Evidence map›Paper›PMID 35873751›Full record

ArticleTurkish journal of surgery2022

Demographic factors associated with length of stay in hospital and histological diagnosis in adults undergoing appendicectomy.

Shivam Bhanderi, Quratul Ain, Iram Siddique, Vasileios Charalampakis, Markos Daskalakis, Rajwinder Nijjar, Martin Richardson, Rishi Singhal

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 2 institutions in 1 country.

Shivam BhanderiDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0001-6927-7700
Quratul AinDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0003-3997-8033
Iram SiddiqueDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0001-9490-0859
Vasileios CharalampakisClinic of General Surgery, Warwick Hospital South Warwickshire NHS Foundation Trust, Warwick, United Kingdom.ORCID 0000-0003-0018-4885
Markos DaskalakisDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0002-5144-4344
Rajwinder NijjarDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0001-7357-4417
Martin RichardsonDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0002-4447-5951
Rishi SinghalDepartment of General Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.ORCID 0000-0002-2797-2569
University Hospitals Birmingham NHS Foundation Trust · GBWarwick Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Appendicectomy remains of the most common emergency operations in the United Kingdom. The exact etiologies of appendicitis remain unclear with only potential causes suggested in the literature. Social deprivation and ethnicity have both been demonstrated to influence outcomes following many operations. There are currently no studies evaluating their roles with regards to severity and outcomes following appendicectomy. Material and Methods: Demographic data were retrieved from health records for adult patients who underwent appendicectomy between 2010-2016 within a single NHS trust. To measure social deprivation, Indices of Multiple Deprivation (IMD) rankings were used. Histology reports were reviewed and diagnosis classified into predefined categories: non-inflamed appendix, uncomplicated appendicitis, complicated appendicitis and gangrenous appendicitis. Results: Three thousand four hundred and forty-four patients were identified. Mean age was 37.8 years (range 73 years). Using a generalized linear model, South Asian ethnicity specifically was found to be independently predictive of increased length of stay following appendicectomy (p <0.001). Amongst South Asian patients, social deprivation was found to be further predictive of longer hospital stay (p= 0.005). Deprivation was found to be a predictor of complicated appendicitis but not of gangrenous appendicitis (p= 0.01). Male gender and age were also independent predictors of positive histology for appendicitis (p <0.001 and p= 0.021 respectively). Conclusion: This study is the first to report an independent association between South Asian ethnicity and increased length of stay for patients undergoing appendicectomy in a single NHS trust. The associations reported in this study may be a result of differences in the pathophysiology of acute appendicitis or represent inequalities in healthcare provision across ethnic and socioeconomic groups.

Indexed as

Appendicitisdeprivationethnicitygeneral surgery

Identifiers

PMID35873751
PMCPMC9278359
OpenAlexW4221117916

What OpenQuestion holds

Textmetadata
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.