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Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE appy study

Title:	Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE appy study
Authors:	Benedetto Ielpo; Mauro Podda; Gianluca Pellino; Francesco Pata; Gianpiero Gravante; Salomone Di Saverio; Gaetano Gallo; Rashid Lui; Adam Orengia; Aditya Chowdary; Aditya Kulkarni; Adnan Kuvvetli; Adolfo Navarro; Adolfo Pisanu; Adrian Smith; Adriana Cavero Ibiricu; Aeris Jane D Nacion; Ahmad Alsaleh; Ahmad Alhazmi; Ahmad Elmabri; Ajaz Wani; Ahmet Rencuzogullari; Aingeru Sarriugarte Lasarte; Ainhoa Valle Rubio; Akshay Bavikatte; Akshay Kumar; Al-Radjid Jamiri; Alain Michel Alvarado Padilla; Alban Cacurri; Alberto de San Ildefonso; Alberto Porcu; Alberto Sartori; Aldo Rocca; Alejandro Paz Yáñez; Alejandro Becaria; Alejandro Solís-Peña; Aleksandar Sretenović; Alex Urbistondo; Alfonso Bandin; Alfonso Najar; Alessandro De Luca; Alex Boddy; Alexandros Charalabopoulos; Alexios Tzivanakis; Alfonso Amendola; Alfredo Ramirez-Gutierrez de Velasco; Ali Cihat Yildirim; Alice Frontali; Alpha Oumar Toure; Alvaro García-Granero; Amaia Martínez Roldan; Amaia Sanz Larrainzar; Amila Sanjiva Ratnayake; Ana María Gonzalez-Ganso; Ana M Minaya-Bravo; Andre Das; Andrea Bondurri; Andrea Costanzi; Andrea Lucchi; Andrea Mazzari; Andrea Musig; Andrea Peloso; Andrea Piano; Andrea Police; Andrei Mihailescu; Andrés Pouy; Angela Romano; Angelo Iossa; Anna Carmen Leonetti; Anna Guariniello; Anna Isaac; Anna Pia Delli Bovi; Antonella Chessa; Antonella Tromba; Antonio Álvarez Martínez; Antonio Brillantino; Antonio Caira; Antonio Castaldi; Antonio Ferronetti; Antonio Giuliani; Antonio Prestera; Antonio Ramos-De la Medina; Antonio Tarasconi; Antonino Tornambè; Arcangelo Picciariello; Argyrios Ioannidis; Ari Leppäniemi; Arshad Khan; Arshad Rashid; Arteaga Luis Eduardo Pérez-Sánchez; Ashok Mittal; Ashrarur Rahman Mitul; Asif Mehraj; Asim Laharwal; Asnel Dorismé; Athanasios Marinis; Atif Iqbal; Augusto Moncada; Bartolomeo Braccio; Basim Alkhafaji; Beatriz de Andrés Asenjo; Beatriz Martin-Perez; Belinda Sánchez Pérez; Ben Creavin; Benedetto Calì; Beniamino Pascotto; Benjamin Stubbs; Benjamin Zavala Retes; Branislav Jovanovic; Brian Kp Goh; Bruno Sensi; Carlo Biddau; Carlo Gazia; Carlo Vallicelli; Carlos Alberto Fagundes; Carlos Cerdán Santacruz; Carlos Chirico; Carlos Javier Gómez; Carlos Petrola; Carlos Sánchez Rodriguez; Carlos Yánez Benítez; Carmelisa Dammaro; Carmelo Lo Faro; Caroline Reinke; Casandra Dominguez Paez; Catalina Oliva; Charudutt Paranjape; Charlotte Thomas; Chi Fung Chia; Chi Kwan Kong; Chiara De Lucia; Christian Ovalle Chao; Claudio Arcudi; Claudio Guerci; Clement Chia; Cristiano Parise; Cristina Folliero; Cristopher Varela; Dalya M Ferguson; Daniel Camacho; Daniel Popowich; Daniel Souza Lima; Daniela Rega; Daniele Delogu; Daniele Zigiotto; Danilo Vinci; Dario D'Antonio; Dario Parini; David Alessio Merlini; David DE Zimmerman; David Moro-Valdezate; Davide Pertile; Deborah Maria Giusti; Deborah S Keller; Delko Tarik; Denis Kalivaçi; Dennis Mazingi; Diana Gabriela Maldonado-Pintado; Diego Sasia; Dimitrios Linardoutsos; Dixon Osilli; Domenico Murrone; Domenico Russello; Edgar Rodas; Edisson Alberto Acuña Roa; Edoardo Ricciardi; Edoardo Rosso; Edoardo Saladino; Eduardo Flores-Villalba; Eduardo Ruiz Ajs; Eduardo Smith-Singares; Efstratia Baili; Efstratios Kouroumpas; Eirini Bourmpouteli; Eleftheria Douka; Elena Martin-Perez; Eleonora Guaitoli; Elgun Samadov; Elisa Francone; Elisa Vaterlini; Emilio Morales; Emilio Peña; Enhao Zhao; Eneko Del Pozo Andres; Enrico Benzoni; Enrico Erdas; Enrico Pinotti; Enrique Colás-Ruiz; Erman Aytac; Ernesto Laterza; Ervis Agastra; Esteban Foianini; Esteban Moscoso; Estefania Laviano; Ester Marra; Eugenia Cardamone; Eugenio Licardie; Eustratia Mpaili; Eva Pinna; Evaristo Varo; Fabian Martín Navarro; Fabio Marino; Fabio Medas; Fabio Romano; Fatlum Maraska; Fatmir Saliu; Fausto Madrid; Fausto Rosa; Federica Mastella; Federico Gheza; Federico Luvisetto; Felipe Alconchel; Felipe Monge Vieira; Felipe Pareja; Ferdinando Agresta; Fernanda Luna; Fernando Bonilla; Fernando Cordera; Fernando Burdió; Fernando Mendoza-Moreno; Fernando Muñoz Flores; Fernando Pardo Aranda; Fiona Taylor; Flavia L Ramos; Flavio Fernandes; Francesca Paola Tropeano; Francesco Balestra; Francesco Bianco; Francesco Ceci; Francesco Colombo; Francesco Di Marzo; Francesco Ferrara; Francesco Lancellotti; Francesco Lazzarin; Francesco Litta; Francesco Martini; Francesco Pizza; Francesco Roscio; Francesco Virdis; Francisco Blanco Antona; Francisco Cervantes Ramírez; Francisco Miguel Fernandez; Francisco Oliver Llinares; Francisco Quezada; Francisco Schlottmann; Gabriel Herrera-Almario; Gabriel Massaferro; Gabriele Bislenghi; Gabrielle van Ramshorst; Gaetano Luglio; Georgios Bointas; Georgios Kampouroglou; Georgios Papadopoulos; Gerardo Arredondo Manrique; Giacomo Calini; Giacomo Nastri; Giampaolo Formisano; Giampaolo Galiffa; Gian Marco Palini; Gianluca Colucci; Gianluca Pagano; Gianluca Vanni; Gianmaria Casoni Pattacini; Gilda De Paola; Giorgio Lisi; Giovanna Partida; Giovanni Bellanova; Giovanni De Nobili; Giovanni Sammy Necchi; Giovanni Sinibaldi; Giovanni Tebala; Giulia Bagaglini; Giuliano Izzo; Giulio Argenio; Giuseppe Brisinda; Giuseppe Candilio; Giuseppe Di Grezia; Giuseppe Esposito; Giuseppe Faillace; Giuseppe Frazzetta; Giuseppe La Gumina; Giuseppe Nigri; Giuseppe Romeo; Gloria Chocarro Amatriaín; Gloria Ortega; Gonzalo Martin-Martin; Gregor A Stavrou; Gunadi; Gustavo Armand Ugon; Gustavo Machain; Gustavo Marcucci; Gustavo Martínez-Mier; Gustavo Miguel Machain; Gustavo Nari; Haydée Calvo; Hamada Fathy; Hamilto; Hazem Ahmed; Hazem Faraj; Hector Nava; Hector Ordas Macias; Herald Nikaj; Heriberto Solano; Huma Ahmed Khan; Humberto Sánchez Alarcón; Husam Ebied; Iacopo Giani; Ibabe Villalabeitia Ateca; Ignacio Neri; Igor Alberdi San Roman; Iliya Fidoshev; Iñaki Martinez Rodriguez; Ionut Negoi; Irene Ortega; Irina Bernescu; Iris Shari Russo; Irune Vincente Rodríguez; Irving Palomares; Isaac Baltazar; Isabel Jaén Torrejimeno; Isabel María Cornejo Jurado; Isabella Reccia; Ishtiyaq Hussain; Ismael Brito Toledo; Ismael Mora-Guzmán; Iulia Dogaru; Ivan Romic; Izaskun Balciscueta; J Cleo Kenington; Jackison Sagolsem; Jae Y Jang; James Olivier; Jan Lammel-Lindemann; Jana Dziakova; Javier Ismael Roldán Villavicencio; Javier Salinas; Jelena Pejanovic; Jose Gustavo Parreira; Jovanovic; Jeny Rincón Pérez; Jeryl AsReyes; Jesus Antonio Medina Luque; Joanna Mak; Joanne Salas Rodriguez; Johnn Henry Herrera Kok; Jon Krook; Jose Antonio Diaz-Elizondo; Jose Castell; José Eduardo García-Flores; José María Jover Navalón; Jose Mauro Silva Rodrigues; José Pereira; José Tomas Castell Gómez; Juan Bellido Luque; Juan Carlos Martín Del Olmo; Juan Carlos Salamea; Juan Francisco Coronel Olivier; Juan Luis Blas Laina; Juliana Maria Ordoñez; Julieta Gutierrez; Julio Abba; Junaid Ahmad Sofi; Kashaf Sherafgan; Kapil Sahnan; Katsuhiko Yanaga; Kevin Beatson; Laharwal Asim; Laura Alvarez; Leandro Siragusa; Lee Farber; Lester Ong; Liarakos Athanasios; Lorena García-Bruña; Luca De Martino; Luca Ferrario; Luca Giordano; Luca Gordini; Luca Pio; Luca Ponchietti; Lucia Moletta; Luciano Curella; Luciano Poggi; Lucio Taglietti; Luigi Bonavina; Luigi Conti; Luigi Goffredi; Luis Angel Garcia Ruiz; Luis Barrionuevo; Luis Enrique Fregoso; Luis F Cabrera; Luis G Rodriguez; Luis Grande; Luis Gregorio Osoria; Luis Javier Kantun Gonzalez; Luis Sánchez-Guillén; Luis Tallon-Aguilar; Luis Tresierra; Luisa Giavarini; Mahmoud Hasabelnabi; Maja Odovic; Mamoru Uemura; Mansoor Khan; Manuel Artiles-Armas; Mara David; Marcello Di Martino; Marcello Giuseppe Spampinato; Marcelo A F Ribeiro; Marcelo Viola; Marco Angrisani; Marco Calussi; Marco Cannistrà; Marco Catarci; Marco Cereda; Marco Conte; Marco Giordano; Marco Pellicciaro; Marco Vito Marino; Maria E Vaterlini; María F Jiménez; María Giulia Lolli; Maria Irene Bellini; Maria Lemma; Maria Michela Chiarello; Maria Nicola; Mario Arrigo; Mario Caneda Mejia; Mario Montes Manrique; Mario Rodriguez-Lopez; Mario Serradilla-Martín; Mario Zambrano Lara; Marisa Martínez; Mark Bagnall; Mark Peter; Marta Cañón Lara; Marta Jimenez Gomez; Marta Paniagua-Garcia-Señorans; Marta Perez Gonzalez; Martin Rutegård; Martin Salö; Marzia Franceschilli; Massimiliano Silveri; Massimiliano Veroux; Massimo Pezzulo; Matteo Nardi; Matteo Rottoli; Matti Tolonen; Mauricio Pedraza Ciro; Mauricio Zuluagua; Maurizio Cannavò; Maurizio Cervellera; Maurizio Iacobone; Mauro Montuori; Melody García Domínguez; Meltem Bingol-Kologlu; Mian Tahir; Michael Lim; Michael Sj Wilson; Michael Wilson; Michela Campanelli; Michele Bisaccia; Michele De Rosa; Michele Maruccia; Michele Paterno; Michele Pisano; Michele Torre; Michele Treviño; Michele Zuolo; Miguel A Hernandez Bartolome; Miguel Farina; Miguel Pera; Miguel Prieto Calvo; Milagros Sotelo; Min Myat Thway; Mohamed Hassan; Mohamed Salah Eldin Hassan; Mohammad Azfar; Mohammad Bouhuwaish; Mohammad Taha; Mohammad Zaieem; Mohammed Korkoman; Montserrat Guraieb; Mostafa Shalaby; Muhammad Asif Raza; Muhammad Umar Younis; Muhammed Elhadi; Mujahid Zulfiqar Ali; Nadeem Quazi; Nagendra N Dudi-Venkata; Nahar Alselaim; Natasha Loria; Nathalie Villan Ramírez; Nay Win Than; Neil Smart; Nelson Trelles; Nicanor Pinto; Niccolò Allievi; Niccolo Petrucciani; Nicola Antonacci; Nicola Cillara; Nicolae Gica; Nicolaescu Diana Cristiana; Nicolás Nicolás; Nicolò Falco; Nicolò Pecorelli; Nicolò Tamini; Nikolaos Andreas Dallas; Nikolaos Machairas; Noelia Brito; Nura Ahmed Fieturi; Nuria Ortega; Octavio AvilaMercado; Oktay Irkorucu; Omar Alsherif; Orestes Valles; Orestis Ioannidis; Oscar Hernández Palmas; Oscar Isaac Hernandez Palmas; Oscar Sanz Guadarrama; Osman Bozbiyik; Pablo Omelanczuk; Pablo Ottolino; Pablo Rodrigues; Pablo Ruiz; Paola Campenni; Paola Chiarade; Paola Prieto Olivares; Paolo Baroffio; Pascal Wintringer; Pasquale Di Fronzo; Pasquale Talento; Pasqualino Favoriti; Patricia Sendino; Patrizia Marsanic; Patricia Mifsut; Paúl Andrade; Pawel Ajawin; Valentina Ferri; Giuseppe Massimiliano de Luca; Sara Ingallinella; Eva Pueyo; Francesco Palmieri; Jesus Silva; Ken Min Chin; Nicholas Syn; Brian K P Goh; Ye Xin Koh; Valeria Tonini; Ana Gonzales-Ganso; Vicente Simó; Maria Victoria Diago; Pedro Abadía-Barnó; Pedro Alfonso Najar Castañeda; Pedro Omar Sillas Arevalos; Pedro Palazón Bellver; Peng Soon Koh; Petry Souza; Piotr Major; Rajandeep Singh Bali; Rakesh Mohan Khattar; Renato Bessa Melo; Reza Ebrahiminia; Ricardo Azar; Ricardo López Murga; Riccardo Caruso; Riccardo Pirolo; Richard Brady; Richard Justin Davies; Rishi Dholakia; Rishi Rattan; Rishi Singhal; Robert Lim; Roberta Angelico; Roberta Maria Isernia; Roberta Tutino; Roberto Faccincani; Roberto Peltrini; Rocío Carrera-Ceron; Rodrigo Tejos; Rohit Kashyap; Roosevelt Fajardo; Rosa Lozito; Royer Madariaga Pareja; Sabrina Garbarino; Salvador Morales-Conde; Sami Benli; Sami Mansour; Samir Flores; Samuel Limon Suarez; Santiago Lopez Ben; Sara Fuentes; Sara Napetti; Sara Ortiz de Guzmán; Selmy Awad; Sergio A Weckmann Luján; Sergio Gentilli; Sergio Grimaldi; Sergio Olivares Pizarro; Serkan Tayar; Shakeeb Nabi; Shannon M Chan; Sheikh Junaid; Sidney Rojas; Silvana Monetti; Silvia García; Silvia Salvans; Silvia Tenconi; Simon Shaw; Simone Santoni; Sofia Andrea Parra; Sofía Cárdenas; Sonia Pérez-Bertólez; Sonja Chiappetta; Sophie Dessureault; Spiros Delis; Stefano Amore Bonapasta; Stefano Rausei; Stefano Scaringi; Sundeep Keswani; Syed Muhammad Ali; Süleyman Cetinkunar; Tak Lit Derek Fung; Tariq Rawashdeh; Tatiana Nicolás López; Tercio De Campos; Teresa Calderon Duque; Teresa Perra; Theodore Liakakos; Theodoros Daskalakis; Theodoros Liakakos; Thomas Barnes; Tijmen Koëter; Tiku Zalla; Tomás E González; Tomás Elosua; Tommaso Campagnaro; Tommy Brown; Topi Luoto; Touré Alpha Oumar; Ugo Giustizieri; Ugo Grossi; Umberto Bracale; Uriel Rivas; Valentina Sosa; Valentina Testa; Valeria Andriola; Valerio Balassone; Valerio Celentano; Valerio Progno; Varun Raju; Vanessa Carroni; Venera Cavallaro; Venkateswara Rao Katta; Veronica De Simone; Vicent Primo Romaguera; Victor Hugo García Orozco; Victor Luraschi; Victor Rachkov; Victor Turrado-L; Victor Visag-Castillo; Victoria Dowling; Victoria Graham; Vincenzo Papagni; Vincenzo Vigorita; Vinicius Cordeiro Fonseca; Virginia Jimenez Carneros; Vittoria Bellato; Walyson Gonçalves; William F Powers; William Grigg; Wolf O Bechstein; Yu Bing Lim; Yuksel Altinel; Zoran Golubović; Zutoia Balciscueta
Contributors:	Ielpo, Benedetto; Podda, Mauro; Pellino, Gianluca; Pata, Francesco; Gravante, Gianpiero; Di Saverio, Salomone; Gallo, Gaetano; Lui, Rashid; Orengia, Adam; Chowdary, Aditya; Kulkarni, Aditya; Kuvvetli, Adnan; Navarro, Adolfo; Pisanu, Adolfo; Smith, Adrian; Cavero Ibiricu, Adriana; D Nacion, Aeris Jane; Alsaleh, Ahmad; Alhazmi, Ahmad; Elmabri, Ahmad; Wani, Ajaz; Rencuzogullari, Ahmet; Sarriugarte Lasarte, Aingeru; Valle Rubio, Ainhoa; Bavikatte, Akshay; Kumar, Akshay; Jamiri, Al-Radjid; Michel Alvarado Padilla, Alain; Cacurri, Alban; de San Ildefonso, Alberto; Porcu, Alberto; Sartori, Alberto; Rocca, Aldo; Paz Yáñez, Alejandro; Becaria, Alejandro; Solís-Peña, Alejandro; Sretenović, Aleksandar; Urbistondo, Alex; Bandin, Alfonso; Najar, Alfonso; De Luca, Alessandro; Boddy, Alex; Charalabopoulos, Alexandro; Tzivanakis, Alexio; Amendola, Alfonso; Ramirez-Gutierrez de Velasco, Alfredo; Cihat Yildirim, Ali; Frontali, Alice; Oumar Toure, Alpha; García-Granero, Alvaro; Martínez Roldan, Amaia; Sanz Larrainzar, Amaia; Sanjiva Ratnayake, Amila; María Gonzalez-Ganso, Ana; M Minaya-Bravo, Ana; Das, Andre; Bondurri, Andrea; Costanzi, Andrea; Lucchi, Andrea; Mazzari, Andrea; Musig, Andrea; Peloso, Andrea; Piano, Andrea; Police, Andrea; Mihailescu, Andrei; Pouy, André; Romano, Angela; Iossa, Angelo; Carmen Leonetti, Anna; Guariniello, Anna; Isaac, Anna; Pia Delli Bovi, Anna; Chessa, Antonella; Tromba, Antonella; Álvarez Martínez, Antonio; Brillantino, Antonio; Caira, Antonio; Castaldi, Antonio; Ferronetti, Antonio; Giuliani, Antonio; Prestera, Antonio; Ramos-De la Medina, Antonio; Tarasconi, Antonio; Tornambè, Antonino; Picciariello, Arcangelo; Ioannidis, Argyrio; Leppäniemi, Ari; Khan, Arshad; Rashid, Arshad; Luis Eduardo Pérez-Sánchez, Arteaga; Mittal, Ashok; Rahman Mitul, Ashrarur; Mehraj, Asif; Laharwal, Asim; Dorismé, Asnel; Marinis, Athanasio; Iqbal, Atif; Moncada, Augusto; Braccio, Bartolomeo; Alkhafaji, Basim
Publisher Information:	GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND; Oxford University Press
Publication Year:	2021
Collection:	Sapienza Università di Roma: CINECA IRIS
Subject Terms:	Anti-bacterial agent; appendectomy; appendiciti; COVID-19 testing; hospital administration; human; pandemic; personal protective equipment; practice patterns physicians'; surveys and questionnaire; attitude of health personnel; COVID-19; surgeons
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.
Document Type:	article in journal/newspaper
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/34157090; info:eu-repo/semantics/altIdentifier/wos/WOS:000576022800001; volume:108; issue:6; firstpage:717; lastpage:726; numberofpages:10; journal:BRITISH JOURNAL OF SURGERY; http://hdl.handle.net/11573/1634172
DOI:	10.1002/bjs.11999
Availability:	http://hdl.handle.net/11573/1634172; https://doi.org/10.1002/bjs.11999
Rights:	info:eu-repo/semantics/openAccess
Accession Number:	edsbas.7C9A5066
Database:	BASE