Evidence map›Paper›PMID 32362368›Full record

ReviewJournal of visceral surgery2020

Antibiotics alone as an alternative to appendectomy for uncomplicated acute appendicitis in adults: Changes in treatment modalities related to the COVID-19 health crisis.

M Collard, Z Lakkis, J Loriau, D Mege, C Sabbagh, J H Lefevre, L Maggiori

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of visceral surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04440150 (Preoperative Immature Granulocyte Count and Percentage for Complicated and Uncomplicated Appendisitis), which is not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
20.0field-weighted citation impact, top 1% 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.

NCT04440150 nacompletednot on this map

Preoperative Immature Granulocyte Count and Percentage for Complicated and Uncomplicated Appendisitis

TypeinterventionalSponsorKahramanmaras Sutcu Imam UniversityRan2018 to 2019Enrolled70ConditionsAcute AppendicitisArmsAppendectomy
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 101 citations in OpenAlex.

  1. Article
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  11. The effects of COVID-19 pandemic on patients with acute appendicitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  12. The effects of COVID-19 pandemic on emergency anterior abdominal wall hernia surgery: is it safe to postpone elective hernia surgery in the pandemic?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  13. Impact of coronavirus disease on acute appendicitis cases.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  14. Article
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  16. Observational
  17. 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

7 authors at 6 institutions in 2 countries.

M CollardDigestive Surgery Department, Sorbonne University, Saint-Antoine Hospital, AP-HP, 75012 Paris, France.
Z LakkisDepartment of Digestive Surgical Oncology, Liver Transplantation Unit, University Hospital of Besançon, 2, boulevard Alexander Fleming, 25000, Besançon, France.
J LoriauDepartment of Visceral Surgery, Groupe Hospitalier Paris Saint Joseph, 75014, Paris, France.
D MegeDepartment of Digestive Surgery, Assistance Publique Hôpitaux de Marseille, Timone University Hospital, Marseille, France.
C SabbaghDigestive surgery department, CHU Amiens-Picardie, 80000 Amiens, France; Research Unit SSPC (simplification des soins des patients chirurgicaux complexes), université de Picardie Jules Verne, 80025 Amiens, France.
J H LefevreDigestive Surgery Department, Sorbonne University, Saint-Antoine Hospital, AP-HP, 75012 Paris, France.
L MaggioriDepartment of Colorectal surgery, Beaujon Hospital, Paris University, AP-HP, 92110, Clichy, France. Electronic address: leon.maggiori@aphp.fr.
Sorbonne Université · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Besançon · FRCentrum Badań Kosmicznych · PLDélégation Paris 7 · FRHôpital Paris Saint-Joseph · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The massive inflow of patients with COVID-19 requiring urgent care has overloaded hospitals in France and impacts the management of other patients. Deferring hospitalization and non-urgent surgeries has become a priority for surgeons today in order to relieve the health care system. It is obviously not simple to reduce emergency surgery without altering the quality of care or leading to a loss of chance for the patient. Acute appendicitis is a very specific situation and the prevalence of this disease leads us to reconsider this particular disease in the context of the COVID-19 crisis. Indeed, while the currently recommended treatment for uncomplicated acute appendicitis is surgical appendectomy, the non-surgical alternative of medical management by antibiotic therapy alone has been widely evaluated by high-quality studies in the literature. Insofar as the main limitation of exclusively medical treatment of uncomplicated acute appendicitis is the risk of recurrent appendicitis, this treatment option represents an alternative of choice to reduce the intra-hospital overload in this context of health crisis. The aim of this work is therefore to provide physicians and surgeons with a practical guide based on a review of the literature on the medical treatment of uncomplicated acute appendicitis in adults, to offer this alternative treatment to the right patients and under good conditions, especially when access to the operating room is limited or impossible.

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralAcute DiseaseAdultAlgorithmsAmbulatory CareAnti-Bacterial AgentsAppendectomyAppendicitisCOVID-19HumansPatient SelectionAnti-Bacterial AgentsAcute appendicitisAntibiotic therapyAppendectomyCoronavirusCOVID-19

Identifiers

PMID32362368
PMCPMC7181971
OpenAlexW3018345154

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.