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Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study
Authors :
Pata, Francesco Di Martino, Marcello Podda, Mauro Di Saverio, Salomone Ielpo, Benedetto Pellino, Gianluca Julio, Abba Alshamrani, Abdullah Alturkistani, Abdullah Alghamdi, Abdulrahman Almalki, Abdulrahman Orengia, Adam Kuvvetli, Adnan Pisanu, Adolfo Smith, Adrian Treviño Figueroa, Adriana Michelle Nacion, Aeris Jane Alhazmi, Ahmad Bouhuwaish, Ahmad Khalid, Ahmad Alsufyani, Ahmed Rubio, Ainhoa Valle Bavikatte, Akshay Kumar, Akshay Jamiri, Al-Radjid de San Ildefonso Pereira, Alberto Porcu, Alberto Sartori, Alberto Rocca, Aldo Sretenovic, Aleksandar Anselmo, Alessandro De Luca, Alessandro Charalabopoulos, Alexandros Tzivanakis, Alexios Bandin, Alfonso Nájar, Alfonso Frontali, Alice Faisal, Alsulaimani Roldan, Amaia Martínez Hamid, Amal André, Ana Minaya-Bravo, Ana Das, Andre Bondurri, Andrea Costanzi, Andrea Lucchi, Andrea Mihailescu, Andrei Police, Andrea Zuchini, Andres Mendoza Romano, Angela Iossa, Angelo Chessa, Antonella Tromba, Antonella Castaldi, Antonio Brillantino, Antonio Ferronetti, Antonio Giuliani, Antonio Ramos-De la Medina, Antonio Tarasconi, Antonio Picciariello, Arcangelo Ioannidis, Argyrios Leppäniemi, Ari Rashid, Arshad Mitul, Ashrarur Rahman Mehraj, Asif Laharwal, Asim Iqbal, Atif Liarakos, Athanasios Marinis, Athanasios de Andrés-Asenjo, Beatriz Matías-García, Belén De Simone, Belinda Creavin, Ben Stubbs, Ben Goh, Brian Jovanovic, Branislav Sensi, Bruno Gazia, Carlo Cerdán, Carlos Díaz, Carlos Javier Gómez Chacón, Carlos Petrola Yánez, Carlos Faro, Carmelo Lo Reinke, Caroline Dominguez, Casandra Paranjape, Charudutt Thomas, Charlotte Fung, Chia Chi De Lucia, Chiara Jennifer, Chiu Hiu Fung Ovalle-Chao, Christian Guerci, Claudio Kenington, Cleo Gica, Corina Folliero, Cristina Varela, Cristopher Popowich, Daniel Delogu, Daniele Zigiotto, Daniele Vinci, Danilo D’Antonio, Dario Merlini, David Alessio Merlini, David Moro-Valdezate, David Keller, Deborah Nicolaescu, Diana Cristiana Sasia, Diego Rodas, Edgar Linardoutsos, Dimitrios Russello, Domenico Nájar-Castañeda, Pedro Alfonso Stavrou, Habil Gregor Rosso, Edoardo Saladino, Edoardo Ricciardi, Edoardo Smith-Singares, Eduardo Baili, Efstratia Douka, Eleftheria Guaitoli, Eleonora Francone, Elisa Vaterlini, Elisa Maria Pierobon, Elisa Sefora Morales, Emilio Ros, Emilio Peña Benzoni, Enrico Erdas, Enrico Pinotti, Enrico Colás-Ruiz, Enrique Laterza, Ernesto Foianini, Esteban Cardamone, Eugenia Licardie, Eugenio Marino, Fabio Alsofyani, Fahad Qahtani, Fahad Khan, Farhan Maraska, Fatlum Saliu, Fatmir Madrid, Fausto Rosa, Fausto Luvisetto, Federico Alconchel, Felipe Pareja-Ciuro, Felipe Neves, Fernanda Agresta, Ferdinando Cordera, Fernando Pardo, Fernando Mendoza-Moreno, Fernando Munoz-Flores, Fernando Silvestri, Francesca Maria Tropeano, Francesca Paola Pecchini, Francesca Serio, Francesca Colombo, Francesco Di Marzo, Francesco Ferrara, Francesco Lancellotti, Francesco Litta, Francesco Martini, Francesco Roscio, Francesco Blanco-Antona, Francisco Barcenas, Francisco Javier Quezada Schlottmann, Francisco Herrera-Almario, Gabriel van Ramshorst, Gabrielle Gallo, Gaetano Luglio, Gaetano Kampouroglou, Georgios Papadopoulos, Georgios Arredondo, Gerardo Calini, Giacomo Formisano, Giampaolo Galiffa, Giampaolo Palini, Gian Marco Colucci, Gianluca Pagano, Gianluca Vanni, Gianluca Pattacini, Gianmaria Casoni Gravante, Gianpiero Lisi, Giorgio Bellanova, Giovanni De Nobili, Giovanni Necchi, Giovanni Sammy Sinibaldi, Giovanni Bacchiocchi, Giulia Bagaglini, Giulia Maggi, Giulia Izzo, Giuliano Argenio, Giulio Brisinda, Giuseppe Esposito, Giuseppe Frazzetta, Giuseppe De Luca, Giuseppe Massimiliano Nigri, Giuseppe Sica, Giuseppe Martin-Martin, Gonzalo Ugon, Gustavo Armand Martinez-Mier, Gustavo Machain Vega, Gustavo Miguel Nari, Gustavo Nikaj, Herald Neri, Ignacio San Roman, Igor Alberdi Fidoshev, Iliya Martínez, Iñaki Negoi, Ionut Ortega, Irene Vicente Rodríguez, Irune Cornejo, Isabel Mora-Guzmán, Ismael al-Najami, Issam Romic, Ivan Balciscueta, Izaskun Olivier, James Lammel-Lindemann, Jan Dziakova, Jana Salinas, Javier Jovanovic, Jelena Pejanovic Reyes, Jeryl Anne Silvia Salas, Joanne Diaz-Elizondo, Jose Antonio Parreira, Jose Gustavo Bellido, Juan Salamea, Juan Martín del Olmo, Juan Carlos Ordoñez, Juliana María Junaid, Sofi Davies, Justin Sahnan, Kapil Bekele, Kebebe Voon, Kelvin Siragusa, Leandro Petagna, Lorenzo Ferrario, Luca Giordano, Luca Nespoli, Luca Pio, Luca Moletta, Lucia Curella, Luciano Taglietti, Lucio Bonavina, Luigi Conti, Luigi Pérez-Sánchez, Luis Eduardo Cabrera Vargas, Luis Felipe Sánchez-Guillén, Luis Tallon-Aguilar, Luis Khan, Mansoor Spampinato, Marcello Giuseppe Viola, Marcelo Malet, Marcelo Viola Angrisani, Marco Calussi, Marco Catarci, Marco Giordano, Marco Materazzo, Marco Milone, Marco Pellicciaro, Marco Marino, Marco Vito Moreno Villamizar, María Daniela Lolli, Maria Giulia Bellini, Maria Irene Lemma, Maria Chiarello, Maria Michela Montes-Manrique, Mario Rodriguez-Lopez, Mario Serradilla-Martín, Mario Peter, Mark Paniagua-García-Señoráns, Marta Rutegård, Martin Salö, Martin Silveri, Massimiliano Veroux, Massimiliano Nardi, Matteo Rottoli, Matteo Tolonen, Matti Pedraza Ciro, Mauricio Zuluaga, Mauricio Iacobone, Maurizio Montuori, Mauro Ali, Mazin García Domínguez, Melody Paola, Menna Maria Piccoli, Micaela Campanelli, Michela De Rosa, Michele Manigrasso, Michele Maruccia, Michele Torre, Michele Zuolo, Michele Pera, Miguel Weerasekera, Mihiri Prieto, Mikel Thway, Min Myat Shaat, Mohamed Azfar, Mohammad Shalaby, Mostafa Raza, Muhammad Asif Younis, Muhammad Umar Elhadi, Muhammed Ali, Mujahid Althomali, Musab Al Amri, Nadiah Dudi-Venkata, Nagendra Alselaim, Nahar Smart, Neil Trelles, Nelson Falco, Nicolò Petrucciani, Niccolo Antonacci, Nicola Cillara, Nicola Gica, Nicolae Pecorelli, Nicolò Tamini, Nicolò Machairas, Nikolaos Feituri, Nura Ortega Torrecilla, Nuria Avila Mercado, Octavio Alaamer, Ohood Irkorucu, Oktay Alsherif, Omar Buonomi, Oreste Claudio Valles-Guerra, Orestes Ioannidis, Orestis Hernández Palmas, Oscar Isaac Sanz Guadarrama, Oscar Bozbiyik, Osman Rodrigues, Pablo Milito, Pamela Panaccio, Paolo Dorovinis, Panagiotis Prieto, Paola Baroffio, Paolo Marsanic, Patrizia Ajawin, Pawel Koh, Peng Soon Anoldo, Pietro Major, Piotr Alharthi, Qasem Lui, Rashid Caruso, Riccardo Brady, Richard Rattan, Rishi Singhal, Rishi Angelico, Roberta Isernia, Roberta Maria Tutino, Roberta Peltrini, Roberto Tejos, Rodrigo Fajardo, Roosevelt Elia, Rossella Morales-Conde, Salvador Benli, Sami Fuentes, Sara de las Casas, Sara Gortázar de Guzmán Aragón, Sara Ortiz Vertaldi, Sara Awad, Selmy Gentilli, Sergio Weckmann Lujan, Sergio Alberto Tayar, Serkan Althobaiti, Shabab Di Giovanni, Silvia Ghedan, Soliman Pérez-Bertólez, Sonia Chiappetta, Sonja Delis, Spiros Scaringi, Stefano Çetinkünar, Süleyman Kykalos, Stylianos Muhammad Ali, Syed Krivan, Sylvia Fung, Tak Lit Derek Delko, Tarik Nicolás López, Tatiana De Campos, Tercio Calderón Duque, Teresa Perra, Teresa Liakakos, Theodore Daskalakis, Theodoros Koëter, Tijmen Zalla, Tiku González, Tomás Elosua Campagnaro, Tommaso Oumar, Toure Alpha Grossi, Ugo Sosa, Valentina Testa, Valentina Tomajer, Valentina Andriola, Valeria Tonini, Valeria Celentano, Valerio Voglino, Valerio Katta, Venkateswara Rao García Orozco, Víctor Hugo Turrado-Rodriguez, Victor Visag-Castillo, Victor Graham, Victoria Rachkov, Viktor Papagni, Vincenzo Vigorita, Vincenzo Jiménez Carneros, Virginia Bellato, Vittoria Bechstein, Wolf Altinel, Yuksel Balciscueta, Zutoia Pata, Francesco Di Martino, Marcello Podda, Mauro Di Saverio, Salomone Ielpo, Benedetto Pellino, Gianluca Luglio, Gaetano Pata, F Di Martino, M Podda, M Di Saverio, S Ielpo, B Pellino, G Julio, A Alshamrani, A Alturkistani, A Alghamdi, A Almalki, A Orengia, A Kuvvetli, A Pisanu, A Smith, A Trevino Figueroa, A Nacion, A Alhazmi, A Bouhuwaish, A Khalid, A Alsufyani, A Rubio, A Bavikatte, A Kumar, A Jamiri, A de San Ildefonso Pereira, A Porcu, A Sartori, A Rocca, A Sretenovic, A Anselmo, A De Luca, A Charalabopoulos, A Tzivanakis, A Bandin, A Najar, A Frontali, A Faisal, A Roldan, A Hamid, A Andre, A Minaya-Bravo, A Das, A Bondurri, A Costanzi, A Lucchi, A Mihailescu, A Police, A Zuchini, A Romano, A Iossa, A Chessa, A Tromba, A Castaldi, A Brillantino, A Ferronetti, A Giuliani, A Ramos-De la Medina, A Tarasconi, A Picciariello, A Ioannidis, A Leppaniemi, A Rashid, A Mitul, A Mehraj, A Laharwal, A Iqbal, A Liarakos, A Marinis, A de Andres-Asenjo, B Matias-Garcia, B De Simone, B Creavin, B Stubbs, B Goh, B Jovanovic, B Sensi, B Gazia, C Cerdan, C Diaz, C Chacon, C Yanez, C Faro, C Reinke, C Dominguez, C Paranjape, C Thomas, C Fung, C De Lucia, C Jennifer, C Ovalle-Chao, C Guerci, C Kenington, C Gica, C Folliero, C Varela, C Popowich, D Delogu, D Zigiotto, D Vinci, D D'Antonio, D Merlini, D Moro-Valdezate, D Keller, D Nicolaescu, D Sasia, D Rodas, E Linardoutsos, D Russello, D Najar-Castaneda, P Stavrou, H Rosso, E Saladino, E Ricciardi, E Smith-Singares, E Baili, E Douka, E Guaitoli, E Francone, E Vaterlini, E Pierobon, E Morales, E Ros, E Benzoni, E Erdas, E Pinotti, E Colas-Ruiz, E Laterza, E Foianini, E Cardamone, E Licardie, E Marino, F Alsofyani, F Qahtani, F Khan, F Maraska, F Saliu, F Madrid, F Rosa, F Luvisetto, F Alconchel, F Pareja-Ciuro, F Neves, F Agresta, F Cordera, F Pardo, F Mendoza-Moreno, F Munoz-Flores, F Silvestri, F Tropeano, F Pecchini, F Serio, F Colombo, F Di Marzo, F Ferrara, F Lancellotti, F Litta, F Martini, F Roscio, F Blanco-Antona, F Barcenas, F Schlottmann, F Herrera-Almario, G van Ramshorst, G Gallo, G Luglio, G Kampouroglou, G Papadopoulos, G Arredondo, G Calini, G Formisano, G Galiffa, G Palini, G Colucci, G Pagano, G Vanni, G Pattacini, G Gravante, G Lisi, G Bellanova, G De Nobili, G Necchi, G Sinibaldi, G Bacchiocchi, G Bagaglini, G Maggi, G Izzo, G Argenio, G Brisinda, G Esposito, G Frazzetta, G De Luca, G Nigri, G Sica, G Martin-Martin, G Ugon, G Martinez-Mier, G Machain Vega, G Nari, G Nikaj, H Neri, I San Roman, I Fidoshev, I Martinez, I Negoi, I Ortega, I Vicente Rodriguez, I Cornejo, I Mora-Guzman, I al-Najami, I Romic, I Balciscueta, I Olivier, J Lammel-Lindemann, J Dziakova, J Salinas, J Jovanovic, J Reyes, J Salas, J Diaz-Elizondo, J Parreira, J Bellido, J Salamea, J Martin del Olmo, J Ordonez, J Junaid, S Davies, J Sahnan, K Bekele, K Voon, K Siragusa, L Petagna, L Ferrario, L Giordano, L Nespoli, L Pio, L Moletta, L Curella, L Taglietti, L Bonavina, L Conti, L Perez-Sanchez, L Cabrera Vargas, L Sanchez-Guillen, L Tallon-Aguilar, L Khan, M Spampinato, M Viola, M Malet, M Angrisani, M Calussi, M Catarci, M Giordano, M Materazzo, M Milone, M Pellicciaro, M Marino, M Moreno Villamizar, M Lolli, M Bellini, M Lemma, M Chiarello, M Montes-Manrique, M Rodriguez-Lopez, M Serradilla-Martin, M Peter, M Paniagua-Garcia-Senorans, M Rutegard, M Salo, M Silveri, M Veroux, M Nardi, M Rottoli, M Tolonen, M Pedraza Ciro, M Zuluaga, M Iacobone, M Montuori, M Ali, M Garcia Dominguez, M Paola, M Piccoli, M Campanelli, M De Rosa, M Manigrasso, M Maruccia, M Torre, M Zuolo, M Pera, M Weerasekera, M Prieto, M Thway, M Shaat, M Azfar, M Shalaby, M Raza, M Younis, M Elhadi, M Althomali, M Al Amri, N Dudi-Venkata, N Alselaim, N Smart, N Trelles, N Falco, N Petrucciani, N Antonacci, N Cillara, N Gica, N Pecorelli, N Tamini, N Machairas, N Feituri, N Ortega Torrecilla, N Avila Mercado, O Alaamer, O Irkorucu, O Alsherif, O Buonomi, O Valles-Guerra, O Ioannidis, O Hernandez Palmas, O Sanz Guadarrama, O Bozbiyik, O Rodrigues, P Milito, P Panaccio, P Dorovinis, P Prieto, P Baroffio, P Marsanic, P Ajawin, P Koh, P Anoldo, P Major, P Alharthi, Q Lui, R Caruso, R Brady, R Rattan, R Singhal, R Angelico, R Isernia, R Tutino, R Peltrini, R Tejos, R Fajardo, R Elia, R Morales-Conde, S Benli, S Fuentes, S de las Casas, S de Guzman Aragon, S Vertaldi, S Awad, S Gentilli, S Weckmann Lujan, S Tayar, S Althobaiti, S Di Giovanni, S Ghedan, S Perez-Bertolez, S Chiappetta, S Delis, S Scaringi, S Cetinkunar, S Kykalos, S Muhammad Ali, S Krivan, S Fung, T Delko, T Nicolas Lopez, T De Campos, T Calderon Duque, T Perra, T Liakakos, T Daskalakis, T Koeter, T Zalla, T Gonzalez, T Campagnaro, T Oumar, T Grossi, U Sosa, V Testa, V Tomajer, V Andriola, V Tonini, V Celentano, V Voglino, V Katta, V Garcia Orozco, V Turrado-Rodriguez, V Visag-Castillo, V Graham, V Rachkov, V Papagni, V Vigorita, V Jimenez Carneros, V Bellato, V Bechstein, W Altinel, Y Balciscueta, Z Institut Català de la Salut [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 Vall d'Hebron Barcelona Hospital Campus
Source :
Scientia
Publication Year :
2022
Abstract
Background 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.
Details
ISSN :
14322323
Volume :
46
Issue :
9
Database :
OpenAIRE
Journal :
World journal of surgery
Accession number :
edsair.doi.dedup.....45f1b1a9fea4c14858974be59e450462