ArticleNorth American journal of medical sciences2013
Ideal timing of surgery for acute uncomplicated appendicitis.
Article in North American journal of medical sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Single-incision versus conventional multi-incision laparoscopic appendicectomy for suspected uncomplicated appendicitis.The Cochrane database of systematic reviews · 2025Pooled it
- Single-incision versus conventional multi-incision laparoscopic appendicectomy for suspected uncomplicated appendicitis.The Cochrane database of systematic reviews · 2024Pooled it
- Effect of Delay to Operation on Outcomes in Patients with Acute Appendicitis: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Pooled it
- Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis.The British journal of surgery · 2018Pooled it
- Prevalence and Preoperative Characteristics Associated with Complicated Appendicitis Among Children Undergoing Appendectomy in Southwestern Saudi Arabia: A Hospital-Based Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
- Evaluation of geographic variations in appendicectomy outcomes within Western Australia assessing the impact of surgical wait times and rate of negative appendicectomies in both urban and rural locations statewide.International journal of colorectal disease · 2024Article
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- Patient Outcomes Related to In-Hospital Delays in Appendicectomy for Appendicitis: A Retrospective Study.Cureus · 2022Article
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- Successful implementation of an appendectomy process improvement protocol.Trauma surgery & acute care open · 2019Article
- Time to Appendectomy and Risk of Complicated Appendicitis and Adverse Outcomes in Children.JAMA pediatrics · 2017Article
- Effect of surgical timing and outcomes for appendicitis severity.Annals of surgical treatment and research · 2016Article
- Factors Associated with Perforated Appendicitis in Elderly Patients in a Tertiary Care Hospital.Surgery research and practice · 2015Article
- Uncovering malpractice in appendectomies: a review of 234 cases.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013Article
- World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS).World journal of emergency surgery : WJES · 2013Article
- Time between onset of symptoms and definitive treatment in children with acute appendicitis: How it affects length of hospital stay?African journal of paediatric surgery : AJPSArticle
- Is early appendectomy in adults diagnosed with acute appendicitis mandatory? A prospective study.World journal of emergency surgery : WJESArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly surgery for appendicitis is thought to avoid complications associated with appendiceal rupture.
aimsThis study was to evaluate the effect of timing of surgery on complications, length of stay (LOS) and cost in patients undergoing appendectomy. MATERIALS AND
methodsRetrospective review of 396 patients with appendectomies from January 1, 2005 to December 31, 2007 was performed. Demographic data, time of presentation, physical findings, diagnostic data, operating room times, LOS, cost and complications were collected. Patients were divided into 4 groups based on time from presentation to appendectomy.
resultsPathology confirmed appendicitis in 354 (89%) patients. Most patients (90%) had surgery within 18 h of presentation. Timing of surgery did not affect the incidence of purulent peritonitis (P = 0.883), abscess (P = 0.841) or perforation (P = 0.464). LOS was significantly shorter for patients with emergency department registration to operating room times less than 18 h (P < 0.0001). Costs were significantly higher for patients with times to operating room greater than 18 h (P < 0.001).
conclusionTiming of surgery did not affect the incidence of complications or perforated appendicitis. However, delay in surgical consultation and surgery are associated with increased LOS and increased hospital costs. The optimal timing of appendectomy for uncomplicated acute appendicitis appears to be within 18 h of emergency department presentation.
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