Accès ouvert déclaré
2023
article
Outcomes 1 year after non-operative management of uncomplicated appendicitis in children: Children with AppendicitiS during the CoronAvirus panDEmic (CASCADE) study
George Bethell, Clare M. Rees, Jonathan Sutcliffe, Nigel Hall, Anna‐May Long, Florin Djendov, Victor Emordi, Mark Peter, Sarah Staight, A. Jackson, Stewart Cleeve, Arun Kelay, Michael A. Terry, Christina Major, Oscar Croysdale, Bhavik Patel, Eleri Cusick, Hannah Rhodes, Juliette King, Sophie Lewis, Chris Driver, Gillian Winter, Michael Wilson, Rachael Robertson, Duncan Rutherford, K McGivern, Ilhama Jafarli, Selena Ćurković, Raef Jackson, Bhushanrao Jadhav, Maeve Conroy, Thomas Raymond, Vijay Gangalam, Deepak Selvakumar, Khalid Elmalik, Reda Abualyazeed Habak, Muslim Abdullah, Mohamed Ahmed Osama, Milan Gopal, Laura Phillips, Khlud Asanai, Hany Gabra, Kamil Naidoo, Noman Zafar, Sophia Lewis, Florence Kashora, Dixa Thakrar, Dean Rex, Annita Budzanowski, J. D. Binnington, S Timbrell, Megan Ridgeway, Shirley Chan, Amani Asour, A Aderombi, Anna Maria Kocsis, Donald Menzies, Ali Murtada, Corina Dragu, Vincent Quan, Alan Askari, Krashna Patel, Sharukh Zuberi, Saarah Ebrahim, Merrill McHoney, Hetal Patel, Sesi Hotonu, Ashley Meikle, Raj Dass, Andrew J. Beamish, R. J. Codd, Rucira Ooi, Alethea Tang, Luke Taylor, Ajay Belgaumkar, Bankole Oyewole, Prabhat Narayan, Marianne Hollyman, Angeliki Kosti, T Badenoch, Asef Rakin, Hamad Khan, Frances Goulder, Katie Siggens, Kizzie Peters, Fiona Kirkham-Wilson, Sophie Bowyer, Enakshee Jamnadass, Paul Froggatt, Karen Lai, Cristina Navarro, Dorinda Chandrabose, Olugbenga Awolaran, Simon Toh, Alex Darbyshire, Ashley Towers, Christine Tan, Joanna Miles, Ingo Jester, Benjamin Martin, Elmarie van der Merwe, Hetal N Patel, E Gemmill, E Lenzi, Richard Egan, K Soanes, Mark Dilworth, Dimitrios Stamatiou, A. L. MACMILLAN, J McIntyre, Danielle Clyde, Majid Rashid, Gandrapu Srinivas, Petros Christopoulos, Talal Majeed, Katherine M. Buckley, Darren M. Smith, Salma Ahmed, H Dowson, Gautam Singh, George Kerans, Ashwini Ghorpade, Muhammad Tobbal, Seshu Kumar Bylapudi, Louise Phillips, Kimberley Hallam, Marisa Clemente, Tanzeela Gala, Karol Pál, Lachlan Dick, George Ninkovic-Hall, Emila Paul, Ahmed Abdalla, T Pelly, J Vance-Daniel, Venkatesh Kanakala, Edward J Nevins, James Dixon, Michael John, Jude Prince, Kunal Rajput, R Clifford, Siddhant Kumar, Dale Vimalachandran, Georgios Karagiannidis, Fahed Youssef, Suzette Samlalsingh, Chrsitine Ozone, Amina Bouhelal, Siddhartha Handa, Andrew Mitchell, R. Sathasivam, Ellen Ross, Ali Wadah, Tim J. Bradnock, John Hallett, Felicity Arthur, Shirish Tewari, Vinay Shah, Vivek Gupta, Nick Reay-Jones, Salman Bodla, Nuha Yassin, Harriet Corbett, Sumita Chhabra, Athanasios Tyraskis, Benjamin Allin, Angus Fitchie, Benjamin Samra, Michael Stanton, Dina Fouad, Joshua Brown, M N Vipond, Harry Dean, Matthew Boal, Oliver Brown, Jonathan Goring, Mahmoud Marei Marei, Christian Verhoef, Jonathan Ducey, Chipo Mushonga, Dan Frith, Ashok Daya Ram, Tristan Boam, Melissa Gabriel, Ferzine Mohamed, David Williams, Katie Cross, Nadine Dyar, Rick MacMahon, Mohammed Fakhrul-Aldeen, Iain Bain, David Bunting, Graham Branagan, Rachel Carten, Chee Wan Lai, Lydia Longstaff, Charles West, Lucinda Doyle, Anindya Niyogi, Claudia Koh, Christian Fox, Brooke Gerrie, Hemanshoo Thakkar, Stavros Loukogeorgakis, Joe Curry, Kate Cross, Jayaram Sivaraj, Sean Marven, Milda Jancauskaite, Helen Please, Wayne Fradley, Fenella K.S. Welsh, Maki Jitsumara, Caoimhe Walsh, Sinead Hassett, Ancuta Muntean, Ionica Stoica, Sarah Yassin, Lukas O’Brien, Alan Mortell, Kris Hughes, Suzanne Lawther, David Colvin, Ciaran Durand, Adrian Lim, Mohamed Eltom, Iain Yardley, Kirsty Brennan, Clara Chong, Joshua Pointon, Hasan Mukhtar, Hany Ezzat Khalil, Stephanie Clark, Mohamad Iskandarani, Ashish Desai, B Woodward, Sara Gozzini, Amulya K. Saxena, Joshua Cave, Eva Sorensen, Alistair Sharples, Joseph Meilak, Ankur Shah, Sujata Rai, Anang Pangeni, Ashish Shrestha, Astha Tanwar, Milord Hamal, Marco Youssef, Zaid Al-Hamid, Vasudev Zaver, Hazem Elfar, Lucy Stephenson, Ed Hannon, Gregory R. Jones, J. D. Hodgkinson, Radhika Chadha, James Dale, Timothy Pilpel
7Citations signalées — pas une note de qualité
3Institutions déclarées
1Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND: A major shift in treatment of appendicitis occurred early in the SARS-CoV-2 pandemic with non-operative management used commonly outside research protocols and in units with limited previous experience. This study aims to compare real-world outcomes of surgery versus non-operative management of uncomplicated appendicitis in children with 1-year follow-up. METHOD: A prospective multicentre observational study of children treated for uncomplicated appendicitis at 74 hospitals in the UK and Ireland from 1 April to 31 July 2020 was performed. Propensity-score matched analysis was conducted using age, sex, C-reactive protein at diagnosis and duration of symptoms as covariates. Primary outcomes were success of non-operative management defined as achieving 1-year follow-up without undergoing appendicectomy due to recurrent appendicitis or ongoing symptoms, and occurrence of any predefined complication (intra-abdominal collection, wound infection, bowel obstruction or reintervention). RESULTS: Of 1464 children with presumed uncomplicated appendicitis, 1027 (70.2 per cent) underwent surgery and 437 (29.9 per cent) underwent non-operative management. Ninety-four children (21.5 per cent) treated by initial non-operative management required appendicectomy during the index hospital admission while recurrent appendicitis after discharge occurred in 25 (10.4 per cent) children within 1 year. The overall success rate of non-operative management at 1 year was 63.1 per cent (95 per cent c.i. 58.0 to 68.3 per cent). For propensity-score matched analyses, 688 children undergoing surgery and 307 undergoing non-operative management were included. Any predefined complication occurred in 50 (7.3 per cent) children undergoing surgery and in four (1.3 per cent) children undergoing non-operative management (OR 5.9 (95 per cent c.i. 2.1 to 16.6)) in the propensity-score matched cohort. There was no mortality or stoma formation. CONCLUSION: Non-operative management is a safe and valid alternative to appendicectomy in children with uncomplicated appendicitis.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Outcomes 1 year after non-operative management of uncomplicated appendicitis in children: Children with AppendicitiS during the CoronAvirus panDEmic (CASCADE) study
- Date Crossref
- 05/05/2023
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Appendicitis Diagnosis and ManagementCOVID-19 and healthcare impactsKawasaki Disease and Coronary Complications