ArticleBMC surgery2022
Negative appendectomy rate in patients diagnosed with acute appendicitis.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- 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 · 2026Article
- Negative Appendectomy Rates and Their Correlation With the Use of Histopathology: A Clinical Audit.Cureus · 2026Article
- Changing trends in appendiceal pathology: a 16-year retrospective extension study of surgically removed appendices in a tropical teaching hospital.BMC gastroenterology · 2025Article
- The occurrence of appendicitis varies according to latitudes and seasons: A French national retrospective study.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Assessment of negative appendectomy in acute appendicitis diagnoses.Surgery in practice and science · 2025Article
- Therapeutic effectiveness and influencing factors of laparoscopic appendectomy with mesoappendix dissection in the treatment of acute appendicitis.World journal of gastrointestinal surgery · 2025Article
- Using a sum of the cross diameters of the appendix measured on ultrasonography as a criterion can more effectively predict acute appendicitis.European radiology · 2025Article
- Incidental Neoplasm and Histopathological Spectrum of Suspected Acute Appendicitis in Appendectomy Specimen: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Diagnostic and therapeutic value of appendoscope-assisted endoscopic retrograde appendicitis therapy.Endoscopy international open · 2025Article
- Parasitic appendicitis, what do we know?-a literature review.Translational gastroenterology and hepatology · 2025Review
- Time to improve the management of patients with suspected acute appendicitis: a retrospective study.Abdominal radiology (New York) · 2024Article
- Computed tomography and clinical outcomes in the diagnosis of acute appendicitis: Significance of periappendiceal fat tissue.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Diagnostic accuracy of low dose CT-Scan abdomen in patients with clinical features of acute appendicitis.Pakistan journal of medical sciences · 2024Article
- Is appendoscope a new option for the treatment of acute appendicitis?World journal of gastroenterology · 2024Review
- Risk Factors Associated With Negative Appendicectomy Rates: A Retrospective Cohort Study.Cureus · 2024Article
- Evaluation of geographic variations in appendicectomy outcomes within Western Australia assessing the impact of surgical wait times and rate of negative appendicectomies in both urban and rural locations statewide.International journal of colorectal disease · 2024Article
- Article
- Self-Locking Polymeric Clips Are Safe for the Closure of Appendiceal Stump in Laparoscopic Appendectomy.Medicina (Kaunas, Lithuania) · 2023Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute appendicitis is the most common cause of acute lower abdominal pain leading patients to the emergency department. This study aims to find the negative appendectomy rate in patients diagnosed with acute appendicitis from 2015 to 2019.
methodsThis study was a retrospective cohort study in the patients preoperatively diagnosed with acute appendicitis and underwent appendectomy from January 2015 to December 2019. Negative appendectomy is defined as the final pathologic results confirmed normal, congestion or peri-appendicitis.
resultsThe study population was 892 patients which was 54.3% female. The five-year negative appendectomy rate was 8.6% (n = 77) and 70% in female (n = 54). The factors associated with increasing the negative appendectomy rate were female (OR 2.23, P = 0.003), age ≤ 40 years old (OR 2.35, P = 0.003), and no history of diarrhea (OR 2.42, P = 0.017). Whereas the factors related to decline in the negative appendectomy rate were white blood cell count (WBC) [Formula: see text] 10,000 (OR 0.39, P = 0.016), neutrophil (N) [Formula: see text] 75% (OR 0.28, P < 0.001), and positive appendicitis from ultrasonography of abdomen (OR 0.04, P < 0.001) or computed tomography of abdomen (OR 0.07, P < 0.001).
conclusionThe negative appendectomy rate was less than 10% in this study. Female, age 40 ≤ years old and history of diarrhea were related to increase in negative appendectomy. The factors that related to decline in negative appendectomy were leukocytosis with cells shift to the left, positive acute appendicitis from abdominal ultrasonography and CT scan. However, to request the further imaging studies to diagnose patients with suspected acute appendicitis depends on the risk and benefit to each patient and the choice of investigation.
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