Abstract
Background:The lifetime risk of intra-abdominal surgery is unknown. The objectives of this study were to derive this information from our local population, and to consider the role of incidental surgery.Methods:Over an 8-year period, 2648 autopsy and clinical records from a public and private hospital were reviewed for evidence of intra-abdominal surgery.Results:2262 (85%) cases were from the public hospital and 386 (15%) from the private hospital. The adjusted intra-abdominal surgical rate was 43.8% in those over the age of 60. With the exception of the age group 21–40, there were no statistical significant differences in operative rates between hospitals. The intra-abdominal surgical rate over the age of 60 was used as an estimate of the lifetime risk of intra-abdominal surgery.Conclusions:The lifetime risk of intra-abdominal surgery can be used to assess the utilization of healthcare among ethnic groups and in considering the role of incidental surgery.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
References
References1. Wun LM, Merrill RM, Feuer EJ. Estimating lifetime and age-conditional probabilities of developing cancer. Lifetime Data Anal 1998;4:169–186.WunLM]]MerrillRM]]FeuerEJEstimating lifetime and age-conditional probabilities of developing cancer.Lifetime Data Anal19984169-1862. Feuer EJ, Wun LM, Boring CC, et al. The lifetime risk of developing breast cancer. J Natl Cancer Inst 1993;85:892–897.FeuerEJ]]WunLM]]BoringCC&etal;The lifetime risk of developing breast cancer.J Natl Cancer Inst199385892-8973. Fiscella K, Franks P, Gold MR, et al. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA 2000;283:2579–2584.FiscellaK]]FranksP]]GoldMR&etal;Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.JAMA20002832579-25844. Navarro V. Race or class versus race and class: mortality differentials in the United States. Lancet 1990;336:1238–1240.NavarroVRace or class versus race and class: mortality differentials in the United States.Lancet19903361238-12405. Primatesta P, Goldacre MJ. Appendicectomy for acute appendicitis and for other conditions: an epidemiological study. Int J Epidemiol 1994;23:155–160.PrimatestaP]]GoldacreMJAppendicectomy for acute appendicitis and for other conditions: an epidemiological study.Int J Epidemiol199423155-1606. Steiner CA, Bass EB, Talamini MA, et al. Surgical rates and operative mortality for open and laparoscopic cholecystectomy in Maryland. N Engl J Med 1994;330:403–408.SteinerCA]]BassEB]]TalaminiMA&etal;Surgical rates and operative mortality for open and laparoscopic cholecystectomy in Maryland.N Engl J Med1994330403-4087. Cullen JJ, Kelly KA, Moir CR, et al. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg 1994;220:564–568; discussion 568–569.8. Huber JJ. Meckel’s diverticulum. Am J Surg 1947;73:468–485.HuberJJMeckel’s diverticulum.Am J Surg194773468-4859. Soltero MJ, Bill AH. The natural history of Meckel’s Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s Diverticulum found in King County, Washington, over a fifteen-year period. Am J Surg 1976;132:168–173.SolteroMJ]]BillAHThe natural history of Meckel’s Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s Diverticulum found in King County, Washington, over a fifteen-year period.Am J Surg1976132168-173
