Appendicectomies in Albanians in Greece: outcomes in a highly mobile immigrant patient population

dc.contributor.authorTatsioni, A.en
dc.contributor.authorCharchanti, A.en
dc.contributor.authorKitsiou, E.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T19:35:45Z
dc.date.available2015-11-24T19:35:45Z
dc.identifier.issn1472-6963-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23739
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAlbania/ethnologyen
dc.subjectAppendectomy/*utilizationen
dc.subjectAppendicitis/*diagnosis/*ethnology/surgeryen
dc.subjectDiagnostic Errors/*statistics & numerical dataen
dc.subjectEmigration and Immigrationen
dc.subjectFemaleen
dc.subjectGreece/epidemiologyen
dc.subjectHealth Services Misuse/*statistics & numerical dataen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMinority Groups/*statistics & numerical dataen
dc.subjectNamesen
dc.subjectOdds Ratioen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessment/*statistics & numerical dataen
dc.subjectRisk Factorsen
dc.subjectSocioeconomic Factorsen
dc.subjectUtilization Reviewen
dc.titleAppendicectomies in Albanians in Greece: outcomes in a highly mobile immigrant patient populationen
heal.abstractBACKGROUND: Albanian immigrants in Greece comprise a highly mobile population with unknown health care profile. We aimed to assess whether these immigrants were more or less likely to undergo laparotomy for suspected appendicitis with negative findings (negative appendicectomy), by performing a controlled study with individual (1:4) matching. We used data from 6 hospitals in the Greek prefecture of Epirus that is bordering Albania. RESULTS: Among a total of 2027 non-incidental appendicectomies for suspected appendicitis performed in 1994-1999, 30 patients with Albanian names were matched (for age, sex, time of operation and hospital) to 120 patients with Greek names. The odds for a negative appendicectomy were 3.4-fold higher (95% confidence interval [CI], 1.24-9.31, p = 0.02) in Albanian immigrants than in matched Greek-name subjects. The difference was most prominent in men (odds ratio 20.0, 95% CI, 1.41-285, p = 0.02) while it was not formally significant in women (odds ratio 1.56, 95% CI, 0.44-5.48). The odds for perforation were 1.25-fold higher in Albanian-name immigrants than in Greek-name patients (95% CI 0.44- 3.57). CONCLUSIONS: Albanian immigrants in Greece are at high risk for negative appendicectomies. Socioeconomic, cultural and language parameters underlying health care inequalities in highly mobile immigrant populations need better study.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11472640-
heal.journalNameBMC Health Serv Resen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2001-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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