Impact of Initial Healthcare Setting and Family Caregiving Structure on Pediatric Appendicitis Outcomes in Resource-Limited Settings: A 10-Year Retrospective Cohort Study with External Validation

Abstract

Acute appendicitis is a common pediatric surgical emergency worldwide. Misdiagnosis and perforation remain frequent, particularly among younger children in low- and middle-income countries. Prior studies have explored healthcare access or caregiving structures separately, but few long-term, large-sample retrospective studies in resource-limited settings have assessed their combined impact.

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