Evidence map›Paper›PMID 24833844›Full record

ArticleWorld journal of gastroenterology2014

Seasonal variations of acute appendicitis and nonspecific abdominal pain in Finland.

Imre Ilves, Anne Fagerström, Karl-Heinz Herzig, Petri Juvonen, Pekka Miettinen, Hannu Paajanen

Registry-linked trialAbstract read
In one paragraph

Article in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04407117 (Change in the Incidence of Appendicitis in a Controlled Environment During the National Lockdown Throughout the COVID-19 Pandemic), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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.

NCT04407117 completednot on this mapstarted 2017, after this paper: background citation

Change in the Incidence of Appendicitis in a Controlled Environment During the National Lockdown Throughout the COVID-19 Pandemic

TypeobservationalSponsorClaus Anders Bertelsen, PhD, MDRan2017 to 2020Enrolled6,000,000ConditionsAppendicitisArmsLock-down and social distancing
3 · Its place in the literature

Who cites it

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

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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

6 authors.

Imre IlvesImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.
Anne FagerströmImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.
Karl-Heinz HerzigImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.
Petri JuvonenImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.
Pekka MiettinenImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.
Hannu PaajanenImre Ilves, Anne Fagerström, Petri Juvonen, Pekka Miettinen, Hannu Paajanen, Department of Surgery, Kuopio University Hospital, FI-70211 Kuopio, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate whether seasonal changes had an effect on the incidence of acute appendicitis (AA) or nonspecific abdominal pain (NSAP).

methodsWe carried out a national register study of all patients with a hospital discharge diagnosis of AA and acute NSAP in Finland. Data were analyzed for the whole country and correlated to seasonal and weather parameters (temperature, humidity). Moreover, additional sub-analyses were performed for five geographically different area of Finland.

resultsThe observation period spanned 21 years, with 186558 appendectomies, of which 137528 (74%) cases were reported as AA. The incidence of AA declined for 32% over the study period. The average incidence of the NSAP was 34/10000 per year. The mean annual temperature, but not relative humidity, showed clear geographical variations. The incidence of AA decreased significantly during the cold months of the year. No correlation was detected between temperature and incidence of NSAP. Humidity had a statistically significant impact on NSAP.

conclusionThe incidence of acute appendicitis is declining in Finland. We detected a clear seasonality in the incidence of AA and NSAP.

Indexed as

SeasonsAbdominal PainAcute DiseaseAppendectomyAppendicitisClimateFinlandGeographyHumansHumidityIncidenceRegistriesRegression AnalysisTemperatureAcute appendicitisAppendectomyHumidityIncidenceNonspecific abdominal painSeasonalTemperature

Identifiers

PMID24833844
PMCPMC3983460

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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.