ArticleWorld journal of surgery2023
Factors Contributing to Delays to Accessing Appendectomy in Low- and Middle-Income Countries: A Scoping Review.
Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.
- The Cost-Effectiveness of Conservatively Managed Acute Appendicitis Versus Appendicectomy: A Systematic Review.Surgical laparoscopy, endoscopy & percutaneous techniques · 2026Pooled it
- Unfavorable management outcome and its predictors among appendicitis patients in ethiopia: a systematic review and meta- analysis.BMC surgery · 2025Pooled it
- Complicated appendicitis in low- and lower-middle-income countries: a systematic review and meta-analysis.ANZ journal of surgery · 2025Pooled it
- Non-operative versus operative management of uncomplicated acute appendicitis: a randomized controlled study in Sierra Leone.BMC surgery · 2026Trial
- Appendicitis burden in Africa, 2010-2023: temporal trends, pandemic-era deviations, and projections to 2030.Tropical medicine and health · 2026Article
- Association of Sex, Age, and Inflammatory Cell Counts with Complicated Acute Appendicitis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026Article
- Appendicitis.Nature reviews. Disease primers · 2025Review
- Gola Khisakna as a Culture-bound Syndrome: A Case Series from India.Indian journal of psychological medicine · 2025Article
- Reduction in perforated appendicitis incidence between rural and urban populations after introducing social health insurance in Vietnam: A population-based study.World journal of surgery · 2024Article
- Barriers to accessing appendectomy in the public sector health system in the Western Cape Province, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundAppendicitis is one of the most common emergency surgical conditions worldwide. Delays in accessing appendectomy can lead to complications. Evidence on these delays in low- and middle-income countries (LMICs) is lacking. The aim of this review was to identify and synthesise the available evidence on delays to accessing appendectomy in LMICs.
methodsThis scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews framework. The delays and their interconnectivity in LMICs were synthesised and interpreted using the Three Delays framework. We reviewed Africa Wide EBSCOhost, PubMed-Medline, Scopus, Web of Science, African Journals Online (AJOL), and Bioline databases.
resultsOur search identified 21 893 studies, of which 78 were included in the final analysis. All of the studies were quantitative. Fifty per cent of the studies included all three types of delays. Delays in seeking care were influenced by a lack of awareness of appendicitis symptoms, and the use of self and alternative medication, which could be linked to delays in receiving care, and the barrier refusal of medical treatment due to fear. Financial concerns were a barrier observed throughout the care pathway.
conclusionThis review highlighted the need for additional studies on delays to accessing appendectomy in additional LMICs. Our review demonstrates that in LMICs, persons seeking appendectomy present late to health-care facilities due to several patient-related factors. After reaching a health-care facility, accessing appendectomy can further be delayed owing to a lack of adequate hospital resources.
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