Evidence map›Paper›PMID 37086600›Full record

ArticleThe Journal of surgical research2023

Development and Feasibility Testing of a Decision Aid for Acute Appendicitis.

Joshua E Rosen, Frank F Yang, Joshua M Liao, David R Flum, Jonathan E Kohler, Nidhi A Agrawal, Giana H Davidson

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2023. 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
1.0field-weighted citation impact, top 25% 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, 3 citations in OpenAlex.

  1. Appendicitis.Nature reviews. Disease primers · 2025
    Review
  2. Review
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

7 authors at 2 institutions in 1 country.

Joshua E RosenSurgical Outcomes Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington; Decision Science Group, University of Washington, Seattle, Washington. Electronic address: jerosen@uw.edu.
Frank F YangSurgical Outcomes Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington.
Joshua M LiaoDecision Science Group, University of Washington, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington; Department of Health Systems and Population Health, University of Washington, Seattle, Washington.
David R FlumSurgical Outcomes Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington; Decision Science Group, University of Washington, Seattle, Washington.
Jonathan E KohlerDivision of Pediatric General, Thoracic and Fetal Surgery, Department of Surgery, University of California - Davis, Sacramento, California.
Nidhi A AgrawalFoster School of Business, University of Washington, Seattle, Washington.
Giana H DavidsonSurgical Outcomes Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington; Department of Health Systems and Population Health, University of Washington, Seattle, Washington.
University of Washington · USUniversity of California, Davis · US

Funding

Renewal: Gastrointestinal Surgery Outcomes Research FellowshipT32DK070555 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2024
$3.6M
NIDDK NIH HHS T32 DK070555
6 · The paper itself

Abstract

introductionPatients with acute uncomplicated appendicitis will be increasingly asked to choose between surgery and antibiotic management. We developed a novel decision aid for patients in the emergency department (ED) with acute appendicitis who are facing this choice. We describe the development of the decision aid and an initial feasibility study of its implementation in a busy tertiary care ED. MATERIALS AND

methodsWe conducted a prepost survey analysis comparing patients before and after standardized implementation of the decision aid. Patients were surveyed about their experience making treatment decisions after discharge from the hospital. The primary outcome measure was the total score on the decisional conflict scale (; 0-100; lower scores better).

resultsThe study included 24 participants (12 in the predecision aid period; 12 in the post period). Only 33% of participants in each group knew antibiotics were a treatment option prior to arriving at the ED. Prior to implementing the use of decision aid, only 75% of patients reported being told antibiotics were a treatment option, while this increased to 100% after implementation of the decision aid. The mean total decisional conflict scalescores were similar in the pre and post periods (mean difference = 0.13, 95% CI: -13 - 13, P > 0.9).

conclusionsThis novel appendicitis decision aid was effectively integrated into clinical practice and helped toinform patients about multiple treatment options. These data support further large-scale testing of the decision aid as part of standardized pathways for the management of patients with acute appendicitis.

Indexed as

AppendicitisDecision Support TechniquesAcute DiseaseAnti-Bacterial AgentsFeasibility StudiesHumansPatient ParticipationAnti-Bacterial AgentsAppendicitisDecision aidDecisional conflictDecision support

Identifiers

PMID37086600
PMCPMC10229438
OpenAlexW4366495173

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.