Pediatric appendicitis rupture rate: disparities despite universal health care

Racial/ethnic and socioeconomic disparities in the diagnosis and treatment of sleep-disordered breathing in children

“…Still, certain trends have been identified. For example, higher rates of perforated appendicitis, a negative outcome associated with prolonged time until therapy with appendectomy, have been observed in minority children and children from low-income backgrounds [16,17]. Additionally, studies regarding treatment of children with end stage renal disease show that compared to white children, black children receive more cadaveric (vs. living) kidney grafts and fewer preemptive transplants [18].…”

Perforated appendicitis in children: equal access to care eliminates racial and socioeconomic disparities

“…It has been previously shown that geographic barriers are associated with increased AP rate despite universal health care [8]. In this Canadian study, poor access and delay in treatment was related to the distance and extreme weather limiting transportation to health care [8]. Although this reason for delay is important, it is unlikely that changes in health care access will impact this problem.…”

“…Potential delays in this step may involve multiple factors including geographic barriers as well as readily available access to professional medical care [7]. It has been previously shown that geographic barriers are associated with increased AP rate despite universal health care [8]. In this Canadian study, poor access and delay in treatment was related to the distance and extreme weather limiting transportation to health care [8].…”

Appendicitis in northern aboriginal children: does delay in definitive treatment affect outcome?

“…Indeed, complication rates for appendicitis are reported to be less than 5%, even for complicated cases involving perforation [6]. Although the reported rates of appendiceal perforation vary, one of the most common causes for perforation is the delay to diagnosis and management [2,7]. We hypothesized that NAC may be at particular risk of developing complicated appendicitis (perforation) and postoperative complications resulting from longer transfer times to hospital and delays in definitive management.…”