Effect of pediatric surgical practice on the treatment of children with appendicitis

Evan R. Kokoska, Robert K. Minkes, Mark L. Silen, Jacob C. Langer, Thomas F. Tracy, Charles L. Snyder, Patrick A. Dillon, Thomas R. Weber

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

Objective. Acute appendicitis in children is managed by both general surgeons (GSs) and pediatric surgeons (PSs). Our objective was to investigate the economics of surgical care provided by either GSs or PSs for appendicitis. Methods. The outcome of children within our state who underwent operative treatment for appendicitis (January 1994 to June 1997) by board-certified GSs were compared with the results of PSs. Data were sorted according to patient age and diagnosis according to the International Classification of Diseases, Ninth Revision. Analysis of variance was performed on continuous data, and χ2 analysis was performed on nominal data; data are depicted as mean ± standard error of the mean. Results. GSs (n = 2178) managed older children when compared with PSs (n = 1018; 11.0 ± 0.1 vs 9.1 ± 0.1 years) and less frequently treated perforated appendicitis (18.8% vs 31.9%). Independent of diagnosis (simple or perforated appendicitis), younger children (0-4 years, 5-8 years, and 9-12 years) who were treated by PSs had a significantly shorter hospital stay and/or decreased hospital charge when compared with those who were treated by GSs. However, older children (13-15 years) seemed to have comparable outcomes. Conclusions. Younger children with appendicitis have reduced hospital days and charges when they are treated by PSs.

Original languageEnglish (US)
Pages (from-to)1298-1301
Number of pages4
JournalPediatrics
Volume107
Issue number6
DOIs
StatePublished - Jun 21 2001

Keywords

  • Appendicitis
  • Children
  • Managed care
  • Specialization
  • Surgical outcome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Kokoska, E. R., Minkes, R. K., Silen, M. L., Langer, J. C., Tracy, T. F., Snyder, C. L., Dillon, P. A., & Weber, T. R. (2001). Effect of pediatric surgical practice on the treatment of children with appendicitis. Pediatrics, 107(6), 1298-1301. https://doi.org/10.1542/peds.107.6.1298