Featured Research

from universities, journals, and other organizations

Cost study shows timing crucial in appendectomies

Date:
April 30, 2012
Source:
Vanderbilt University Medical Center
Summary:
Removing a child's ruptured appendix sooner rather than later significantly lowers hospital costs and charges, according to a recently published study.

Removing a child's ruptured appendix sooner rather than later significantly lowers hospital costs and charges, according to a recently published study.

An estimated $10,000 in hospital charges was saved when pediatric general surgeons removed the ruptured appendix within the first 24 hours, compared to the alternative treatment, called an interval appendectomy, which involved removing the appendix six-eight weeks later.

The study was published in the April issue of the Journal of American College of Surgeons, and was led by Martin Blakely, M.D., MS, associate professor of Surgery and Pediatrics at the Monroe Carell Jr. Children's Hospital at Vanderbilt.

Childhood appendicitis is one of the most common conditions that pediatric general surgeons treat. About one-third of appendicitis cases in children younger than 18 involve a perforated, or ruptured, appendix. That causes fluid to spill into the peritoneal cavity, increasing risk for infection and other complications.

Surgeons often debate which of two therapies is best to treat the perforated organ -- early appendectomy or interval appendectomy. In a three-year trial, researchers conducted two studies to look at the two treatment options for the condition.

"We pretty much have non-perforated appendix figured out. A child shows up with non-perforated appendix, we tune them up a little bit and take their appendix out, and most of them go home the next day," said Blakely.

"With a perforated appendix, the perforation isn't the problem. It's all the spillage that has spread around the peritoneal cavity. Almost all children with a perforated appendix will get better -- with either treatment -- but the question is, which therapy will let you get better sooner and does one cost more?"

In early appendectomy, surgeons remove the appendix within several hours. With interval appendectomy, they usually drain fluid from the abdominal abscess and prescribe antibiotics to the child, who is then sent home. The appendectomy is performed about six-eight weeks later.

The first study considered which treatment allowed a child to return to "normal activities" more quickly. Results showed early appendectomy was favorable, allowing normal activities to resume six days sooner.

The second study, published in the April paper, examined if either treatment was more cost effective than the other. The cost analysis involved 131 patients who were randomized to receive one of the two treatments at a Memphis hospital.

Interval therapy showed to have significantly higher costs, which were primarily associated with an increase in adverse events such as wound infections, bowel obstruction and unplanned readmissions.


Story Source:

The above story is based on materials provided by Vanderbilt University Medical Center. Note: Materials may be edited for content and length.


Journal Reference:

  1. Adrianne L. Myers, Regan F. Williams, Kim Giles, Teresa M. Waters, James W. Eubanks, S. Douglas Hixson, Eunice Y. Huang, Max R. Langham, Martin L. Blakely. Hospital Cost Analysis of a Prospective, Randomized Trial of Early vs Interval Appendectomy for Perforated Appendicitis in Children. Journal of the American College of Surgeons, 2012; 214 (4): 427 DOI: 10.1016/j.jamcollsurg.2011.12.026

Cite This Page:

Vanderbilt University Medical Center. "Cost study shows timing crucial in appendectomies." ScienceDaily. ScienceDaily, 30 April 2012. <www.sciencedaily.com/releases/2012/04/120430105446.htm>.
Vanderbilt University Medical Center. (2012, April 30). Cost study shows timing crucial in appendectomies. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2012/04/120430105446.htm
Vanderbilt University Medical Center. "Cost study shows timing crucial in appendectomies." ScienceDaily. www.sciencedaily.com/releases/2012/04/120430105446.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Newsy (July 30, 2014) The Peace Corps is one of several U.S.-based organizations to pull workers out of West Africa because of the Ebola outbreak. Video provided by Newsy
Powered by NewsLook.com
Weather Kills 2K A Year, But Storms Aren't The Main Offender

Weather Kills 2K A Year, But Storms Aren't The Main Offender

Newsy (July 30, 2014) Health officials say 2,000 deaths occur each year in the U.S. due to weather, but it's excessive heat and cold that claim the most lives. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins