HCPLive Network

Racial Disparities Exist in Child's Risk of Ruptured Appendix

 
WEDNESDAY, Jan. 16 (HealthDay News) -- The risk of a ruptured appendix differs based on race and ethnicity and by hospital type among children in California, according to a study published in the January issue of the Journal of the American College of Surgeons.

Lorraine I. Kelley-Quon, M.D., from the University of California in Los Angeles, and colleagues retrospectively analyzed the risk of appendiceal perforation within and between hospital types based on race and ethnicity in 107,727 children (2 to 18 years old) treated at 386 California hospitals. The children were 36 percent white, 53 percent Hispanic, 3 percent black, 5 percent Asian, and 8 percent "other."

The researchers found that, after accounting for hospital and patient level factors, compared with white children, the risk of appendiceal perforation was greater at community hospitals for Hispanic (odds ratio [OR], 1.23) and Asian (OR, 1.34) children. The risk was also greater for Hispanic children treated at children's hospitals (OR, 1.18). Compared with black children treated at community hospitals, the risk of appendiceal perforation was greater for black children at county hospitals (OR, 1.12) and children's hospitals (OR, 2.01). There were no racial differences in risk within county hospitals.

"Although the observed patterns of disparate appendiceal perforation were complex, they provide important evidence that current health care systems are inadequate to ensure equity in serious, preventable surgical conditions among children in California," Kelley-Quon and colleagues write.
 

Abstract
Full Text

Copyright © 2013 HealthDay. All rights reserved.
 

Further Reading
As more studies have demonstrated potential therapeutic applications for marijuana, public opinion regarding medical and recreational marijuana use has shifted. One such study recently published in the American Journal of Gastroenterology revealed medical marijuana is potentially beneficial for digestive disorders and gastrointestinal symptoms.
Enterovirus-D68 could soon be in the rearview mirror, according to a Hartford, CT, pediatric intensivist who has treated more than 20 children hospitalized with the infection. “We may have plateaued,” said Christopher Carroll, MD, an asthma specialist at Connecticut Children’s Medical Center. While children are still being admitted for respiratory problems, “Now it’s more a mix of symptoms, not those of classic enterovirus.” Though he could not say for certain the outbreak has peaked, he did say that “things are not continuing to get worse.”
The World Health Organization continued its efforts to battle the ongoing Ebola outbreak with a second meeting of its Emergency Committee tackling the virus.
Counseling at-risk teens and adults to change risky behavior is an effective way to reduce the spread of sexually transmitted diseases, according to the US Preventive Services Task Force (USPSTF). The group is updating its guidelines for primary care physicians to recommend they offer appropriate patients such behavioral advice. The task force also calls for routine screening for chlamydia and gonorrhea for sexually active teens and women up to age 24. Older women who are pregnant or may be at risk of infection due to a variety of sexual behaviors—such as having multiple partners or exchanging sex for money or drugs—should also be screened, the USPSTF said.
Advances in knowledge surrounding gastrointestinal conditions have paved the way for improvements in Crohn’s disease (CD) treatment. To aid clinicians in managing patients with CD, the American Gastroenterological Association (AGA) created a clinical decision tool to effectively guide gastroenterologists throughout their decision-making process.
Smokers with cancer who used e-cigarettes along with traditional cigarettes were more dependent on nicotine than those who didn't use the devices, a Memorial Sloan Kettering study found. These patients were also just as likely -- or less likely -- to have quit smoking than patients who didn't use e-cigarettes.
The American Academy of Pediatrics has updated their influenza vaccine recommendations and is urging vaccination for everyone 6 months of age and older. The recommendations were published online Sept. 22 in Pediatrics.
More Reading