Evidence map›Paper›PMID 18791723›Full record

ArticlePediatric surgery international2008

Laparoscopic and conventional appendicectomy in children: outcomes in English hospitals between 1996 and 2006.

O Faiz, S C Blackburn, J Clark, A Bottle, J I Curry, P Farrands, P Aylin

Abstract read
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Article in Pediatric surgery international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic review of discharge coding accuracy.Journal of public health (Oxford, England) · 2012
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Laparoscopic versus open appendectomy for complicated and uncomplicated appendicitis in children.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012
    Review
  7. [Pediatric appendicitis : Open or laparoscopic appendicectomy in a specialized visceral surgical clinic?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011
    Article
  8. Pediatric laparoscopy: Facts and factitious claims.Journal of Indian Association of Pediatric Surgeons · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

O FaizDepartment of Biosurgery and Surgical Technology, St Mary's Hospital, Imperial College, Praed Street, London, W21NY, UK. omarfaiz@aol.com
S C Blackburn
J Clark
A Bottle
J I Curry
P Farrands
P Aylin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic appendicectomy is increasingly used in children. This national retrospective study compared outcomes of paediatric open and laparoscopic appendicectomy.

methodsLength of stay, readmission rates and mortality in children undergoing open and laparoscopic appendicectomy in English NHS Trusts between 1 April 1996 and 31 March 2006 were compared. Procedures coded as emergency excision of appendix (OPCS-4 H01) on the Hospital Episode Statistics (HES) database in patients less than 15 years of age were included. Multivariate analysis was used to identify independent predictors of length of hospital stay and mortality.

resultsEighty-nine thousand, four-hundred and ninety-seven (89,497) appendicectomies were studied; of which, 2,689 (3%) were performed laparoscopically. The percentage of laparoscopic cases rose from 0.6 to 8.4% between 1996 and 2006 (Pearson's r = 0.954, P < 0.001). Length of stay (median 3, interquartile range 2 days, P = 0.068) and 28-day readmission rates were similar (6.3 vs. 7.2%, respectively; P = 0.072) between groups. No independent hospital stay advantage for laparoscopy was observed (P = 0.121). No difference in 30-day mortality (P = 0.986) or 365-day mortality (P = 0.598) was demonstrated.

conclusionHospital stay, readmission rates and mortality are similar following laparoscopic and open appendicectomy in children.

Indexed as

Outcome and Process Assessment, Health CareAdolescentAppendectomyChildChild, PreschoolEnglandFemaleHumansInfantInfant, NewbornLaparoscopyLength of StayMaleMultivariate AnalysisPatient ReadmissionRetrospective Studies

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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.