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Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study

Title: Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
Authors: Drake, TM; Camilleri-Brennan, J; Tabiri, S; Fergusson, SJ; Spence, R; Fitzgerald, JEF; Bhangu, A; Harrison, EM; Ademuyiwa, AO; Fergusson, S; Glasbey, JC; Khatri, C; Mohan, M; Nepogodiev, D; Soreide, K; Gobin, N; Freitas, AV; Hall, N; Kim, S-H; Negida, A; Jaffry, Z; Chapman, SJ; Arnaud, AP; Recinos, G; Manipal, CE; Amandito, R; Shawki, M; Hanrahan, M; Pata, F; Zilinskas, J; Roslani, AC; Goh, CC; Irwin, G; Shu, S; Luque, L; Shiwani, H; Altamimi, A; Alsaggaf, MU; Rayne, S; Jeyakumar, J; Cengiz, Y; Raptis, DA; Fermani, C; Balmaceda, R; Marta Modolo, M; Macdermid, E; Chenn, R; Yong, CO; Edye, M; Jarmin, M; D'amours, SK; Iyer, D; Youssef, D; Phillips, N; Brown, J; George, R; Koh, C; Warren, O; Hanley, I; Dickfos, M; Nawara, C; Oefner, D; Primavesi, F; Mitul, AR; Mahmud, K; Hussain, M; Hakim, H; Kumar, T; Oosterkamp, A; Assouto, PA; Lawani, I; Souaibou, YI; Tun, AK; Chong, CL; Devadasar, GH; Qadir, MRM; Aung, KP; Yeo, LS; Palomino Castillo, VD; Munhoz, MM; Moreira, G; Barros De Castro Segundo, LC; Khouri Ferreira, SA; Careta, MC; Kim, SB; De Sousa, AV; Lazzarini Cury, AD; Soares Miguel, GP; Carreiro De Freitas, AV; Silvestre, BP; Pinto Vianna, JG; Felipe, CO; Valente Laufer, LA; Altoe, F; Da Silva, LA; Pimenta, ML; Giuriato, TF; Bezerra Morais, PA; Luiz, JS; Araujo, R; Menegussi, J; Leal, M; Barroso de Lima, CV; Tatagiba, LS; Leal, A; Dos Santos, DV; Fraga, GP; Simoes, RL; Stock, S; Nigo, S; Kabba, J; Ngwa, TE; King, S; Zani, A; Azzie, G; Firdouse, M; Kushwaha, S; Agarwal, A; Bailey, K; Cameron, B; Livingston, M; Horobjowsky, A; Deckelbaum, DL; Razek, T; Marinkovic, B; Grasset, E; D'aguzan, N; Jimenez, J; Macchiavello, R; Zhang, Z; Guo, W; Oh, J; Zheng, F; Montes, I; Sierra, S; Mendez, M; Isabel Villegas, M; Mendoza Arango, MC; Mendoza, I; Naranjo Aristizabal, FA; Montoya Botero, JA; Quintero Riaza, VM; Restrepo, J; Morales, C; Cruz, H; Munera, A; Karlo, R; Domini, E; Mihanovic, J; Radic, M; Zamarin, K; Pezelj, N; Hache-Marliere, M; Batista Lemaire, S; Rivas, R; Khyrallh, A; Hassan, A; Shimy, G; Fahmy, MAB; Nabawi, A; Elfil, M; Ghoneem, M; Gohar, ME-SAM; Asal, M; Abdelkader, M; Gomah, M; Rashwan, H; Karkeet, M; Gomaa, A; Hasan, A; Elgebaly, A; Saleh, O; Fattah, AA; Gouda, A; Elshafay, AE; Gharib, A; Menshawy, A; Hanafy, M; Al-Mallah, A; Abdulgawad, M; Baheeg, M; Alhendy, M; AbdelFattah, I; Kenibar, A; Osman, O; Gemeah, M; Mohammed, A; Adel, A; Sayed, A; Abozaid, M; Kotb, AHE-B; Ata, AAA; Nasr, M; Alkammash, A; Saeed, M; Abd El Hamid, N; Attia, AM; Abd El Galeel, A; Elbanby, E; El-Dien, KS; Hantour, U; Alahmady, O; Mansour, B; Elkorashy, AM; Taha, EMS; Lasheen, KT; Elkolaly, SS; Abdel-Wahab, NYE; Abozyed, MAF; Saeed, AM; El Sayed, GS; Youssif, JH; Ahmed, SM; El-Shahat, NS; Khedr, AE-RH; Elsebaaye, AO; Elzayat, M; Abdelraheim, M; Elzayat, I; Warda, M; El Deen, KN; Elnemr, AE; Salah, O; Abbas, M; Rashad, M; Elzayyat, I; Hemeda, D; Tawfik, G; Salama, M; Khaled, H; Seisa, M; Elshaer, K; Hussein, A; Elkhadrawi, M; Afifi, AM; Ebrahim, OS; Metwally, MM; Elmelegy, R; Elsawahly, DME; Safa, H; Nofal, E; Elbermawy, M; Ghazy, AA; Samih, H; Abdelgelil, A; Abdelghany, S; El Kholy, A; Aboraya, M; Elkady, F; Salma, M; Samy, S; Fakher, R; Aboarab, A; Samir, A; Sakr, A; Haroun, A; Al-Aarag, AA-R; Elkholy, A; Elshanwany, S; Ghanem, E; Tammam, A; Hammad, AM; El Shoura, Y; El Ashal, G; Khairy, H; Antar, S; Mehrez, S; Abdelshafy, M; Hamad, MGM; Hosh, M; Abdallah, E; Magdy, B; Alzayat, T; Gamaly, E; Elfeki, H; Abouzahra, A; Elsheikh, S; Elgendy, FI; Abd El-Salam, F; Seifelnasr, O; Ammar, M; Eysa, A; Sadek, A; Toeema, AG; Nasr, A; Abuseif, M; Zidan, H; Barakat, SAE; Elsayed, N; Abd Elrasoul, Y; Elkelany, A; Ammar, MS; Mustafa, M-A; Hegazy, Y; Etman, M; Saad, S; Alrahawy, M; Raslan, A; Morsi, M; Rslan, A; Sabry, A; Elwakil, H; Shaker, H; Abd-Elrasoul, Y; El-Kashef, H; Shaalan, M; Tarek, A; Elwan, A; Nayel, AR; Seif, M; Emadeldin, D; Ghonaim, MA; Almallah, A; Fouad, A; Sayma, EA; Elbatahgy, A; El-Ma'doul, AS; Mosad, A; Tolba, H; Elsorogy, DEAA; Mostafa, HA; Omar, AA; Abd El Hameed, OS; Lasheen, A; Abd El Salam, Y; Morsi, A; Ismail, M; El-badawy, HA; Amer, MA; El-Hamouly, AS; Attallah, NA; Mosalum, O; Afandy, A; Mokhtar, A; Abouelnasr, A; Ayad, S; Shaker, R; Sakr, R; Amreia, M; Elsobky, S; Mustafa, M; El Magd, AA; Marey, A; Hafez, AT; Zalabia, MF; Mohamed, MM; Fadel, A; Ahmed, EA; Ali, A; Alwafai, MG; Dwydar, A; Kharsa, S; Mamdouh, E; El-Sheemy, H; AlYoussef, I; Aly, AK; Aldalaq, A; Alnawam, E; Alkhabbaz, D; Saad, M; Hussein, S; Elazayem, AA; Meshref, A; Elashmawy, M; Mousa, M; Nashaat, A; Ghanem, S; Elsayed, ZM; Elwaey, A; Elkadsh, I; Darweesh, M; Mohameden, A; Hafez, M; Badr, A; Badwy, A; Abd El Slam, M; Elazoul, M; Al-Nahrawi, S; Eldamaty, L; Nada, F; Ameen, M; Hagar, A; Elsehimy, M; Dawoud, H; El Mesery, S; El Gendy, A; Abdelkareem, A; Marey, AS; Allam, M; Shehata, S; Abozeid, K; Elshobary, M; Fahiem, A; Sarsik, S; Hashish, A; Zidan, M; Hashish, M; Aql, S; Elhendawy, AOA; Husseini, M; Kasem, E; Gheith, A; Elfouly, Y; Soliman, AR; Ibrahim, Y; Elfouly, N; Fawzy, A; Rashid, M; Elsherbiny, AS; Sieda, B; Badwi, NM; Mohammed, MMH; Mohamed, O; Habeeb, MA; Worku, M; Starr, N; Desta, S; Wondimu, S; Abebe, NS; Thomas, E; Asele, FA; Dabessa, D; Zerihun, AB; Mentula, P; Leppaniemi, A; Sallinen, V; Scalabre, A; Frade, F; Irtan, S; Graffeille, V; Gaignard, E; Alimi, Q; Graffieille, V; Abbo, O; Mouttalib, S; Bouali, O; Hervieux, E; Aigrain, Y; Botto, N; Faure, A; Fievet, L; Panait, N; Eyssartier, E; Schmitt, F; Podevin, G; Parent, V; Martin, A; Muller, C; Bonnard, A; Peycelon, M; Abantanga, F; Boakye-Yiadom, K; Bukari, M; Owusu, F; Awuku-Asabre, J; Bray, LD; Lytras, D; Psarianos, K; Bamicha, A; Kefalidi, E; Gemenetzis, G; Dervenis, C; Gouvas, N; Agalianos, C; Kontos, M; Kouraklis, G; Karousos, D; Germanos, S; Marinos, C; Anthoulakis, C; Nikoloudis, N; Mitroudis, N; Estupinian, S; Forno, W; Arevalo Azmitia, JR; Ramarez Cabrera, CC; Guevara, R; Aguilera, M; Mendez, N; Azmitia Mendizabal, CA; Ramazzini, P; Contreras Urquizu, M; Tale, F; Soley, R; Barrios, E; Marroquin Rodriguez, DE; Perez Velasquez, CI; Contreras Merida, SM; Regalado, F; Lopez, M; Siguantay, M; Lam, FY; Szeto, KJ-Y; Szeto, CCL; Li, WS; Li, KKK; Leung, MF; Mak, T; Ng, S; Prasad, SS; Kirishnan, A; Gyanchandani, N; Kumar, BS; Rangarajan, M; Bhat, S; Sreedharan, A; Kinnera, SV; Reddy, Y; Venugopal, C; Kumar, S; Mittal, A; Nadkarni, S; Lakshmi, HN; Malik, P; Limaye, N; Pai, S; Jain, P; Khajanchi, M; Satoskar, S; Satoskar, R; Bin Mahamood, A; Sutanto, EPR; Soeselo, DA; Tedjaatmadja, C; Rahmawati, FN; Mayasari, M; Al-Hasani, RKMJ; Al-Hameedi, HII; Ibraheem, HI; Al-Azraqi, IAA; Sabeeh, L; Kamil, R; Telfah, MM; Rasendran, A; Sheehan, J; Kerley, R; Normile, C; Gilbert, RW; Song, J; Dablouk, M; Mauro, L; Dablouk, MO; Kielty, P; Marks, E; Gosling, S; Mccarthy, M; Mirghani, D; Naqvi, SA; Wong, CS; Chung, S; D'cruz, R; Cahill, R; Gosling, SG; Fahy, C; Cadogan, DD; Powell, A; Gilbert, R; Clifford, C; Driscoll, A; Paul, S; Lee, C; Bowe, R; Hutch, W; Mohan, H; O'neill, M; Mealy, K; Danelli, P; Bondurri, A; Maffioli, A; 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Coomber, R; Johnson, K; Nowers, J; Periasammy, D; Salleh, A; Das, A; Tze, RGE; Kumar, MN; Abdullah, NAN; Kosai, NR; Taher, M; Rajan, R; Chong, HY; Agius, M; Borg, E; Bezzina, M; Bugeja, R; Vella-Baldacchino, M; Spina, A; Psaila, J; Francois-Coridon, H; Tolg, C; Colombani, J-F; Diaz-Zorrilla, C; Ramos-De La Medina, A; Corro-Diaz Gonzalez, S; Jacobe, M; Mapasse, D; Snyder, E; Oumer, R; Osman, M; Mohammad, A; Anyanwu, L-J; Sheshe, A; Adesina, A; Faturoti, O; Taiwo, O; Ibrahim, MH; Nasir, AA; Suleiman, SI; Adeniyi, A; Adesanya, O; Adebanjo, A; Osuoji, R; Atobatele, K; Ogunyemi, A; Williams, O; Oludara, M; Oshodi, O; Ademuyiwa, A; Lawal, AO; Alakaloko, F; Elebute, O; Osinowo, A; Bode, C; Adesuyi, A; Tade, A; Adekoya, A; Nwokoro, C; Ayandipo, OO; Lawal, TA; Ajao, AE; Ali, SS; Odeyemi, B; Olori, S; Popoola, A; Adeyeye, A; Adeniran, J; Lossius, WJ; Havemann, I; Thorsen, K; Narvestad, JK; Wold, TB; Nymo, L; Elsiddig, M; Dar, M; Bhopal, KF; Iftikhar, Z; Furqan, MM; Nighat, B; Jawaid, M; Khalique, A; 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Source: 3466 ; 3450
Publisher Information: Springer Verlag
Publication Year: 2018
Collection: Imperial College London: Spiral
Subject Terms: Science & Technology; Life Sciences & Biomedicine; Surgery; Appendicitis; Appendectomy; Global surgery; Laparoscopic; Operative standards; Postoperative care; Postoperative complications; Surgical site infection; SURGICAL CARE; DISEASE; BURDEN; HEALTH; GlobalSurg Collaborative; 1103 Clinical Sciences
Description: Background Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. Methods This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. Results 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33–4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76–2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42–0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14–0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11–0.44) and SSI (OR 0.21 95% CI 0.09–0.45). Conclusion A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments.
Document Type: article in journal/newspaper
Language: unknown
Relation: Surgical Endoscopy; http://hdl.handle.net/10044/1/64252
DOI: 10.1007/s00464-018-6064-9
Availability: http://hdl.handle.net/10044/1/64252; https://doi.org/10.1007/s00464-018-6064-9
Rights: © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Accession Number: edsbas.894F6586
Database: BASE