Table 18_4_2-1a 2009 National Healthcare Quality and Disparities ReportsThe National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness. Table 18_4_2.1a Perforated appendixes per 1,000 admissions with appendicitis, age 18 and over, in Indian Health Service and Tribal direct and contract hospitals and community hospitals,a 2007 2007Population groupRateSETotalAge adjustedb402.71.1Unadjusted345.718.3Age18–44275.420.345–64509.740.265 and over583.382.2GenderMale378.225.7Female309.226.0a Service population does not include the Portland and California regions.b The total estimates are age adjusted using the total U.S. population for 2000 as the standard population.Key: SE: standard error.Source: Indian Health Service, Office of Information Technology/National Patient Information Reporting System, National Data Warehouse, Workload and Population Data Mart. Current as of March 2010 Internet Citation: Table 18_4_2-1a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/18_populations/T18_4_2-1a.html