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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study
British Journal of Surgery, Volume 108, No. 6, Year 2021
Notification
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Description
Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19∙8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6∙6 and 2∙4 per cent respectively before, but 23∙7 and 5∙3 per cent, during the pandemic (both P < 0∙001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2. © The Author(s) 2020. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC7675377/bin/znaa189_supplementary_data.doc
Authors & Co-Authors
Ielpo, Benedetto
Unknown Affiliation
Podda, Mauro Guido
Italy, Cagliari
Azienda Ospedaliero Universitaria Di Cagliari
Pellino, Gianluca
Spain, Barcelona
Hospital Universitari Vall D'hebron
Italy, Naples
Università Degli Studi Della Campania Luigi Vanvitelli
Pata, Francesco
Italy, Rossano
Nicola Giannettasio Hospital
Italy, Rome
Sapienza Università Di Roma
Gravante, Gianpiero
Unknown Affiliation
Di Saverio, S.
Italy, Varese
Azienda Ospedaliera Ospedale Di Circolo e Fondazione Macchi Di Varese
Gallo, Gaetano
Unknown Affiliation
Lui, Rashid N.S.
Unknown Affiliation
Pisanu, Adolfo
Unknown Affiliation
Alhazmi, Ahmad
Unknown Affiliation
Porcu, Alberto
Unknown Affiliation
Sartori, Alberto
Unknown Affiliation
Solís-Peña, Alejandro
Unknown Affiliation
Boddy, Alexander P.
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Frontali, A.
Unknown Affiliation
Touré, Alpha Oumar
Unknown Affiliation
Ratnayake, Amila Sanjiva
Unknown Affiliation
Minaya-Bravo, Ana M.
Unknown Affiliation
Costanzi, Andrea Tullio Mario
Unknown Affiliation
Mihailescu, Andrei Bogdan
Unknown Affiliation
Iossa, Angelo
Unknown Affiliation
Brillantino, Antonio
Unknown Affiliation
de la Medina, Antonio Ramos
Unknown Affiliation
Tarasconi, Antonio
Unknown Affiliation
Leppäniemi, Ari Kalevi
Unknown Affiliation
Rahman, Ashrarur Rahman
Unknown Affiliation
Mehraj, Asif
Unknown Affiliation
Marinis, A. D.
Unknown Affiliation
de Simone, Belinda D.
Unknown Affiliation
Yànez, Carlos
Unknown Affiliation
Arcudi, Claudio
Unknown Affiliation
Popowich, Daniel A.
Unknown Affiliation
Delogu, Daniele
Unknown Affiliation
Pertile, Davide
Unknown Affiliation
Keller, Deborah Susan
Unknown Affiliation
Mazingi, Dennis S.
Unknown Affiliation
Sasia, Diego
Unknown Affiliation
Russello, Domenico
Unknown Affiliation
Rodas, Edgar B.
Unknown Affiliation
Samadov, Elgün
Unknown Affiliation
Aytaç, Erman
Unknown Affiliation
Foianini, Jorge Esteban
Unknown Affiliation
Licardie, Eugenio
Unknown Affiliation
Medas, Fabio
Unknown Affiliation
Gheza, Federico
Unknown Affiliation
Alconchel, Felipe
Unknown Affiliation
Agresta, Ferdinando
Unknown Affiliation
Mendoza-Moreno, Fernando
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Di Marzo, Francesco
Unknown Affiliation
Ferrara, Francesco
Unknown Affiliation
Roscio, Francesco Pietro Maria
Unknown Affiliation
Virdis, Francesco
Unknown Affiliation
Schlottmann, Francisco
Unknown Affiliation
Van Ramshorst, G. H.
Unknown Affiliation
Calini, Giacomo
Unknown Affiliation
Vanni, Gianluca
Unknown Affiliation
Bellanova, Giovanni
Unknown Affiliation
Tebala, Giovanni Domenico
Unknown Affiliation
Argenio, Giulio
Unknown Affiliation
Brisinda, Giuseppe
Unknown Affiliation
Nigri, Giuseppe R.
Unknown Affiliation
Machain Vega, Gustavo Miguel
Unknown Affiliation
Fathy, Hamada
Unknown Affiliation
Faraj, Hazem Abdelkarem
Unknown Affiliation
Ebied, Husam
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
Ortega, Irene
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Kok, Johnn Henry Herrera
Unknown Affiliation
Abba, Julio
Unknown Affiliation
Siragusa, Leandro
Unknown Affiliation
Ferrario, Luca
Unknown Affiliation
Gordini, Luca
Unknown Affiliation
Pio, Luca
Unknown Affiliation
Bonavina, Luigi
Unknown Affiliation
Sanchez-Guillen, Luís
Unknown Affiliation
Tallón-Aguilar, Luis
Unknown Affiliation
Khan, Mansoor Ali
Unknown Affiliation
Di Martino, Marcello M.
Unknown Affiliation
Ribeiro Júnior, Marcelo Augusto Fontenelle
Unknown Affiliation
Catarci, Marco
Unknown Affiliation
Marino, Marco V.
Unknown Affiliation
Bellini, Maria Irene
Unknown Affiliation
Chiarello, Maria Michela
Unknown Affiliation
Serradilla-Martin, Mario
Unknown Affiliation
Veroux, Massimiliano
Unknown Affiliation
Nardi, Matteo
Unknown Affiliation
Tolonen, Matti
Unknown Affiliation
Iacobone, Maurizio
Unknown Affiliation
Wilson, Michael S.J.
Unknown Affiliation
Bisaccia, Michele
Unknown Affiliation
Pisano, Michele
Unknown Affiliation
Pera, Miguél
Unknown Affiliation
Calvo, Mikel Prieto
Unknown Affiliation
Taha, Mohammad J.J.
Unknown Affiliation
Korkoman, Mohammed
Unknown Affiliation
Shalaby, Mostafa
Unknown Affiliation
Younis, Muhammad Umar
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Dudi-Venkata, Nagendra N.
Unknown Affiliation
Alselaim, Nahar A.
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Allievi, Niccolò Ettore
Unknown Affiliation
Petrucciani, Niccoló
Unknown Affiliation
Cillara, Nicola
Unknown Affiliation
de'Angelis, Nicola
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Ioannidis, Orestis M.
Unknown Affiliation
Goh, Brian Kim Poh
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Major, Piotr
Unknown Affiliation
Bessa Melo, Renato Bessa
Unknown Affiliation
Brady, Richard R.W.
Unknown Affiliation
Davies, Richard Justin
Unknown Affiliation
Rattan, Rishi
Unknown Affiliation
Singhal, Rishi
Unknown Affiliation
Angelico, Roberta
Unknown Affiliation
Faccincani, Roberto
Unknown Affiliation
Morales-Conde, Salvador
Unknown Affiliation
Awad, Selmy Sabry
Unknown Affiliation
Chan, Shannon Melissa
Unknown Affiliation
Chiappetta, Sonja
Unknown Affiliation
Rausei, Stefano
Unknown Affiliation
Keswani, Sundeep G.
Unknown Affiliation
Ali, Syed Muhammad
Unknown Affiliation
Perra, Teresa
Unknown Affiliation
Liakakos, Theodore D.
Unknown Affiliation
Brown, Tommy A.
Unknown Affiliation
Oumar, Touré Alpha
Unknown Affiliation
Grossi, Ugo
Unknown Affiliation
Fonseca, Vinicius Cordeiro
Unknown Affiliation
Bechstein, Wolf O.
Unknown Affiliation
Altinel, Yuksel
Unknown Affiliation
Statistics
Citations: 76
Authors: 135
Affiliations: 6
Identifiers
Doi:
10.1002/bjs.11999
ISSN:
00071323
Research Areas
Covid
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative