Outcome Comparison between Laparoscopic and Open Appendectomy: Evidence from a Nationwide Population-Based Study

Chien Che Wang, Chao Chiang Tu, Pi Chieh Wang, Herng Ching Lin, Po Li Wei

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background:Mounting evidence supports the use of laparoscopic techniques for the treatment of simple appendicitis. However, most of the advantages of these techniques are of limited clinical relevance. This study compares the treatment outcomes of laparoscopic appendectomies and open appendectomies performed in Taiwan.Methods:This study uses data from the 2007 to 2009 Taiwan National Health Insurance Research Database. The study sample included 65,339 patients, hospitalized with a discharge diagnosis of acute appendicitis (33.8% underwent laparoscopic appendectomy). A generalized estimated equation (GEE) was performed to explore the relationship between the use of laparoscopy and 30-day re-admission. Hierarchical linear regressions were performed to examine the relationship between the use of laparoscopy, the length of stay (LOS), and the cost per discharge.Results:A significantly lower proportion of patients undergoing laparoscopic appendectomies were re-admitted within 30 days of their index appendectomy, in comparison to patients undergoing open appendectomies (0.66% versus 1.925, p

Original languageEnglish
Article numbere68662
JournalPLoS One
Volume8
Issue number7
DOIs
Publication statusPublished - Jul 12 2013

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Laparoscopy
Appendectomy
laparoscopy
Health insurance
Taiwan
Mountings
Linear regression
Population
health insurance
Appendicitis
methodology
Costs
National Health Programs
Linear Models
Length of Stay
Databases
Costs and Cost Analysis
sampling
Research

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Outcome Comparison between Laparoscopic and Open Appendectomy : Evidence from a Nationwide Population-Based Study. / Wang, Chien Che; Tu, Chao Chiang; Wang, Pi Chieh; Lin, Herng Ching; Wei, Po Li.

In: PLoS One, Vol. 8, No. 7, e68662, 12.07.2013.

Research output: Contribution to journalArticle

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