Evidence map›Paper›PMID 33575890›Full record

SynthesisInternational journal of colorectal disease2021

Same-day discharge after appendectomy for acute appendicitis: a systematic review and meta-analysis.

Elisabeth M L de Wijkerslooth, Jay M Bakas, Joost van Rosmalen, Anne Loes van den Boom, Bas P L Wijnhoven

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Call to Action: A Sustainable Interventional Radiology Service.Cardiovascular and interventional radiology · 2026
    Review
  4. Article
  5. Article
  6. Predictors of prolonged hospitalization and inflammation severity in acute appendicitis: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  7. Observational
  8. Article
  9. Article
  10. Ambulatory Surgery Ensemble: Predicting Adult and Pediatric Same-Day Surgery Cases Across Specialties.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Hospitalization Trends for Acute Appendicitis in Spain, 1998 to 2017.International journal of environmental research and public health · 2021
    Observational
  15. Article
  16. Article
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

5 authors.

Elisabeth M L de WijkersloothDepartment of Surgery, Erasmus MC-University Medical Centre, PO Box 2040, 3000, CA, Rotterdam, the Netherlands. e.dewijkerslooth@erasmusmc.nl.ORCID http://orcid.org/0000-0002-8914-5710
Jay M BakasDepartment of Surgery, Erasmus MC-University Medical Centre, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
Joost van RosmalenDepartment of Biostatics, Erasmus MC-University Medical Centre, Rotterdam, the Netherlands.
Anne Loes van den BoomDepartment of Surgery, Erasmus MC-University Medical Centre, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
Bas P L WijnhovenDepartment of Surgery, Erasmus MC-University Medical Centre, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients presenting with acute appendicitis are usually hospitalized for a few days for appendectomy and postoperative recovery. Shortening length of stay may reduce costs and improve patient satisfaction. The purpose of this study was to assess the safety of same-day discharge after appendectomy for acute appendicitis.

methodsA systematic review was performed according to PRISMA guidelines. A literature search of EMBASE, Ovid MEDLINE, Web of Science, Cochrane Central, and Google Scholar was conducted from inception to April 14, 2020. Two reviewers independently screened the literature and selected studies that addressed discharge on the same calendar day as the appendectomy. Risk of bias was assessed with the ROBINS-I tool. Main outcomes were hospital readmission, complications, and unplanned hospital visits in the postoperative course. A random effects model was used to pool risk ratios for the main outcomes.

resultsOf the 1912 articles screened, 17 comparative studies and 8 non-comparative studies met the inclusion criteria. Most only included laparoscopic procedure for uncomplicated appendicitis. Most studies were considered at moderate or serious risk of bias. In meta-analysis, same-day discharge (vs. overnight hospitalization) was not associated with increased rates of readmission, complication, and unplanned hospital visits. Non-comparative studies demonstrated low rates of readmission, complications, and unplanned hospital visits after same-day discharge.

conclusionThis study suggests that same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis is safe without an increased risk of readmission, complications, or unplanned hospital visits. Hence, same-day discharge may be further encouraged in selected patients.

trial registrationPROSPERO registration no. CRD42018115948.

Indexed as

AppendicitisLaparoscopyAppendectomyHumansLength of StayPatient DischargePatient ReadmissionAppendectomyAppendicitisLength of stayReadmissionSame-day discharge

Identifiers

PMID33575890
PMCPMC8119270

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.