ArticleSurgical endoscopy2008
Obesity should not influence the management of appendicitis.
Article in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Evidence to support the use of laparoscopic over open appendicectomy for obese individuals: a meta-analysis.Surgical endoscopy · 2012Pooled it
- Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study.Surgical endoscopy · 2011Trial
- Article
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- Obesity and infectious diseases: pathophysiology and epidemiology of a double pandemic condition.International journal of obesity (2005) · 2022Review
- Appendectomy Hospital Stay: No Difference in Obese Adult or Pediatric Patient Length of Stay Compared to Nonobese Patients.Ochsner journal · 2021Article
- Obesity and appendicitis: Laparoscopy versus open technique.Turkish journal of surgery · 2020Article
- Laparoscopic Appendectomy: Risk Factors for Postoperative Intraabdominal Abscess.World journal of surgery · 2017Article
- The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children.International journal of colorectal disease · 2016Article
- Acute appendicitis: position paper, WSES, 2013.World journal of emergency surgery : WJES · 2014Article
- Laparoscopic versus open appendectomy in obese patients: A meta-analysis of prospective and retrospective studies.Journal of minimal access surgery · 2014Review
- Obesity Disease and Surgery.International journal of chronic diseases · 2014Review
- Obesity and the risk and outcome of infection.International journal of obesity (2005) · 2013Review
- Laparoscopic appendectomy: new concepts.World journal of surgery · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity implies an adverse effect on outcome after appendectomy. This study aimed to determine whether obese patients with appendicitis should be managed differently than nonobese patients.
methodsAfter appendectomy, all patients were enrolled in a prospective clinical pathway and followed from initial presentation to full outpatient recovery.
resultsIn 1 year, 272 adults underwent appendectomy, 55 (22%) of whom were obese. The obese patients were slightly older (35 vs 33 years; p < 0.001). The time to diagnosis (8.5 vs 8.6 h), and the need for computed tomography (CT) scanning (40% vs 49%) was similar in both populations. The obese patients had similar rates of perforation (35% vs 35%) and laparoscopy (47% vs 41%). The median hospital length of stay (LOS) (2 days) and complications, including wound complications (9.1% vs 10.9%) and intraabdominal abscesses (3.6% vs 3.1%), were similar. Subgroup analysis showed a longer LOS for the obese patients with perforation than for the nonobese patients (6 vs 5.5 days; p = 0.036).
conclusionObese patients had no greater delay in diagnosis, had no greater need for CT scan, gained no additional benefit from laparoscopy, and did not incur significantly worse outcomes after appendectomy except for an increased LOS among those with perforation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.