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BMC Health Services Research

, 1:5

First Online: 28 June 2001Received: 10 February 2001Accepted: 28 June 2001DOI: 10.1186-1472-6963-1-5

Cite this article as: Tatsioni, A., Charchanti, A., Kitsiou, E. et al. BMC Health Serv Res 2001 1: 5. doi:10.1186-1472-6963-1-5


BackgroundAlbanian 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.

ResultsAmong 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.

ConclusionsAlbanian 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.

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Autor: Athina Tatsioni - Antonia Charchanti - Evangelia Kitsiou - John PA Ioannidis


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