Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 May;32(5):e13245.
doi: 10.1111/ctr.13245. Epub 2018 Apr 17.

Surgical approach, cost, and complications of appendectomy in kidney transplant recipients

Sandra R DiBrito  1 , Israel O Olorundare  1 , Courtenay M Holscher  1 , Claudia S Landazabal  1 , Babak J Orandi  2 , Nabil N Dagher  3 , Dorry L Segev  1   4 , Jacqueline Garonzik-Wang  1
Affiliations

Surgical approach, cost, and complications of appendectomy in kidney transplant recipients

Sandra R DiBrito et al. Clin Transplant. 2018 May.

Abstract

Kidney transplant recipients (KTRs) have greater morbidity and length of stay (LOS) following certain surgical procedures than non-KTR. Given that appendectomy is one of the most common surgical procedures, we investigated differences in outcomes between 1336 KTR and 2 640 247 non-KTR postappendectomy at transplant and nontransplant centers in the United States from 2000 to 2011, using NIS data and adjusting for patient-level and hospital-level factors. Postoperative complications were identified using ICD-9 codes. Among KTR, there were no post-appendectomy in-hospital deaths, compared to a 0.2% in non-KTR (P = .5). Overall complications were similar among KTR and non-KTR (17.0% vs 11.6%; aOR:0.77 1.121.61 ). LOS and costs were greater for KTR compared to non-KTR (LOS ratio 1.19 1.311.45 ; cost ratio 1.11 1.171.26 ). Only 44.8% of KTR had laparoscopic approach compared to 54.5% of non-KTR, but had similar complication rates (10.6 vs 8.7%, P = .5). When treated at transplant centers, KTR had similar complications (aOR 0.44 0.791.43 ), but longer LOS (ratio 1.21 1.371.55 ) and greater hospital-associated costs (ratio 1.19 1.291.41 ) than non-KTR. Conversely, at nontransplant centers, KTR and non-KTR had similar complications (aOR 0.75 1.232.0 ), LOS (ratio 0.84 0.961.09 ), and cost (ratio 0.93 1.011.10 ). Contrary to other procedures, KTR did not constitute a high-risk group for patients undergoing appendectomy.

Keywords: appendectomy; general surgery; kidney transplantation.

PubMed Disclaimer

References

    1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5) - PubMed
    1. De’Angelis N, Esposito F, Memeo R, Lizzi V, Martìnez-Pérez A, Landi F, Genova P, Catena F, Brunetti F, Azoulay D. Emergency abdominal surgery after solid organ transplantation: a systematic review. World J Emerg Surg. 2016;11(43) doi: 10.1186/s13017-016-0101-6. - DOI - PMC - PubMed
    1. Savar A, Hiatt JR, Busuttil RW. Acute appendicitis after solid organ transplantation. Clin Transplant. 2005:78–80. doi: 10.1111/j.1399-0012.2005.00444.x. - DOI - PubMed
    1. Roza AM, Perloff L, Jorkasky D, Grossman R, Tomaszewski J, Barker C. Acute appendicitis in the renal allograft recipient. Transplantation. 1987;44(5):715–716. - PubMed
    1. Wright FJ, Abu-Yousef M, Smith J, Georgi B, Corry R. Appendicitis in a transplant patient. Transplantation. 1988;45(6):1159. - PubMed

Publication types

MeSH terms