Table 1. Stratified IPTW-Adjusted Treatment Estimates for the Primary Outcome of 1-Year Success Rate of Nonoperative Management of Appendicitis.
Factors | No. of patients with medical record review | Success rate of nonoperative management at 1 y, No. (%) [95% CI] | P valuea |
---|---|---|---|
Patient age, y | |||
≤10 | 93 | 59 (63.8) [52.7-73.5] | .47 |
>10 | 277 | 189 (68.1) [62.0-73.7] | |
Annual household income, $ | |||
<50 000 | 109 | 72 (65.9) [55.7-74.9] | .70 |
≥50 000 | 217 | 148 (68.3) [61.3-74.5] | |
Transfer status | |||
Not transferred | 211 | 144 (68.3) [61.3-74.6] | .60 |
Transferred | 159 | 104 (65.6) [57.1-73.1] | |
Sexb | |||
Male | 229 | 155 (67.8) [60.9-74.0] | .72 |
Female | 141 | 93 (65.9) [57.3-73.6] | |
Race and ethnicityb,c | |||
Non-Hispanic White | 199 | 140 (70.4) [63.2-76.8] | .14 |
Other race/ethnicity | 171 | 107 (62.7) [54.6-70.1] | |
Insurance statusb | |||
Private insurance | 251 | 176 (70.0) [63.6-75.7] | .20 |
Medicaid | 109 | 68 (62.5) [52.2-71.7] | |
Primary caregiver educationb | |||
Some college or less | 149 | 105 (70.2) [61.8-77.5] | .42 |
At least college degree | 190 | 125 (65.8) [58.3-72.6] | |
Primary language spoken at homeb | |||
English | 284 | 191 (67.1) [61.0-72.6] | .82 |
Other | 69 | 47 (68.6) [56.1-78.9] |
Main effects for 1-year success rate of nonoperative management were tested through inverse probability of treatment weight (IPTW) logistic regression models. In all models, inference relied on robust sandwich-type standard errors to account for the estimated IPTWs.
Factor was added to the analysis post hoc.
Race and ethnicity were assessed because of evidence from the available literature suggesting an association with outcomes in pediatric patients treated for appendicitis. Related data were reported by caregivers using surveys with predefined categories listed in the table. Other includes Black, Hispanic, Asian, American Indian, Alaska Native, and biracial patients. For patients managed nonoperatively, this included 23 non-Hispanic Black patients, 37 Hispanic patients, 106 patients who reported another race or ethnicity, and 5 patients who did not report race or ethnicity.