Evidence map›Paper›PMID 30242478›Full record

ArticleInternational journal of colorectal disease2019

Appendiceal neoplasm risk associated with complicated acute appendicitis-a population based study.

Elina Lietzén, Juha M Grönroos, Jukka-Pekka Mecklin, Ari Leppäniemi, Pia Nordström, Tero Rautio, Tuomo Rantanen, Juhani Sand, Hannu Paajanen, Anne Kaljonen and 1 more

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In one paragraph

Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
5.9field-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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Uncomplicated and Complicated Acute Appendicitis Induce Different Cytokine Patterns.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Trial
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  13. Review
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  15. Appendicitis.Nature reviews. Disease primers · 2025
    Review
  16. Article
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  18. Is non-operative treatment of acute appendicitis possible: A narrative review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Review
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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

11 authors at 9 institutions in 1 country.

Elina LietzénDivision of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Kiinanmyllynkatu 4-8, 20520, Turku, Finland. elina.lietzen@tyks.fi.
Juha M GrönroosDivision of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Kiinanmyllynkatu 4-8, 20520, Turku, Finland.
Jukka-Pekka MecklinDepartment of Surgery, Jyväskylä Central Hospital and Sport and Health Sciences, Jyväskylä, Finland.
Ari LeppäniemiDepartment of Gastrointestinal Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Pia NordströmDivision of Surgery, Gastroenterology and Oncology, Tampere University Hospital, Tampere, Finland.
Tero RautioDepartment of Surgery, Division of Gastroenterology, Oulu University Hospital, Oulu, Finland.
Tuomo RantanenDepartment of Surgery, Seinäjoki Central Hospital, Seinäjoki, Finland.
Juhani SandHealth and Medical Services, Päijät-Häme Joint Authority for Health and Wellbeing, Lahti, Finland.
Hannu PaajanenDepartment of Surgery, Mikkeli Central Hospital, Mikkeli, Finland.
Anne KaljonenThe Department of Biostatistics, University of Turku, Turku, Finland.
Paulina SalminenDivision of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Kiinanmyllynkatu 4-8, 20520, Turku, Finland.
Turku University Hospital · FIMoisio Hospital · FIOulu University Hospital · FIPäijät-Hämeen Keskussairaala · FITampere University · FIUniversity of Eastern Finland · FIUniversity of Helsinki · FIUniversity of Jyväskylä · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAppendiceal tumors are rare, but high neoplasm rates have been reported at interval appendectomy after periappendicular abscess. Non-operative management of uncomplicated acute appendicitis has shown promising results. The data on appendiceal tumor incidence and presentation among acute appendicitis patients is limited, especially in patient cohorts differentiating between uncomplicated and complicated acute appendicitis. Objective was to assess appendiceal tumor incidence and tumor association to appendicitis in patients with uncomplicated and complicated acute appendicitis.

methodsThis nationwide population-based registry study was conducted from 2007 to 2013. The Finnish Cancer Registry and the National Institute for Health Registry were used to combine data on all appendiceal tumors and acute appendicitis diagnosis with medical reports evaluated at eight study hospitals.

resultsAltogether, 840 appendiceal tumors were identified, and out of these, 504 patient reports were reviewed, including 472 patients in this study. Tumor was diagnosed at appendectomy for suspected acute appendicitis in 276 patients (58%). In the whole study, histologically acute appendicitis and tumor were both present in 53% (n = 250), and out of these, 41% (n = 102) were complicated and 59% (n = 148) uncomplicated acute appendicitis. The associated tumor risk was significantly higher in complicated acute appendicitis compared with uncomplicated cases (3.24% vs. 0.87%, p < 0.001). Overall tumor prevalence among acute appendicitis patients was 1.24%.

conclusionsAppendiceal tumor prevalence in acute appendicitis was low. Tumor risk was significantly higher in complicated acute appendicitis compared with uncomplicated acute appendicitis. The risk of missed appendiceal tumors related to antibiotic therapy of uncomplicated acute appendicitis is very low.

Indexed as

Acute DiseaseAppendiceal NeoplasmsAppendicitisFemaleFinlandHumansMaleMiddle AgedRisk FactorsAcute appendicitisAppendectomyAppendiceal neoplasmComplicated acute appendicitisNon-operative treatmentUncomplicated acute appendicitis

Identifiers

PMID30242478
OpenAlexW2893700051

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.