Non-operative treatment of appendicitis: public perception and decision-making

OʼConnell, Emer; White, Annmarie; Cromwell, Paul M.; Carroll, Emma; Khan, Waqar; Waldron, Ronan; Khan, Iqbal; Barry, Kevin

doi:10.1007/s11845-018-1758-5

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…Expanding the results, in relation with the difference between the groups regarding complicated appendicitis, we found that length of surgery increased in COVID-19 times. Some studies did not show this difference [1,2]. Protection measures and usage of PPE can justify the results of our study regarding the time of surgery.…”

Section: Discussionsupporting

confidence: 47%

See 1 more Smart Citation

Appendectomy in the Times of Covid-19: Comparative Study of Two Groups of Patients Between Similar Periods of Time - 2019 vs 2020

Ungureanu

Mirică

Iosifescu

et al. 2020

RoJES

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Acute pathology of the cecal appendix - appendicitis, is a condition that does not take into account the pandemic period. The aim of this study is to retrospectively analyze the relationship of care for two groups of patients who underwent appendectomy in COVID-19 period and one year before, same period of time, in emergency hospital service. We performed a retrospective analysis on the patients admitted in our surgery center by comparing two groups for each period analysed: group A, for the period March-May 2019 and group B for the period March-May 2020 (corresponding to COVID-19 pandemic). We compared the groups analysing features that prove the change in age, incidence, grade (severity) of appendicitis, delay of surgery, length of surgery, postoperative complications and hospitalization time. CT scan was made for each patient. In the group B, PCR COVID-19 testing was made (all patients were negative for COVID-19). Our study consisted of 52 patients, group A-32 patients (61.53%) and group B-22 patients (38.47%). The Covid-19 pandemic influenced the incidence of appendicitis and we noted a delayed presentation which led to more complicated appendicitis than same period of the previous year. The impact also was noted on length of surgery, due to use of PPE (personal protective equipment) and also modified anatomy of the region related to inflammation. The severity of appendicitis was higher in the COVID-19 period when compared to 2019 similar period of time. Further research is required to draw more conclusions on this period.

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Section: Discussionsupporting

confidence: 47%

“…Acute appendicitis represents one of the most common emergency in a General Surgery Emergency Unit. The standard treatment for appendicitis is surgery, but some prefer using conservative therapy with good results in selected cases [1]. During the outbreak of COVID-19 pandemic, the incidence in abdominal emergencies declined.…”

Section: Introductionmentioning

confidence: 99%

Appendectomy in the Times of Covid-19: Comparative Study of Two Groups of Patients Between Similar Periods of Time - 2019 vs 2020

Ungureanu

Mirică

Iosifescu

et al. 2020

RoJES

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“…Acute appendicitis is the most common acute surgical presentation [3]. While some groups and recent guidelines advocate conservative care [4,5] which is based on large cohort and randomized controlled trials that have suggested short‐term outcomes equivalent to surgery [6,7], in Ireland operative intervention had remained the predominant strategy before the pandemic [8]. Our surgical community held concerns over the seemingly high rates of failure with a conservative approach, and the risk of increasing overall hospital stay coupled with our lack in widespread availability of CT. We have examined how national practice preferences have changed over the last 6 weeks including analysis at patient experience level at our own institution, a major urban tertiary unit.…”

mentioning

confidence: 99%

COVID‐19 and the treatment of acute appendicitis in Ireland: a new era or short‐term pivot?

et al. 2020

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“…Es wird nach den Prädiktoren für die Wirksamkeit der konservativen Therapie intensiv geforscht. Zusammenfassend imponieren der niedrige Wert von Alvarado-und AIR-Score, längere Symptomdauer vor der Aufnahme (>25 h), maximale Körpertemperatur von <37,3°C innerhalb 6 h nach Aufnahme und Appendixdurchmesser <11 mm (maximal 13 mm) als Prädiktoren für Erfolg, sowie Diabetes mellitus, intraluminale Flüssigkeit und Appendikolith als Risikofaktoren für Versagen der nichtoperativen Therapie einer AA [46][47][48][49][50][51].…”

Section: Explorative Laparoskopie Bei Akuter Appendizitisunclassified

Empfehlungen zur Therapie der akuten Appendizitis

Andric

Kalff

Schwenk

et al. 2020

Chirurg

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ZusammenfassungDer Paradigmenwechsel im Behandlungskonzept der akuten Appendizitis sorgt aktuell für intensive Diskussionen. Die Diagnosestellung und Differenzierung einer unkomplizierten von einer komplizierten Appendizitis sowie die Auswahl einer adäquaten Therapie sind herausfordernd, insbesondere seitdem konservative Therapiemodelle publiziert wurden. Die laparoskopische Appendektomie stellt weiterhin den Standard für die meisten Fälle dar. Leitlinien zur Behandlung einer akuten Appendizitis existieren in Deutschland nicht. Eine Expertengruppe hat daher nach 3 Treffen insgesamt 21 Empfehlungen zur Behandlung der akuten Appendizitis erarbeitet. Es wurden PICO(Population-Intervention-Comparison-Outcome)-Fragen definiert und die Empfehlungen im Rahmen eines Delphi-Votums finalisiert. Die Ergebnisse wurden vor dem Hintergrund der aktuellen Literatur erarbeitet. Das Ziel dieser Initiative war es, eine grundlegende Entscheidungshilfe für die klinische Routine in der Behandlung der akuten Appendizitis zu etablieren.

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Non-operative treatment of appendicitis: public perception and decision-making

Cited by 10 publications

References 11 publications

Appendectomy in the Times of Covid-19: Comparative Study of Two Groups of Patients Between Similar Periods of Time - 2019 vs 2020

Appendectomy in the Times of Covid-19: Comparative Study of Two Groups of Patients Between Similar Periods of Time - 2019 vs 2020

COVID‐19 and the treatment of acute appendicitis in Ireland: a new era or short‐term pivot?

Empfehlungen zur Therapie der akuten Appendizitis

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