Evidence map›Paper›PMID 28812175›Full record

ArticleInternational journal of colorectal disease2017

A prospective non-randomized controlled, multicenter trial comparing Appendectomy and Conservative Treatment for Patients with Uncomplicated Acute Appendicitis (the ACTUAA study).

Mauro Podda, Fernando Serventi, Lorenzo Mortola, Stefano Marini, Danilo Sirigu, Michela Piga, Marcello Pisano, Massimiliano Coppola, Ferdinando Agresta, Francesco Virdis and 3 more

Registry-linked trialAbstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03080103 (A Prospective Non-randomized Controlled, Multicenter, Multidisciplinary Trial Comparing Appendectomy and Conservative Treatment for Patients With Uncomplicated Acute Appendicitis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT03080103 completednot on this map

A Prospective Non-randomized Controlled, Multicenter, Multidisciplinary Trial Comparing Appendectomy and Conservative Treatment for Patients With Uncomplicated Acute Appendicitis (the ACTUAA STUDY).

TypeobservationalSponsorMauro PoddaRan2017 to 2019Enrolled300ConditionsAcute Appendicitis, Appendicitis Recurrent, Appendectomy, Antibiotic TherapyArmsLaparoscopic or Open appendectomy, Antibiotic-first therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

13 authors at 5 institutions in 3 countries.

Mauro PoddaGeneral, Minimally Invasive and Robotic Surgery Unit, San Francesco Hospital, Via Mannironi 1, 08100, Nuoro, Italy. mauropodda@ymail.com.ORCID http://orcid.org/0000-0001-9941-0883
Fernando ServentiGeneral Surgery Unit, Civil Hospital, Alghero, Italy.
Lorenzo MortolaSurgical Science Department, Cagliari University Hospital, Cagliari, Italy.
Stefano MariniRadiology Department, Santissima Trinità Hospital, Cagliari, Italy.
Danilo SiriguRadiology Department, Brotzu Hospital, Cagliari, Italy.
Michela PigaPathology Department, Santissima Trinità Hospital, Cagliari, Italy.
Marcello PisanoGeneral and Emergency Surgery, San Marcellino Hospital, Muravera, Italy.
Massimiliano CoppolaGeneral and Emergency Surgery, Nostra Signora della Mercede Hospital, Lanusei, Italy.
Ferdinando AgrestaGeneral and Emergency Surgery, Adria Civil Hospital, Adria, Italy.
Francesco VirdisDepartment of General Surgery, King's College Hospital, NHS Foundation Trust, London, UK.
Salomone Di SaverioEmergency and Trauma Surgical Unit, Maggiore Hospital, Bologna, Italy.
Nicola CillaraGeneral Surgery Unit, Santissima Trinità Hospital, Cagliari, Italy.
ACTUAA Study Collaborative Working Group
Santissima Trinità · ITKing's College Hospital NHS Foundation Trust · GBUniversity of Cagliari · ITATS Sardegna (Italy) · ITCenter for Special Minimally Invasive and Robotic Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute appendicitis (AA) is among the most common causes of lower abdominal pain and admissions to the emergency department. Over the past 20 years, there has been a renewed interest in the conservative management of uncomplicated AA, and several studies demonstrated that an antibiotic-first strategy is a viable treatment option for uncomplicated AA. The aim of this prospective non-randomized controlled, multicenter trial is to compare antibiotic therapy and emergency appendectomy as treatment for patients with uncomplicated AA confirmed by US and/or CT or MRI scan.

methodsAll adult patients in the age range 18 to 65 years with suspected AA, consecutively admitted to the Surgical Department of the 13 participating Italian Hospitals, will be invited to take part in the study. A multicenter prospective collected registry developed by surgeons, radiologists, and pathologists with expertise in the diagnosis and treatment of uncomplicated acute appendicitis represents the best research method to assess the long-term role of antibiotics in the management of the disease. Comparison will be made between surgical and antibiotic-first approaches to uncomplicated AA through the analysis of the primary outcome measure of complication-free treatment success rate based on 1-year follow-up. Quality of life, length of hospital stay, pain evaluation, and time to return to normal activity will be evaluated as secondary outcome measures.

trial registrationClinicaltrials.gov ID: NCT03080103.

Indexed as

Abdominal PainAppendectomyAppendicitisConservative TreatmentQuality of LifeAdultAnti-Bacterial AgentsFemaleHumansItalyLength of StayMagnetic Resonance ImagingMaleMiddle AgedOutcome and Process Assessment, Health CarePain MeasurementAnti-Bacterial AgentsAcute appendicitisAntibiotic treatmentAppendectomyConservative treatmentStudy protocolUncomplicated appendicitis

Identifiers

PMID28812175
OpenAlexW2749420500

What OpenQuestion holds

Textmetadata
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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.