Evidence map›Paper›PMID 27830041›Full record

ArticleWorld journal of gastrointestinal surgery2016

Acute appendicitis: Epidemiology, treatment and outcomes- analysis of 16544 consecutive cases.

Marco Ceresoli, Alberto Zucchi, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Arianna Heyer, Gabriela E Nita, Luca Ansaloni, Federico Coccolini

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastrointestinal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
6.9field-weighted citation impact, top 3% of its field
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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  15. Diagnostic accuracy of doctors at the emergency department and radiologists in differentiating between complicated and uncomplicated acute appendicitis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  16. Predictive efficacy of immature granulocytes in acute complicated appendicitis.Revista da Associacao Medica Brasileira (1992) · 2024
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  19. Is acute appendicitis more severe in foreign workers of northern Israel? A retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
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  20. Acute appendicitis over the age of 50: The evaluation of the impact of clinical variables on operative and post-operative outcomes.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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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

10 authors at 4 institutions in 2 countries.

Marco CeresoliMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Alberto ZucchiMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Niccolò AllieviMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Asaf HarbiMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Michele PisanoMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Giulia MontoriMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Arianna HeyerMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Gabriela E NitaMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Luca AnsaloniMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Federico CoccoliniMarco Ceresoli, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Gabriela E Nita, Luca Ansaloni, Federico Coccolini, General Surgery Unit, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Ospedale Papa Giovanni XXIII · ITUniversity of Bergamo · ITCreative Research Enterprises (United States) · USUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the epidemiology, treatment and outcomes of acute appendicitis (AA) in a large population study.

methodsThis is a retrospective cohort study derived from the administrative dataset of the Bergamo district healthcare system (more than 1 million inhabitants) from 1997 to 2013. Data about treatment, surgery, length of stay were collected. Moreover for each patients were registered data about relapse of appendicitis and hospital admission due to intestinal obstruction.

resultsFrom 1997 to 2013 in the Bergamo district we collected 16544 cases of AA, with a crude incidence rate of 89/100000 inhabitants per year; mean age was 24.51 ± 16.17, 54.7% were male and the mean Charlson's comorbidity index was 0.32 ± 0.92. Mortality was < 0.0001%. Appendectomy was performed in 94.7% of the patients and the mean length of stay was 5.08 ± 2.88 d; the cumulative hospital stay was 5.19 ± 3.36 d and 1.2% of patients had at least one further hospitalization due intestinal occlusion. Laparoscopic appendectomy was performed in 48% of cases. Percent of 5.34 the patients were treated conservatively with a mean length of stay of 3.98 ± 3.96 d; the relapse rate was 23.1% and the cumulative hospital stay during the study period was 5.46 ± 6.05 d.

conclusionThe treatment of acute appendicitis in Northern Italy is slowly changing, with the large diffusion of laparoscopic approach; conservative treatment of non-complicated appendicitis is still a neglected option, but rich of promising results.

Indexed as

Acute appendicitisConservative treatmentEpidemiologyIntestinal obstructionLaparoscopic appendectomy

Identifiers

PMID27830041
PMCPMC5081551
OpenAlexW2541661166

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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.