Diabetes mellitus and cerebrovascular disease as independent determinants for increased hospital costs and length of stay in open appendectomy in comparison with laparoscopic appendectomy: A nationwide cohort study

Chun Chieh Yeh, Chi Hsun Hsieh, Chien Chang Liao, L. I Ting Su, Y. U Chun Wang, Tsai Chung Li

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Comorbidity has been proven to increase hospital costs and length of hospital stays in patients receiving appendectomy for the treatment of acute appendicitis. However, the specific comorbidities that independently influence discrepancy of hospital costs and length of stay between open appendectomy and laparoscopic appendectomy still need to be elucidated. Using multivariate linear analysis, administrative claims data were obtained from Taiwan's National Health Institute Research Database to compare differences of hospitalization costs and length of stay between open appendectomy and laparoscopic appendectomy categorized by various comorbidities defined in Charlson comorbidity score. Of 103,653 patients, 81,479 open appendectomies and 22,174 laparoscopic appendectomies were performed for the treatment of acute appendicitis in Taiwan between 2004 and 2008. In multilinear regression models, the adjusted costs and length of stay for open appendectomy in patients with cerebrovascular diseases or diabetes mellitus were significantly higher than that for laparoscopic appendectomy. To reduce costs and length of stay, patients with cerebrovascular diseases or diabetes mellitus should be particularly recommended to receive laparoscopic approach rather than an open approach for the treatment of acute appendicitis.

Original languageEnglish
Pages (from-to)329-334
Number of pages6
JournalAmerican Surgeon
Volume78
Issue number3
Publication statusPublished - Mar 2012

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Cerebrovascular Disorders
Appendectomy
Hospital Costs
Length of Stay
Diabetes Mellitus
Cohort Studies
Comorbidity
Appendicitis
Taiwan
Costs and Cost Analysis
National Institutes of Health (U.S.)
Hospitalization
Therapeutics
Multivariate Analysis
Databases

ASJC Scopus subject areas

  • Surgery

Cite this

Diabetes mellitus and cerebrovascular disease as independent determinants for increased hospital costs and length of stay in open appendectomy in comparison with laparoscopic appendectomy : A nationwide cohort study. / Yeh, Chun Chieh; Hsieh, Chi Hsun; Liao, Chien Chang; Su, L. I Ting; Wang, Y. U Chun; Li, Tsai Chung.

In: American Surgeon, Vol. 78, No. 3, 03.2012, p. 329-334.

Research output: Contribution to journalArticle

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