ArticleLangenbeck's archives of surgery2021
Appendicitis during the COVID-19 lockdown: results of a multicenter analysis in Germany.
Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Spontaneous Resolution of Uncomplicated Appendicitis may Explain Increase in Proportion of Complicated Appendicitis During Covid-19 Pandemic: a Systematic Review and Meta-analysis.World journal of surgery · 2023Pooled it
- Does age matter? Acute appendicitis in octogenarians vs. younger patients - results of a German multicenter analysis.Langenbeck's archives of surgery · 2026Article
- Article
- Incidence and clinical features of endometriosis in 2484 consecutive female patients undergoing appendectomy for suspected appendicitis-a retrospective analysis.Langenbeck's archives of surgery · 2024Article
- Article
- [Epidemiological impact of the COVID-19 pandemic on enucleation cases in Germany].Die Ophthalmologie · 2023Article
- Management of acute appendicitis during COVID-19 pandemic. Single center data from a tertiary care hospital in Germany.Innovative surgical sciences · 2023Article
- Association of the Bacteria of the Vermiform Appendix and the Peritoneal Cavity with Complicated Acute Appendicitis in Children.Diagnostics (Basel, Switzerland) · 2023Article
- Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study.BMC surgery · 2023Article
- Influence of COVID-19 Pandemic on Colorectal Cancer Presentation, Management and Outcome during the COVID-19 Pandemic.Journal of clinical medicine · 2023Article
- Delayed Presentation and Referral Time from General Practitioners Contribute to Increased Complicated Appendicitis during the Initial COVID-19 Pandemic Period in Japan.Journal of the anus, rectum and colon · 2023Article
- Exploring the Trends of Acute Appendicitis Following Recovery or Vaccination From COVID-19.The Journal of surgical research · 2022Article
- Effect of the COVID-19 pandemic on patients with presumed diagnosis of acute appendicitis.World journal of clinical cases · 2022Article
- CT scans do not reliably identify appendicoliths in acute appendicitis.Surgery in practice and science · 2022Article
- Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review.Medicina (Kaunas, Lithuania) · 2022Article
- Predicting complicated appendicitis based on clinical findings: the role of Alvarado and Appendicitis Inflammatory Response scores.Langenbeck's archives of surgery · 2022Article
- Acute Biliary Pancreatitis Management during the Coronavirus Disease 2019 Pandemic.Healthcare (Basel, Switzerland) · 2022Article
- Impact of the COVID-19 pandemic on delays in surgical procedures in Germany: a multi-center analysis of an administrative registry of 176,783 patients.Patient safety in surgery · 2022Article
- Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members.World journal of emergency surgery : WJES · 2022Article
- Impact of COVID-19 on the incidence of CT-diagnosed appendicitis and its complications in the UK and Sweden.International journal of colorectal disease · 2022Article
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Authors and funding
23 authors at 14 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe COVID-19 pandemic has transformed medical care worldwide. General surgery has been affected in elective procedures, yet the implications for emergency surgery are unclear. The current study analyzes the effect of the COVID-19 lockdown in spring 2020 on appendicitis treatment in Germany.
methodsHospitals that provided emergency surgical care during the COVID-19 lockdown were invited to participate. All patients diagnosed with appendicitis during the lockdown period (10 weeks) and, as a comparison group, patients from the same period in 2019 were analyzed. Clinical and laboratory parameters, intraoperative and pathological findings, and postoperative outcomes were analyzed.
resultsA total of 1915 appendectomies from 41 surgical departments in Germany were included. Compared to 2019 the number of appendectomies decreased by 13.5% (1.027 to 888, p=0.003) during the first 2020 COVID-19 lockdown. The delay between the onset of symptoms and medical consultation was substantially longer in the COVID-19 risk group and for the elderly. The rate of complicated appendicitis increased (58.2 to 64.4%), while the absolute number of complicated appendicitis decreased from 597 to 569, (p=0.012). The rate of negative appendectomies decreased significantly (6.7 to 4.6%; p=0.012). Overall postoperative morbidity and mortality, however, did not change.
conclusionThe COVID-19 lockdown had significant effects on abdominal emergency surgery in Germany. These seem to result from a stricter selection and a longer waiting time between the onset of symptoms and medical consultation for risk patients. However, the standard of emergency surgical care in Germany was maintained.
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