ArticleInternational journal of colorectal disease2022
Multicenter cohort study on the presentation and treatment of acute appendicitis during the COVID-19 pandemic.
Article in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 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
- Article
- Impact of the COVID-19 pandemic on the pattern of acute appendicitis, a single-center study.Frontiers in surgery · 2026Article
- SARS-CoV-2 infection and complicated appendicitis in adults in Lima, Peru: a matched case-control study.BMC surgery · 2025Article
- Impact of COVID-19 on urgent gastrointestinal surgery outcomes: increased mortality in 2020.World journal of emergency surgery : WJES · 2025Article
- Appendectomy: Cross-sectional study of the effects of COVID-19 in a hospital in South Brazil.Surgery open science · 2024Article
- Changes in the frequency, presentation and surgical outcomes of complicated appendicitis during the pandemic.Northern clinics of Istanbul · 2024Article
- Impact of the COVID-19 pandemic on the outcomes of laparoscopic appendectomy for acute appendicitis.Annals of surgical treatment and research · 2023Article
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Authors and funding
13 authors at 9 institutions in 2 countries.
Funding
Abstract
purposeCurrent studies have demonstrated conflicting results regarding surgical care for acute appendicitis during the COVID-19 pandemic. This study aimed to assess trends in diagnosis as well as treatment of acute appendicitis in the Netherlands during the first and second COVID-19 infection wave.
methodsAll consecutive patients that had an appendectomy for acute appendicitis in nine hospitals from January 2019 to December 2020 were included. The primary outcome was the number of appendectomies for acute appendicitis. Secondary outcomes included time between onset of symptoms and hospital admission, proportion of complex appendicitis, postoperative length of stay and postoperative infectious complications. Outcomes were compared between the pre-COVID group and COVID group.
resultsA total of 4401 patients were included. The mean weekly rate of appendectomies during the COVID period was 44.0, compared to 40.9 in the pre-COVID period. The proportion of patients with complex appendicitis and mean postoperative length of stay in days were similar in the pre-COVID and COVID group (respectively 35.5% vs 36.8%, p = 0.36 and 2.0 ± 2.2 vs 2.0 ± 2.6, p = 0.93). There were no differences in postoperative infectious complications. A computed tomography scan was used more frequently as a diagnostic tool after the onset of COVID-19 compared to pre-COVID (13.8% vs 9.8%, p < 0.001, respectively).
conclusionNo differences were observed in number of appendectomies, proportion of complex appendicitis, postoperative length of stay or postoperative infectious complications before and during the COVID-19 pandemic. A CT scan was used more frequently during the COVID-19 pandemic.
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