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.
Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study / 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. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 46:9(2022). [10.1007/s00268-022-06649-z]
Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study
Pata, Francesco
Primo
;Iossa, Angelo;Gallo, Gaetano;Nigri, Giuseppe;Lolli, Maria Giulia;Bellini, Maria Irene;Petrucciani, Niccolo;
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.| File | Dimensione | Formato | |
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