Specialty versus generalist care of children with appendicitis: An outcome comparison

Appendectomy: comparative study between a public and a private hospital

“…Some reports have disclosed important differences in medical evaluation and complication rate of patients submitted to appendectomy for acute appendicitis, related to type of hospital assistance, physician's specialty, geographic area, and patient's socioeconomic status 17,[20][21][22] . In our study, we also observed important differences between a public hospital and a private hospital in the diagnosis and outcomes of patients with appendicitis who underwent appendectomy.…”

Effect of subspecialty training and volume on outcome after pediatric inguinal hernia repair

“…Among patients with gynecologic [6,7] or colorectal [8,9] cancer, outcomes were better in those patients cared for by surgeons with subspecialty training. Similarly, a number of studies suggest that children with pyloric stenosis [10,11] or appendicitis [12,13] have better outcomes when cared for by pediatric surgeons rather than general surgeons, although there are other studies that do not support this conclusion [14]. The effect of subspecialty training on the outcome after inguinal hernia repair has not been previously addressed.…”

Distance to care and relative supply among pediatric surgical subspecialties

“…Pediatric surgical subspecialization has been associated with lower complication rates among children with perforated appendixes [1], decreased risk of mucosal perforation post pyloromyotomy, and greater precision in tumor removal [2]. When compared to children treated by general surgeons, studies have demonstrated lower costs and/or shorter lengths of stay among younger children treated by pediatric surgical specialists for appendectomy [3], uncomplicated pyloromyotomy [3], ureteroneocystostomy [4], and appendectomy complicated by perforation [1,3].…”

“…When compared to children treated by general surgeons, studies have demonstrated lower costs and/or shorter lengths of stay among younger children treated by pediatric surgical specialists for appendectomy [3], uncomplicated pyloromyotomy [3], ureteroneocystostomy [4], and appendectomy complicated by perforation [1,3]. Despite the potential benefits of pediatric surgical care, little is known about geographic access to pediatric surgical care.…”