Evidence map›Paper›PMID 41278047›Full record

ArticleCureus2025

Evaluating the Negative Appendicectomy Rate: A Retrospective Observational Cohort Study at a UK Teaching Hospital Trust.

Jin Ren Lau, Ker Yin Tee, Karim Heiba, Ahsan Ali Shahbaz, Mohamed Elhennawi, Muhammad A Butt

Abstract read
In one paragraph

Article in Cureus, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

6 authors.

Jin Ren LauGeneral Surgery, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Ker Yin TeeInternal Medicine, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Karim HeibaGeneral Surgery, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Ahsan Ali ShahbazEmergency Medicine, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Mohamed ElhennawiGeneral Surgery, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Muhammad A ButtGeneral Surgery, East Lancashire Hospitals NHS Trust, Blackburn, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction The negative appendicectomy rate (NAR) serves as a key quality indicator in surgical practice, reflecting diagnostic accuracy and decision-making in suspected acute appendicitis. Despite improvements in imaging and clinical scoring systems, NAR in the United Kingdom remains higher than international averages. This study aimed to determine the NAR at East Lancashire Hospitals NHS Trust (ELHT), compare it with published benchmarks, and evaluate factors influencing diagnostic accuracy and clinical decision-making. Methods A retrospective observational cohort study was conducted at ELHT, encompassing all emergency appendicectomies performed between June 2023 and June 2024. Data were retrieved from electronic patient records and included demographics, clinical presentation, laboratory findings, imaging modality, and histopathology. Negative appendicectomy was defined histologically as the absence of inflammatory changes in the appendix. Subgroup analyses were performed by age, gender, and imaging use. Postoperative complications in negative appendicectomy cases were graded according to the Clavien-Dindo classification. A clinician survey assessed the utilisation of diagnostic scoring systems. Statistical analysis was performed using IBM SPSS Statistics version 31, with

Indexed as

acute appendicitisdiagnostic accuracylaparoscopic appendicectomynarnegative appendicectomy rateunited kingdom

Identifiers

PMID41278047
PMCPMC12634054

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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.