Evidence map›Paper›PMID 40032590›Full record

ArticleBMJ paediatrics open2025

Efficacy of non-operative management of uncomplicated acute appendicitis: initial experience in a resource-limited setting.

Ana Gabriela Barría Rodríguez, Emilio Romero, Alan Guillen, Lorena Fábrega, Paulette Serrano Fernández

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ana Gabriela Barría RodríguezPediatic Surgery Department, Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Panama, Panama drabarriarodriguez@gmail.com.ORCID http://orcid.org/0000-0002-1245-2990
Emilio RomeroTranslational Health Sciences, University of Bristol Faculty of Health Sciences, Bristol, UK.
Alan GuillenUniversity of Panama, Panama City, Panama.
Lorena FábregaUniversity of Panama, Panama City, Panama.
Paulette Serrano FernándezHospital Dr Gustavo Nelson Collado, Chitre, Herrera, Panama.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although appendectomy remains the standard treatment for acute appendicitis, non-operative management has gained interest as a safe and effective alternative. However, its implementation in resource-limited hospitals like ours is hindered by insufficient staffing, high bed occupancy, lack of digital records and limited specialist access. Despite these challenges, we present our centre's initial experience. Between July 2022 and December 2023, 24 children with uncomplicated acute appendicitis were treated non-surgically, with an equal gender distribution. The initial success rate was 100%, with only three cases (12.5%) of treatment failure during 12 months of follow-up.

Indexed as

Anti-Bacterial AgentsAppendicitisConservative TreatmentAcute DiseaseAdolescentAppendectomyChildChild, PreschoolFemaleHumansMaleResource-Limited SettingsRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsAdolescent HealthChild HealthGastroenterologyLow and Middle Income Countries

Identifiers

PMID40032590
PMCPMC12082647

What OpenQuestion holds

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LicenceCC BY-NC
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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.