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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorPata, Francesco
dc.contributor.authorDi Martino, Marcello
dc.contributor.authorPodda, Mauro
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorIelpo, Benedetto
dc.contributor.authorPellino, Gianluca
dc.date.accessioned2022-09-14T08:01:53Z
dc.date.available2022-09-14T08:01:53Z
dc.date.issued2022-09
dc.identifier.citationPata F, Di Martino M, Podda M, Di Saverio S, Ielpo B, Pellino G, et al. Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study. World J Surg. 2022 Sep;46:2021–35.
dc.identifier.issn1432-2323
dc.identifier.urihttp://hdl.handle.net/11351/8187
dc.descriptionAcute appendicitis; management; COVID-19 waves
dc.description.abstractBackground In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide.
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesWorld Journal of Surgery;46
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectEnquestes
dc.subjectApendicectomia
dc.subjectApendicitis - Cirurgia
dc.subject.meshAppendicitis
dc.subject.mesh/surgery
dc.subject.meshAppendectomy
dc.subject.meshSurveys and Questionnaires
dc.titleEvolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1007/s00268-022-06649-z
dc.subject.decsapendicitis
dc.subject.decs/cirugía
dc.subject.decsapendicectomía
dc.subject.decsencuestas y cuestionarios
dc.relation.publishversionhttps://doi.org/10.1007/s00268-022-06649-z
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Pata F] General Surgery Unit, UOC di Chirurgia, Nicola Giannettasio Hospital, CS, Italy. La Sapienza University, Rome, Italy. [Di Martino M] Division of Hepatobiliary and Liver Transplantation Surgery, A.O.R.N. Cardarelli, Naples, Italy. [Podda M] Department of Surgical Science, University of Cagliari, Cagliari, Italy. [Di Saverio S] Department of Surgery, Madonna del Soccorso General Hospital, San Benedetto del Tronto, Italy. [Ielpo B] Hepatobiliary division, Hospital del Mar, Universitat Pompeu Fabra, Barcelona, Spain. [Pellino G] Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania ‘‘Luigi Vanvitelli’’, Policlinico CS, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid35810215
dc.identifier.wos000825003400001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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