Evidence map›Paper›PMID 32878574›Full record

ArticleScottish medical journal2020

Management of appendicitis during COVID-19 pandemic; short-term outcomes.

Radhakrishnan Ganesh, James Lucocq, Neville Ogbonnia Ekpete, Noor Ul Ain, Su Kwan Lim, Al Alwash, Saira Bibi, Afshin Alijani

Open access · hybridAbstract read
In one paragraph

Article in Scottish medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
8.9field-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.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Rate of Application and Outcome of Non-operative Management of Acute Appendicitis in the Setting of COVID-19: Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
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  12. The effect of COVID-19 pandemic period on acute appendicitis and its complications.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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  16. Management of uncomplicated acute appendicitis during the COVID-19 pandemic: Appendectomy or non-surgical treatment?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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  17. Impact of the COVID-19 pandemic on emergency general surgery outcomes: A single-center retrospective cohort study.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

8 authors at 1 institution in 1 country.

Radhakrishnan GaneshSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.ORCID https://orcid.org/0000-0002-6330-5608
James LucocqSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.ORCID https://orcid.org/0000-0002-6979-7818
Neville Ogbonnia EkpeteSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Noor Ul AinSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Su Kwan LimSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Al AlwashSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Saira BibiSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Afshin AlijaniSpecialty Registrar, Department of General Surgery, Ninewells Hospital, UK.
Ninewells Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimCOVID-19 pandemic has predisposed patients undergoing surgery to post-operative infection and resultant complications. Appendicitis is frequently managed by appendicectomy. After the onset of the pandemic, selected cases of appendicitis were managed with antibiotics which is a recognised treatment option. Our objective was to compare the management of appendicitis and post-operative outcomes between pre- and post-COVID-19.

methodsNinety-six patients were identified from before the onset of the pandemic (November 2019) to after the onset of the pandemic (May 2020). Data were collected retrospectively from electronic records including demographics, investigations, treatment, duration of inpatient stay, complications, readmissions and compared between pre- and post-COVID-19 groups.

resultsOne hundred percent underwent surgical treatment before the onset of pandemic, compared with 56.3% from the onset of the pandemic. A greater percentage of patients were investigated with imaging post-COVID-19 (100% versus 60.9%; p < 0.00001). There was no significant difference in the outcomes between the two groups.

conclusionCT/MRI scan was preferred to laparoscopy in diagnosing appendicitis and conservative management of uncomplicated appendicitis was common practice after the onset of pandemic. Health boards can adapt their management of surgical conditions during pandemics without adverse short-term consequences. Long term follow-up of this cohort will identify patients suitable for conservative management.

Indexed as

AppendectomyBetacoronavirusAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAppendicitisCoronavirus InfectionsCOVID-19FemaleHumansLaparoscopyMaleMiddle AgedPandemicsAnti-Bacterial AgentsantibioticAppendicitisCOVID-19CT scan

Identifiers

PMID32878574
PMCPMC7481653
OpenAlexW3082850262

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.