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Epidemiology and socioeconomic features of appendicitis in Taiwan: a 12-year population-based study

Overview of attention for article published in World Journal of Emergency Surgery, September 2015
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Title
Epidemiology and socioeconomic features of appendicitis in Taiwan: a 12-year population-based study
Published in
World Journal of Emergency Surgery, September 2015
DOI 10.1186/s13017-015-0036-3
Pubmed ID
Authors

Kai-Biao Lin, K. Robert Lai, Nan-Ping Yang, Chien-Lung Chan, Yuan-Hung Liu, Ren-Hao Pan, Chien-Hsun Huang

Abstract

This paper presents an epidemiologic study of appendicitis in Taiwan over a twelve-year period. An analysis of the incidence in the low-income population (LIP) is included to explore the effects of lower socioeconomic status on appendicitis. We analyzed the epidemiological features of appendicitis in Taiwan using data from the National Health Insurance Research Database (NHIRD) from 2000 to 2011. All cases diagnosed as appendicitis were enrolled. The overall incidences of appendicitis, primary appendectomy, and perforated appendicitis were 107.76, 101.58, and 27.20 per 100,000 per year, respectively. The highest incidence of appendicitis was found in persons aged 15 to 29 years; males had higher rates of appendicitis than females at all ages except for 70 years and older. Appendicitis rates were 11.76 % higher in the summer than in the winter months. A multilevel analysis with hierarchical linear modeling (HLM) revealed that male patients, younger patients (aged ≤14 years), and elderly patients (aged ≥60 years) had a higher risk of perforated appendicitis; among adults, the incidence increased with age. Moreover, the risk of perforation was higher in patients with one or more comorbidities. LIP patients comprised 1.25 % of the total number of patients with appendicitis from 2000 to 2011. The overall incidence of appendicitis was 34.99 % higher in the LIP than in the normal population (NP), and the incidence of perforated appendicitis was 40.40 % higher in the LIP than in the NP. After multivariate adjustment, the adjusted hospital costs and length of hospital stay (LOS) for the LIP patients were higher than those for the NP patients. Appendicitis and appendectomy in Taiwan had similar overall incidences, seasonality patterns, and declining trends compared to numerous previous studies. Compared to NP patients, LIP patients had a higher risk of appendicitis, longer LOS and higher hospital costs as a result of appendectomy.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 100 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 17 17%
Student > Postgraduate 13 13%
Researcher 10 10%
Student > Master 9 9%
Student > Doctoral Student 8 8%
Other 17 17%
Unknown 26 26%
Readers by discipline Count As %
Medicine and Dentistry 52 52%
Nursing and Health Professions 7 7%
Biochemistry, Genetics and Molecular Biology 2 2%
Immunology and Microbiology 2 2%
Computer Science 2 2%
Other 6 6%
Unknown 29 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 November 2023.
All research outputs
#20,139,272
of 24,754,968 outputs
Outputs from World Journal of Emergency Surgery
#443
of 588 outputs
Outputs of similar age
#202,949
of 278,152 outputs
Outputs of similar age from World Journal of Emergency Surgery
#11
of 14 outputs
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