack of health insurance vs. Health insurance was evaluated on Appendiceal perforation. Lack of health insurance was not associated with increased appendiceal perforation, but uninsured patients had a higher rate of negative appendicectomy (22% vs 17%, P=0.014).
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