Objective: The objective of this study was to determine the relationship of race and socioeconomic factors and the method used for appendectomies in children (open vs. laparoscopic).
Summary Background Data: Previous studies have shown racial and insurance-related differences associated with the management of appendicitis in adults.
Background/purpose: As abdominal imaging has improved, the use of computed tomography (CT) and ultrasonography (US) for evaluating children with suspected appendicitis has increased. The purpose of this study was to determine the optimal management strategy for evaluating children with suspected appendicitis given the current accuracy of abdominal imaging.
Methods: Decision analysis was used to evaluate 5 management strategies: discharge, observation, CT, US, and appendectomy.