Observational studyDeutsches Arzteblatt international2021
Acute Appendicitis: Trends in Surgical Treatment—A Population-Based Study of Over 800 000 Patients.
Observational study in Deutsches Arzteblatt international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Swedish national guidelines for diagnosis and management of acute appendicitis in adults and children.BJS open · 2025Guideline
- Appendicitis.Nature reviews. Disease primers · 2025Review
- Laparoscopic appendectomy as the gold standard: What role remains for open surgery, conversion, and disease severity? : An analysis of 32,000 cases with appendicitis in Germany.World journal of emergency surgery : WJES · 2025Observational
- Therapeutic effectiveness and influencing factors of laparoscopic appendectomy with mesoappendix dissection in the treatment of acute appendicitis.World journal of gastrointestinal surgery · 2025Article
- MaskAppendix: Backbone-Enriched Mask R-CNN Based on Grad-CAM for Automatic Appendix Segmentation.Diagnostics (Basel, Switzerland) · 2024Article
- [Interdisciplinary surgical spectrum in cooperation of abdominal surgery and gynecology : What must the (general/abdominal) surgeon know?]Chirurgie (Heidelberg, Germany) · 2024Review
- Differences in healthcare structures, processes and outcomes of neighbouring European countries: the example of Germany and the Netherlands.Research in health services & regions · 2023Article
- Development and evaluation of a clinical decision support system for early diagnosis of acute appendicitis.Scientific reports · 2023Article
- How did the COVID-19 pandemic affect inpatient care for children in Germany? An exploratory analysis based on national hospital discharge data.BMC health services research · 2023Article
- Risk Factors for Conversion from Laparoscopic to Open Appendectomy.Journal of clinical medicine · 2023Article
- Risk factors for postoperative morbidity, prolonged length of stay and hospital readmission after appendectomy for acute appendicitis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- A nationwide population-based study on the clinical and economic burden of anastomotic leakage in colorectal surgery.Langenbeck's archives of surgery · 2023Article
- [The importance of microbiological results for the treatment of complicated appendicitis-a monocentric case-control study].Chirurgie (Heidelberg, Germany) · 2022Article
- [Regional and gender variations in appendicectomy : Nationwide small-area development of operation rates in the time series].Chirurgie (Heidelberg, Germany) · 2022Article
- Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis.Journal of personalized medicine · 2021Article
- Classification of acute appendicitis (CAA): treatment directed new classification based on imaging (ultrasound, computed tomography) and pathology.International journal of colorectal disease · 2021Review
- In Reply.Deutsches Arzteblatt international · 2021Article
- Billing [DRG statistics?] Data Do not Tell the Whole Story.Deutsches Arzteblatt international · 2021Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAppendectomy is the gold standard for treatment of acute appendicitis. However, recent studies favor primary antibiotic therapy. The aim of this observational study was to explore changes in the numbers of operations for acute appendicitis in the period 2010-2017, paying special attention to disease severity.
methodsData from diagnosis-related group statistics were used to analyze the trends, mortality, and complication rates in the surgical treatment of appendicitis in Germany between 2010 and 2017. All cases of appendectomy after a diagnosis of appendicitis were included.
resultsAltogether, 865 688 inpatient cases were analyzed. The number of appendectomies went down by 9,8%, from 113 614 in 2010 to 102 464 in 2017, while the incidence fell from 139/100 000 in 2010 to 123/100 000 in 2017 (standardized by age group). This decrease is due to the lower number of operations for uncomplicated appendicitis (79 906 in 2017 versus 93 135 in 2010). Hospital mortality decreased both in patients who underwent surgical treatment of complicated appendicitis (0.62% in 2010 versus 0.42% in 2017) and in those with a complicated clinical course (5.4% in 2010 versus 3.4% in 2017).
conclusionDecisions on the treatment of acute appendicitis in German hospitals follow the current trend towards non-surgical management in selected patients. At the same time, the care of acute appendicitis has improved with regard to overall hospital morbidity and hospital mortality.
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