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230 results on '"Fonnes, Siv"'

16. Appendectomy versus antibiotic treatment for acute appendicitis

Author

Doleman, Brett, additional, Fonnes, Siv, additional, Lund, Jon N, additional, Boyd-Carson, Hannah, additional, Javanmard-Emamghissi, Hannah, additional, Moug, Susan, additional, Hollyman, Marianne, additional, Tierney, Gillian, additional, Tou, Samson, additional, and Williams, John P, additional

Published
2024
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24. Clinical decision rules for appendicitis are not used by surgeons in training: A survey.

Author

Bahta, Nadir Noureldin Abdella, Gram‐Hanssen, Anders, Jonsson, Isabella, Petersen, Stine Mette, Rosenberg, Jacob, and Fonnes, Siv

Subjects
TRAINING of surgeons, APPENDICITIS, C-reactive protein, ABDOMINAL pain
Abstract

Backgrounds: We aimed to investigate surgeons in training knowledge of clinical decision rules (CDR) for diagnosing appendicitis and their attitudes toward implementing them. Methods: We included surgeons in training practicing in East Denmark who independently could decide to perform a diagnostic laparoscopy for suspected appendicitis. The survey was developed in Research Electronic Data Capture and face‐validated before use. It consisted of three parts: (1) the characteristics of the surgeons, (2) their diagnostic approach, and (3) their knowledge and attitude toward introducing CDR in the clinic. Data were collected in January 2023. Results: We achieved 83 (90%) responses, and 52% of surgeons in training believed that appendicitis was difficult to diagnose. Their diagnostic approach mostly included symptoms and physical examinations for abdominal pain, and C‐reactive protein. A total of 48% knew of at least one clinical decision rule, and 72% had never used a clinical decision rule. Regarding the necessity of CDR in clinical practice, surgeons in training options were divided into thirds: not needed, neither needed nor not needed, and needed. Surgeons in training indicated that CDR needed to be validated and easily applied before they would implement them. Conclusion: Approximately 3/4 of surgeons in training had never utilized a clinical decision rule to diagnose appendicitis, and only half knew of their existence. The symptoms and findings incorporated in most CDR aligned with their diagnostic approach. They were conflicted if CDR needed to be implemented in clinical practice. [ABSTRACT FROM AUTHOR]

Published
2024
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34. Diarrhoea‐causing microorganisms are rare in adult patients undergoing diagnostic laparoscopy for suspected appendicitis: a prospective observational cohort study

Author

Fonnes, Siv, primary, Rasmussen, Tilde, additional, Holzknecht, Barbara Juliane, additional, Olesen, Christoffer Skov, additional, Olsen, Joachim Hjalde Halmsted, additional, Schmidt, Line, additional, Alder, Rasmus, additional, Sørensen, Sara Gamborg, additional, Gülen, Sengül, additional, Klarskov, Louise Laurberg, additional, Krogfelt, Karen Angeliki, additional, Westh, Henrik, additional, and Rosenberg, Jacob, additional

Published
2023
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42. Diagnostic tools to diagnose appendicitis – a scoping review

Author

Bahta, Nadir, Fonnes, Siv, and Rosenberg, Jacob

Subjects
Diagnosis, Medicine and Health Sciences, Analytical, Diagnostic and Therapeutic Techniques and Equipment
Abstract

Appendectomy is one of the most common acute procedures in the gastrointestinal tract in adults and children. Appendicitis is a clinical diagnosis often supplement with blood tests as reassuring measure. However, an abnormal blood test cannot reliably diagnose appendicitis. This has led to the development of a wide range of diagnostic tools, which utilize the patient characteristic, clinical history/symptoms, physical examination, vital signs, and/or paraclinical measurements such as blood tests or imaging, to predict the risk of appendicitis. This study aims to identify which diagnostic tools that exist to diagnose appendicitis and characterize these, including their need for diagnostic equipment.

Published
2022
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