National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

Chih-Cheng Luo, Wen Kuei Chien, Jhen-Sheng Huang, Hung Chang Huang, Carlos Lam, Chin-Wung Hsu, Ray-Jade Chen, Kuang-Fu Cheng

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: To define the pattern of therapeutic approaches for pediatric appendicitis and compare their benefits in Taiwan, we analyzed a research-oriented dataset released by the Bureau of National Health Insurance in Taiwan through the Collaboration Center for Health Information Application (CCHIA) to document the impact of the rise of laparoscopic treatment on outcomes. Methods: We identified 22,161 patients under 18 years who had been hospitalized with a diagnosis of acute appendicitis between 2007 and 2012 in the CCHIA. Statistical comparisons between the Laparoscopic appendectomy (LA) and open appendectomy (OA, control) groups were computed using a Chi squared test. The odds ratios (ORs) and 95  % confidence intervals (CIs) of risk factors for intra-abdominal abscess (IAA) and postoperative bowel obstruction (PBO) were derived from multivariate logistic regression models. Results: In each respective year, the incidence of LA increased from 29.17  % in 2007 to 57.4 % in 2012, while that of OA decreased from 70.83 % in 2007 to 42.60 % in 2012; incidences of non-perforated appendicitis and perforated appendicitis with LA or OA seemed similar. The length of hospitalization between an LA and OA for non-perforated appendicitis was the same, but that with an LA was shorter for perforated appendicitis. The adjusted ORs for IAA and PBO for those patients with perforated and non-perforated appendicitis were 6.30 (95 % CI = 5.09–7.78; p 

Original languageEnglish
Pages (from-to)647-651
Number of pages5
JournalPediatric Surgery International
Volume31
Issue number7
DOIs
Publication statusPublished - Jul 12 2015

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Appendicitis
Appendectomy
Cohort Studies
Pediatrics
Abdominal Abscess
Information Centers
Taiwan
Therapeutics
Logistic Models
Odds Ratio
Confidence Intervals
Incidence
Health
National Health Programs
Hospitalization
Control Groups
Research

Keywords

  • Laparoscopic appendectomy
  • Open appendectomy
  • Pediatric appendicitis
  • Postoperative outcomes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

National trends in therapeutic approaches and outcomes for pediatric appendicitis : a Taiwanese nationwide cohort study. / Luo, Chih-Cheng; Chien, Wen Kuei; Huang, Jhen-Sheng; Huang, Hung Chang; Lam, Carlos; Hsu, Chin-Wung; Chen, Ray-Jade; Cheng, Kuang-Fu.

In: Pediatric Surgery International, Vol. 31, No. 7, 12.07.2015, p. 647-651.

Research output: Contribution to journalArticle

Luo, Chih-Cheng ; Chien, Wen Kuei ; Huang, Jhen-Sheng ; Huang, Hung Chang ; Lam, Carlos ; Hsu, Chin-Wung ; Chen, Ray-Jade ; Cheng, Kuang-Fu. / National trends in therapeutic approaches and outcomes for pediatric appendicitis : a Taiwanese nationwide cohort study. In: Pediatric Surgery International. 2015 ; Vol. 31, No. 7. pp. 647-651.
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abstract = "Purpose: To define the pattern of therapeutic approaches for pediatric appendicitis and compare their benefits in Taiwan, we analyzed a research-oriented dataset released by the Bureau of National Health Insurance in Taiwan through the Collaboration Center for Health Information Application (CCHIA) to document the impact of the rise of laparoscopic treatment on outcomes. Methods: We identified 22,161 patients under 18 years who had been hospitalized with a diagnosis of acute appendicitis between 2007 and 2012 in the CCHIA. Statistical comparisons between the Laparoscopic appendectomy (LA) and open appendectomy (OA, control) groups were computed using a Chi squared test. The odds ratios (ORs) and 95  {\%} confidence intervals (CIs) of risk factors for intra-abdominal abscess (IAA) and postoperative bowel obstruction (PBO) were derived from multivariate logistic regression models. Results: In each respective year, the incidence of LA increased from 29.17  {\%} in 2007 to 57.4 {\%} in 2012, while that of OA decreased from 70.83 {\%} in 2007 to 42.60 {\%} in 2012; incidences of non-perforated appendicitis and perforated appendicitis with LA or OA seemed similar. The length of hospitalization between an LA and OA for non-perforated appendicitis was the same, but that with an LA was shorter for perforated appendicitis. The adjusted ORs for IAA and PBO for those patients with perforated and non-perforated appendicitis were 6.30 (95 {\%} CI = 5.09–7.78; p ",
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AU - Hsu, Chin-Wung

AU - Chen, Ray-Jade

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