TY - JOUR
T1 - Outcome Comparison between Laparoscopic and Open Appendectomy
T2 - Evidence from a Nationwide Population-Based Study
AU - Wang, Chien Che
AU - Tu, Chao Chiang
AU - Wang, Pi Chieh
AU - Lin, Herng Ching
AU - Wei, Po Li
PY - 2013/7/12
Y1 - 2013/7/12
N2 - 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
AB - 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
UR - http://www.scopus.com/inward/record.url?scp=84880057513&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880057513&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0068662
DO - 10.1371/journal.pone.0068662
M3 - Article
C2 - 23874710
AN - SCOPUS:84880057513
SN - 1932-6203
VL - 8
JO - PLoS ONE
JF - PLoS ONE
IS - 7
M1 - e68662
ER -