ArticleWorld journal of surgery2018
Management of Appendicitis Globally Based on Income of Countries (MAGIC) Study.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Complicated appendicitis in low- and lower-middle-income countries: a systematic review and meta-analysis.ANZ journal of surgery · 2025Pooled it
- Global practices and attitudes in acute appendicitis management: the PAMAP-W international survey and Delphi consensus study on the WSES appendicitis grading system.World journal of emergency surgery : WJES · 2026Article
- Association Between C-Reactive Protein-to-Albumin Ratio and Length of Hospital Stay in Elderly Patients with Acute Appendicitis: A Mediation Analysis of Complicated Appendicitis.Clinical interventions in aging · 2026Article
- Feasibility of Laparoscopic Appendectomy Among Children in Nepal: A Safe and Preferred Approach.Cureus · 2025Article
- Economic Evaluation of Acute Appendicitis Therapeutic Interventions: A Systematic Review.Health science reports · 2025Review
- Surgical site infection following appendectomy in children.Scientific reports · 2025Article
- Artificial intelligence in gynecologic and obstetric emergencies.International journal of emergency medicine · 2025Review
- Appendicitis burden, trends, and inequalities in Europe, 1990-2019: a population-based study.Gastroenterology report · 2025Article
- The role of clinical, laboratory, and imaging findings in the diagnosis of appendicitis: a retrospective analysis.Przeglad gastroenterologiczny · 2025Article
- Is non-operative treatment of acute appendicitis possible: A narrative review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Review
- Pathological Assessment of the Appendix in Appendectomies Performed in Children.Archives of Iranian medicine · 2024Article
- Article
- Ambulatory Laparoscopic Appendectomy: Does the Conventional Approach Need a Reappraisal?Cureus · 2022Article
- COVID-19 opens the door for right iliac fossa pain treatment pathway.Annals of the Royal College of Surgeons of England · 2022Article
- Article
- The Global Burden of Appendicitis in 204 Countries and Territories from 1990 to 2019.Clinical epidemiology · 2022Article
- A Nationwide Cohort Study of Outcome after Pediatric Appendicitis.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2021Observational
- Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines.World journal of emergency surgery : WJES · 2020Review
- Laparoscopic versus open approach for diffuse peritonitis from appendicitis ethiology: a subgroup analysis from the Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) study.Updates in surgery · 2020Article
- Kunafa knife and play dough is an efficient and cheap simulator to teach diagnostic Point-of-Care Ultrasound (POCUS).World journal of emergency surgery : WJES · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur aim is to compare the management approaches and clinical outcomes of acute appendicitis according to annual Gross National Income per Capita (GNI/Capita) of countries.
methodsConsecutive patients who were diagnosed to have acute appendicitis from 116 centers of 44 countries were prospectively studied over a 6-month period (April-September 2016). Studied variables included demography, Alvarado score, comorbidities, radiological and surgical management, histopathology, and clinical outcome. Data were divided into three groups depending on the GNI/Capita.
resultsA total of 4271 patients having a mean (SD) age of 33.4 (17.3) years were studied. Fifty-five percent were males. Two hundred and eighty patients were from lower-middle-income (LMI) countries, 1756 were from upper-middle-income (UMI) countries, and 2235 were from high-income (HI) countries. Patients in LMI countries were significantly younger (p < 0.0001) and included more males (p < 0.0001). CT scan was done in less than 8% of cases in LMI countries, 23% in UMI countries, and 38% in HI countries. Laparoscopy was performed in 73% of the cases in the HI countries, while open appendectomy was done in more than 60% of cases in both LMI and UMI countries (p < 0.0001). The longest mean hospital stay was in the UMI group (4.84 days). There was no significant difference in the complication or death rates between the three groups. The overall death rate was 3 per 1000 patients.
conclusionsThere is great variation in the presentation, severity of disease, radiological workup, and surgical management of patients having acute appendicitis that is related to country income. A global effort is needed to address this variation. Individual socioeconomic status could be more important than global country socioeconomic status in predicting clinical outcome.
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