Evidence map›Paper›PMID 41024738›Full record

SynthesisAnnals of medicine2025

Non-operative management of appendiceal abscess in children: a systematic review.

Song Zhang, Hai Lan Zhang, Yu Zuo Bai, Xiao Bing Tang

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Song ZhangDepartment of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Hai Lan ZhangDepartment of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Yu Zuo BaiDepartment of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.ORCID 0000-0002-0647-6195
Xiao Bing TangDepartment of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.ORCID 0000-0002-6925-3204

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-operative treatment (NOT) has gained widespread acceptance as the initial therapy for pediatric patients with appendiceal abscess. The subsequent management methods encompass interval appendectomy (IA) and active observation (AO). The aim of the study is to compare the IA and AO alternatives after successful NOT of pediatric appendiceal abscess.

methodsSystematic literature research of PubMed was performed for relevant studies published. Variables as length of hospital stay (LOS), recurrence rate, complication rate, cost, operative time were analyzed.

resultsSix articles were selected, including 396 patients with successful NOT of appendiceal abscess. 145 patients were in IA group while 251 patients were in AO group. There was no statistically significant difference in complication rate and cost was observed between IA and AO with recurrence group, while IA resulted in a shorter LOS and operative time. Moreover, the incidence rate of recurrence in AO was reported as 2.4%∼34.2%. The pooled estimate of the risk of recurrence was 9.9% (CI:4.8-20.6).

conclusionFollowing successful NOT of pediatric appendiceal abscess, the choice of management options is still controversial. More well-designed randomized controlled trials are needed to discover optimal treatment strategy.

Indexed as

AbscessAppendectomyAppendicitisWatchful WaitingChildHumansLength of StayOperative TimeRecurrenceTreatment Outcomeactive observationAppendiceal abscesschildrenInterval appendectomynon-operative treatment

Identifiers

PMID41024738
PMCPMC12486442

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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.