Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study

Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Nigel J Hall [verfasserIn] Vivek Gupta [verfasserIn] Anna-may Long [verfasserIn] Nuha Yassin [verfasserIn] Alan Askari [verfasserIn] David Colvin [verfasserIn] Stewart Cleeve [verfasserIn] Arun Kelay [verfasserIn] Chris Driver [verfasserIn] Clare Rees [verfasserIn] Eleri Cusick [verfasserIn] Hetal Patel [verfasserIn] Ingo Jester [verfasserIn] Khalid Elmalik [verfasserIn] Sean Marven [verfasserIn] Tim Bradnock [verfasserIn] Oliver Brown [verfasserIn] Andrew Jackson [verfasserIn] Richard Egan [verfasserIn] Laura Phillips [verfasserIn] Marianne Hollyman [verfasserIn] Bankole Oyewole [verfasserIn] Fenella Welsh [verfasserIn] Dale Vimalachandran [verfasserIn] Melissa Gabriel [verfasserIn] Kate Cross [verfasserIn] Iain Yardley [verfasserIn] Mark Peter [verfasserIn] Andrew Beamish [verfasserIn] Sophie Lewis [verfasserIn] Milan Gopal [verfasserIn] Joshua McIntyre [verfasserIn] Merrill McHoney [verfasserIn] Ionica Stoica [verfasserIn] Hany Gabra [verfasserIn] Tristan Boam [verfasserIn] Angeliki Kosti [verfasserIn] Katie cross [verfasserIn] Andrew Mitchell [verfasserIn] Michael Terry [verfasserIn] George S Bethell [verfasserIn] Clare M Rees [verfasserIn] Jonathan R Sutcliffe [verfasserIn] Florin Djendov [verfasserIn] Victor Emordi [verfasserIn] Sarah Staight [verfasserIn] Christina Major [verfasserIn] Oscar Croysdale [verfasserIn] Mike Nelson [verfasserIn] Hannah Rhodes [verfasserIn] Juliette King [verfasserIn] Gillian Winter [verfasserIn] Selena Curkovic [verfasserIn] Raef Jackson [verfasserIn] Bhushanrao Jadhav [verfasserIn] Thomas Raymond [verfasserIn] Vijay Gangalam [verfasserIn] Deepak Selvakumar [verfasserIn] Reda Habak [verfasserIn] Muslim Abdullah [verfasserIn] Mohamed Ahmed Osama [verfasserIn] Khlud Asanai [verfasserIn] Noman Zafar [verfasserIn] Sophia Lewis [verfasserIn] Florence Kashora [verfasserIn] Dixa Thakrar [verfasserIn] Dean Rex [verfasserIn] Annita Budzanowski [verfasserIn] Jennifer Binnington [verfasserIn] Simon Timbrell [verfasserIn] Megan Ridgeway [verfasserIn] Shirley Chan [verfasserIn] Amani Asour [verfasserIn] Adetayo Aderombi [verfasserIn] Donald Menzies [verfasserIn] Ali Murtada [verfasserIn] Corina Dragu [verfasserIn] Vincent Quan [verfasserIn] Krashna Patel [verfasserIn] Sesi Hotonu [verfasserIn] Ashley Meikle [verfasserIn] Ajay Belgaumkar [verfasserIn] Prabhat Narayan [verfasserIn] Thomas Badenoch [verfasserIn] Frances Goulder [verfasserIn] Katie Siggens [verfasserIn] Kizzie Peters [verfasserIn] Fiona Kirkham [verfasserIn] Paul Froggatt [verfasserIn] Karen Lai [verfasserIn] Cristina Navarro [verfasserIn] Dorinda Chandrabose [verfasserIn] Simon Toh [verfasserIn] Elizabeth Gemmill [verfasserIn] Keira Lily [verfasserIn] Mark Dilworth [verfasserIn] Dimitrios Stamatiou [verfasserIn] Alasdair Macmillan [verfasserIn] Danielle Clyde [verfasserIn] Majid Rashid [verfasserIn] Gandrapu Srinivas [verfasserIn] Katherine Buckley [verfasserIn] Darren Smith [verfasserIn] Henry Dowson [verfasserIn] Gautam Singh [verfasserIn] Seshu Kumar Bylapudi [verfasserIn] Louise Phillips [verfasserIn] Kimberley Hallam [verfasserIn] Marisa Clemente [verfasserIn] Karol Pal [verfasserIn] George Ninkovic-Hall [verfasserIn] Emila Paul [verfasserIn] Theo Pelly [verfasserIn] Joe Vance-Daniel [verfasserIn] Venkatesh Kanakala [verfasserIn] Edward J Nevins [verfasserIn] James Dixon [verfasserIn] Michael John [verfasserIn] Jude Prince [verfasserIn] Georgios Karagiannidis [verfasserIn] Suzette Samlalsingh [verfasserIn] Chrsitine Ozone [verfasserIn] Amina Bouhelal [verfasserIn] Siddhartha Handa [verfasserIn] Sathasivam Rajeev [verfasserIn] Ellen Ross [verfasserIn] Ali Wadah [verfasserIn] John Hallett [verfasserIn] Shirish Tewari [verfasserIn] Vinay Shah [verfasserIn] Nick Reay-Jones [verfasserIn] Salman Bodla [verfasserIn] Harriet Corbett [verfasserIn] Sumita Chhabra [verfasserIn] Athanasios Tyraskis [verfasserIn] Benjamin Allin [verfasserIn] Angus Fitchie [verfasserIn] Michael Stanton [verfasserIn] Mark Vipond [verfasserIn] Harry Dean [verfasserIn] Matthew Boal [verfasserIn] Jonathan Goring [verfasserIn] Mahmoud Marei [verfasserIn] Christian Verhoef [verfasserIn] Jonathan Ducey [verfasserIn] Chipo Mushonga [verfasserIn] Dan Frith [verfasserIn] Ashok Ram [verfasserIn] Ferzine Mohamed [verfasserIn] Nadine Dyar [verfasserIn] Rick MacMahon [verfasserIn] Mohammed Fakhrul-Aldeen [verfasserIn] Iain Bain [verfasserIn] Graham Branagan [verfasserIn] Rachel Carten [verfasserIn] Chee Wan Lai [verfasserIn] Anindya Niyogi [verfasserIn] Claudia Koh [verfasserIn] Christian Fox [verfasserIn] Stavros Loukogeorgakis [verfasserIn] Joe Curry [verfasserIn] Jayaram Sivaraj [verfasserIn] Milda Jancauskaite [verfasserIn] Helen Please [verfasserIn] Wayne Fradley [verfasserIn] Maki Jitsumara [verfasserIn] Sinead Hassett [verfasserIn] Ancuta Muntean [verfasserIn] Sarah Yassin [verfasserIn] Suzanne Lawther [verfasserIn] Ciaran Durand [verfasserIn] Mohamed Eltom [verfasserIn] Kirsty Brennan [verfasserIn] Clara Chong [verfasserIn] Hasan Mukhtar [verfasserIn] Hany Khalil [verfasserIn] Stephanie Clark [verfasserIn] Ashish Desai [verfasserIn] Amulya Saxena [verfasserIn] Joshua Cave [verfasserIn] Alistair Sharples [verfasserIn] Lukas O’Brien [verfasserIn] George Kerans [verfasserIn] Ashwini Ghorpade [verfasserIn] Felicity Arthur [verfasserIn] Muhammad Tobbal [verfasserIn] Rachael Robertson [verfasserIn] Ben Martin [verfasserIn] Ben Woodward [verfasserIn] Kieran McGovern [verfasserIn] Duncan Rutherford [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Übergeordnetes Werk:	In: BMJ Paediatrics Open - BMJ Publishing Group, 2018, 4(2020), 1
Übergeordnetes Werk:	volume:4 ; year:2020 ; number:1

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1136/bmjpo-2020-000831

Katalog-ID:	DOAJ057519714

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100	0		\|a Nigel J Hall \|e verfasserin \|4 aut
245	1	0	\|a Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
264		1	\|c 2020
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520			\|a Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far.
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912			\|a GBV_ILN_293
912			\|a GBV_ILN_602
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_4012
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4249
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4306
912			\|a GBV_ILN_4307
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4322
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4367
912			\|a GBV_ILN_4700
951			\|a AR
952			\|d 4 \|j 2020 \|e 1

Indexfelder

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matchkey_str	article:23999772:2020----::aaeetneryucmsfhlrnihpedctsnhuadrlndrnteoi1pneiau
hierarchy_sort_str	2020
callnumber-subject-code	RJ
publishDate	2020
allfields	10.1136/bmjpo-2020-000831 doi (DE-627)DOAJ057519714 (DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73 DE-627 ger DE-627 rakwb eng RJ1-570 Nigel J Hall verfasserin aut Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Pediatrics Vivek Gupta verfasserin aut Anna-may Long verfasserin aut Nuha Yassin verfasserin aut Alan Askari verfasserin aut David Colvin verfasserin aut Stewart Cleeve verfasserin aut Arun Kelay verfasserin aut Chris Driver verfasserin aut Clare Rees verfasserin aut Eleri Cusick verfasserin aut Hetal Patel verfasserin aut Ingo Jester verfasserin aut Khalid Elmalik verfasserin aut Sean Marven verfasserin aut Tim Bradnock verfasserin aut Oliver Brown verfasserin aut Andrew Jackson verfasserin aut Richard Egan verfasserin aut Laura Phillips verfasserin aut Marianne Hollyman verfasserin aut Bankole Oyewole verfasserin aut Fenella Welsh verfasserin aut Dale Vimalachandran verfasserin aut Melissa Gabriel verfasserin aut Kate Cross verfasserin aut Iain Yardley verfasserin aut Mark Peter verfasserin aut Andrew Beamish verfasserin aut Sophie Lewis verfasserin aut Milan Gopal verfasserin aut Joshua McIntyre verfasserin aut Merrill McHoney verfasserin aut Ionica Stoica verfasserin aut Hany Gabra verfasserin aut Tristan Boam verfasserin aut Angeliki Kosti verfasserin aut Katie cross verfasserin aut Andrew Mitchell verfasserin aut Michael Terry verfasserin aut George S Bethell verfasserin aut Clare M Rees verfasserin aut Jonathan R Sutcliffe verfasserin aut Florin Djendov verfasserin aut Victor Emordi verfasserin aut Sarah Staight verfasserin aut Christina Major verfasserin aut Oscar Croysdale verfasserin aut Mike Nelson verfasserin aut Hannah Rhodes verfasserin aut Juliette King verfasserin aut Gillian Winter verfasserin aut Selena Curkovic verfasserin aut Raef Jackson verfasserin aut Bhushanrao Jadhav verfasserin aut Thomas Raymond verfasserin aut Vijay Gangalam verfasserin aut Deepak Selvakumar verfasserin aut Reda Habak verfasserin aut Muslim Abdullah verfasserin aut Mohamed Ahmed Osama verfasserin aut Khlud Asanai verfasserin aut Noman Zafar verfasserin aut Sophia Lewis verfasserin aut Florence Kashora verfasserin aut Dixa Thakrar verfasserin aut Dean Rex verfasserin aut Annita Budzanowski verfasserin aut Jennifer Binnington verfasserin aut Simon Timbrell verfasserin aut Megan Ridgeway verfasserin aut Shirley Chan verfasserin aut Amani Asour verfasserin aut Adetayo Aderombi verfasserin aut Donald Menzies verfasserin aut Ali Murtada verfasserin aut Corina Dragu verfasserin aut Vincent Quan verfasserin aut Krashna Patel verfasserin aut Sesi Hotonu verfasserin aut Ashley Meikle verfasserin aut Ajay Belgaumkar verfasserin aut Prabhat Narayan verfasserin aut Thomas Badenoch verfasserin aut Frances Goulder verfasserin aut Katie Siggens verfasserin aut Kizzie Peters verfasserin aut Fiona Kirkham verfasserin aut Paul Froggatt verfasserin aut Karen Lai verfasserin aut Cristina Navarro verfasserin aut Dorinda Chandrabose verfasserin aut Simon Toh verfasserin aut Elizabeth Gemmill verfasserin aut Keira Lily verfasserin aut Mark Dilworth verfasserin aut Dimitrios Stamatiou verfasserin aut Alasdair Macmillan verfasserin aut Danielle Clyde verfasserin aut Majid Rashid verfasserin aut Gandrapu Srinivas verfasserin aut Katherine Buckley verfasserin aut Darren Smith verfasserin aut Henry Dowson verfasserin aut Gautam Singh verfasserin aut Seshu Kumar Bylapudi verfasserin aut Louise Phillips verfasserin aut Kimberley Hallam verfasserin aut Marisa Clemente verfasserin aut Karol Pal verfasserin aut George Ninkovic-Hall verfasserin aut Emila Paul verfasserin aut Theo Pelly verfasserin aut Joe Vance-Daniel verfasserin aut Venkatesh Kanakala verfasserin aut Edward J Nevins verfasserin aut James Dixon verfasserin aut Michael John verfasserin aut Jude Prince verfasserin aut Georgios Karagiannidis verfasserin aut Suzette Samlalsingh verfasserin aut Chrsitine Ozone verfasserin aut Amina Bouhelal verfasserin aut Siddhartha Handa verfasserin aut Sathasivam Rajeev verfasserin aut Ellen Ross verfasserin aut Ali Wadah verfasserin aut John Hallett verfasserin aut Shirish Tewari verfasserin aut Vinay Shah verfasserin aut Nick Reay-Jones verfasserin aut Salman Bodla verfasserin aut Harriet Corbett verfasserin aut Sumita Chhabra verfasserin aut Athanasios Tyraskis verfasserin aut Benjamin Allin verfasserin aut Angus Fitchie verfasserin aut Michael Stanton verfasserin aut Mark Vipond verfasserin aut Harry Dean verfasserin aut Matthew Boal verfasserin aut Jonathan Goring verfasserin aut Mahmoud Marei verfasserin aut Christian Verhoef verfasserin aut Jonathan Ducey verfasserin aut Chipo Mushonga verfasserin aut Dan Frith verfasserin aut Ashok Ram verfasserin aut Ferzine Mohamed verfasserin aut Nadine Dyar verfasserin aut Rick MacMahon verfasserin aut Mohammed Fakhrul-Aldeen verfasserin aut Iain Bain verfasserin aut Graham Branagan verfasserin aut Rachel Carten verfasserin aut Chee Wan Lai verfasserin aut Anindya Niyogi verfasserin aut Claudia Koh verfasserin aut Christian Fox verfasserin aut Stavros Loukogeorgakis verfasserin aut Joe Curry verfasserin aut Jayaram Sivaraj verfasserin aut Milda Jancauskaite verfasserin aut Helen Please verfasserin aut Wayne Fradley verfasserin aut Maki Jitsumara verfasserin aut Sinead Hassett verfasserin aut Ancuta Muntean verfasserin aut Sarah Yassin verfasserin aut Suzanne Lawther verfasserin aut Ciaran Durand verfasserin aut Mohamed Eltom verfasserin aut Kirsty Brennan verfasserin aut Clara Chong verfasserin aut Hasan Mukhtar verfasserin aut Hany Khalil verfasserin aut Stephanie Clark verfasserin aut Ashish Desai verfasserin aut Amulya Saxena verfasserin aut Joshua Cave verfasserin aut Alistair Sharples verfasserin aut Lukas O’Brien verfasserin aut George Kerans verfasserin aut Ashwini Ghorpade verfasserin aut Felicity Arthur verfasserin aut Muhammad Tobbal verfasserin aut Rachael Robertson verfasserin aut Ben Martin verfasserin aut Ben Woodward verfasserin aut Kieran McGovern verfasserin aut Duncan Rutherford verfasserin aut In BMJ Paediatrics Open BMJ Publishing Group, 2018 4(2020), 1 (DE-627)88814136X (DE-600)2895377-0 23999772 nnns volume:4 year:2020 number:1 https://doi.org/10.1136/bmjpo-2020-000831 kostenfrei https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 kostenfrei https://bmjpaedsopen.bmj.com/content/4/1/e000831.full kostenfrei https://doaj.org/toc/2399-9772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2020 1
spelling	10.1136/bmjpo-2020-000831 doi (DE-627)DOAJ057519714 (DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73 DE-627 ger DE-627 rakwb eng RJ1-570 Nigel J Hall verfasserin aut Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Pediatrics Vivek Gupta verfasserin aut Anna-may Long verfasserin aut Nuha Yassin verfasserin aut Alan Askari verfasserin aut David Colvin verfasserin aut Stewart Cleeve verfasserin aut Arun Kelay verfasserin aut Chris Driver verfasserin aut Clare Rees verfasserin aut Eleri Cusick verfasserin aut Hetal Patel verfasserin aut Ingo Jester verfasserin aut Khalid Elmalik verfasserin aut Sean Marven verfasserin aut Tim Bradnock verfasserin aut Oliver Brown verfasserin aut Andrew Jackson verfasserin aut Richard Egan verfasserin aut Laura Phillips verfasserin aut Marianne Hollyman verfasserin aut Bankole Oyewole verfasserin aut Fenella Welsh verfasserin aut Dale Vimalachandran verfasserin aut Melissa Gabriel verfasserin aut Kate Cross verfasserin aut Iain Yardley verfasserin aut Mark Peter verfasserin aut Andrew Beamish verfasserin aut Sophie Lewis verfasserin aut Milan Gopal verfasserin aut Joshua McIntyre verfasserin aut Merrill McHoney verfasserin aut Ionica Stoica verfasserin aut Hany Gabra verfasserin aut Tristan Boam verfasserin aut Angeliki Kosti verfasserin aut Katie cross verfasserin aut Andrew Mitchell verfasserin aut Michael Terry verfasserin aut George S Bethell verfasserin aut Clare M Rees verfasserin aut Jonathan R Sutcliffe verfasserin aut Florin Djendov verfasserin aut Victor Emordi verfasserin aut Sarah Staight verfasserin aut Christina Major verfasserin aut Oscar Croysdale verfasserin aut Mike Nelson verfasserin aut Hannah Rhodes verfasserin aut Juliette King verfasserin aut Gillian Winter verfasserin aut Selena Curkovic verfasserin aut Raef Jackson verfasserin aut Bhushanrao Jadhav verfasserin aut Thomas Raymond verfasserin aut Vijay Gangalam verfasserin aut Deepak Selvakumar verfasserin aut Reda Habak verfasserin aut Muslim Abdullah verfasserin aut Mohamed Ahmed Osama verfasserin aut Khlud Asanai verfasserin aut Noman Zafar verfasserin aut Sophia Lewis verfasserin aut Florence Kashora verfasserin aut Dixa Thakrar verfasserin aut Dean Rex verfasserin aut Annita Budzanowski verfasserin aut Jennifer Binnington verfasserin aut Simon Timbrell verfasserin aut Megan Ridgeway verfasserin aut Shirley Chan verfasserin aut Amani Asour verfasserin aut Adetayo Aderombi verfasserin aut Donald Menzies verfasserin aut Ali Murtada verfasserin aut Corina Dragu verfasserin aut Vincent Quan verfasserin aut Krashna Patel verfasserin aut Sesi Hotonu verfasserin aut Ashley Meikle verfasserin aut Ajay Belgaumkar verfasserin aut Prabhat Narayan verfasserin aut Thomas Badenoch verfasserin aut Frances Goulder verfasserin aut Katie Siggens verfasserin aut Kizzie Peters verfasserin aut Fiona Kirkham verfasserin aut Paul Froggatt verfasserin aut Karen Lai verfasserin aut Cristina Navarro verfasserin aut Dorinda Chandrabose verfasserin aut Simon Toh verfasserin aut Elizabeth Gemmill verfasserin aut Keira Lily verfasserin aut Mark Dilworth verfasserin aut Dimitrios Stamatiou verfasserin aut Alasdair Macmillan verfasserin aut Danielle Clyde verfasserin aut Majid Rashid verfasserin aut Gandrapu Srinivas verfasserin aut Katherine Buckley verfasserin aut Darren Smith verfasserin aut Henry Dowson verfasserin aut Gautam Singh verfasserin aut Seshu Kumar Bylapudi verfasserin aut Louise Phillips verfasserin aut Kimberley Hallam verfasserin aut Marisa Clemente verfasserin aut Karol Pal verfasserin aut George Ninkovic-Hall verfasserin aut Emila Paul verfasserin aut Theo Pelly verfasserin aut Joe Vance-Daniel verfasserin aut Venkatesh Kanakala verfasserin aut Edward J Nevins verfasserin aut James Dixon verfasserin aut Michael John verfasserin aut Jude Prince verfasserin aut Georgios Karagiannidis verfasserin aut Suzette Samlalsingh verfasserin aut Chrsitine Ozone verfasserin aut Amina Bouhelal verfasserin aut Siddhartha Handa verfasserin aut Sathasivam Rajeev verfasserin aut Ellen Ross verfasserin aut Ali Wadah verfasserin aut John Hallett verfasserin aut Shirish Tewari verfasserin aut Vinay Shah verfasserin aut Nick Reay-Jones verfasserin aut Salman Bodla verfasserin aut Harriet Corbett verfasserin aut Sumita Chhabra verfasserin aut Athanasios Tyraskis verfasserin aut Benjamin Allin verfasserin aut Angus Fitchie verfasserin aut Michael Stanton verfasserin aut Mark Vipond verfasserin aut Harry Dean verfasserin aut Matthew Boal verfasserin aut Jonathan Goring verfasserin aut Mahmoud Marei verfasserin aut Christian Verhoef verfasserin aut Jonathan Ducey verfasserin aut Chipo Mushonga verfasserin aut Dan Frith verfasserin aut Ashok Ram verfasserin aut Ferzine Mohamed verfasserin aut Nadine Dyar verfasserin aut Rick MacMahon verfasserin aut Mohammed Fakhrul-Aldeen verfasserin aut Iain Bain verfasserin aut Graham Branagan verfasserin aut Rachel Carten verfasserin aut Chee Wan Lai verfasserin aut Anindya Niyogi verfasserin aut Claudia Koh verfasserin aut Christian Fox verfasserin aut Stavros Loukogeorgakis verfasserin aut Joe Curry verfasserin aut Jayaram Sivaraj verfasserin aut Milda Jancauskaite verfasserin aut Helen Please verfasserin aut Wayne Fradley verfasserin aut Maki Jitsumara verfasserin aut Sinead Hassett verfasserin aut Ancuta Muntean verfasserin aut Sarah Yassin verfasserin aut Suzanne Lawther verfasserin aut Ciaran Durand verfasserin aut Mohamed Eltom verfasserin aut Kirsty Brennan verfasserin aut Clara Chong verfasserin aut Hasan Mukhtar verfasserin aut Hany Khalil verfasserin aut Stephanie Clark verfasserin aut Ashish Desai verfasserin aut Amulya Saxena verfasserin aut Joshua Cave verfasserin aut Alistair Sharples verfasserin aut Lukas O’Brien verfasserin aut George Kerans verfasserin aut Ashwini Ghorpade verfasserin aut Felicity Arthur verfasserin aut Muhammad Tobbal verfasserin aut Rachael Robertson verfasserin aut Ben Martin verfasserin aut Ben Woodward verfasserin aut Kieran McGovern verfasserin aut Duncan Rutherford verfasserin aut In BMJ Paediatrics Open BMJ Publishing Group, 2018 4(2020), 1 (DE-627)88814136X (DE-600)2895377-0 23999772 nnns volume:4 year:2020 number:1 https://doi.org/10.1136/bmjpo-2020-000831 kostenfrei https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 kostenfrei https://bmjpaedsopen.bmj.com/content/4/1/e000831.full kostenfrei https://doaj.org/toc/2399-9772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2020 1
allfields_unstemmed	10.1136/bmjpo-2020-000831 doi (DE-627)DOAJ057519714 (DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73 DE-627 ger DE-627 rakwb eng RJ1-570 Nigel J Hall verfasserin aut Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Pediatrics Vivek Gupta verfasserin aut Anna-may Long verfasserin aut Nuha Yassin verfasserin aut Alan Askari verfasserin aut David Colvin verfasserin aut Stewart Cleeve verfasserin aut Arun Kelay verfasserin aut Chris Driver verfasserin aut Clare Rees verfasserin aut Eleri Cusick verfasserin aut Hetal Patel verfasserin aut Ingo Jester verfasserin aut Khalid Elmalik verfasserin aut Sean Marven verfasserin aut Tim Bradnock verfasserin aut Oliver Brown verfasserin aut Andrew Jackson verfasserin aut Richard Egan verfasserin aut Laura Phillips verfasserin aut Marianne Hollyman verfasserin aut Bankole Oyewole verfasserin aut Fenella Welsh verfasserin aut Dale Vimalachandran verfasserin aut Melissa Gabriel verfasserin aut Kate Cross verfasserin aut Iain Yardley verfasserin aut Mark Peter verfasserin aut Andrew Beamish verfasserin aut Sophie Lewis verfasserin aut Milan Gopal verfasserin aut Joshua McIntyre verfasserin aut Merrill McHoney verfasserin aut Ionica Stoica verfasserin aut Hany Gabra verfasserin aut Tristan Boam verfasserin aut Angeliki Kosti verfasserin aut Katie cross verfasserin aut Andrew Mitchell verfasserin aut Michael Terry verfasserin aut George S Bethell verfasserin aut Clare M Rees verfasserin aut Jonathan R Sutcliffe verfasserin aut Florin Djendov verfasserin aut Victor Emordi verfasserin aut Sarah Staight verfasserin aut Christina Major verfasserin aut Oscar Croysdale verfasserin aut Mike Nelson verfasserin aut Hannah Rhodes verfasserin aut Juliette King verfasserin aut Gillian Winter verfasserin aut Selena Curkovic verfasserin aut Raef Jackson verfasserin aut Bhushanrao Jadhav verfasserin aut Thomas Raymond verfasserin aut Vijay Gangalam verfasserin aut Deepak Selvakumar verfasserin aut Reda Habak verfasserin aut Muslim Abdullah verfasserin aut Mohamed Ahmed Osama verfasserin aut Khlud Asanai verfasserin aut Noman Zafar verfasserin aut Sophia Lewis verfasserin aut Florence Kashora verfasserin aut Dixa Thakrar verfasserin aut Dean Rex verfasserin aut Annita Budzanowski verfasserin aut Jennifer Binnington verfasserin aut Simon Timbrell verfasserin aut Megan Ridgeway verfasserin aut Shirley Chan verfasserin aut Amani Asour verfasserin aut Adetayo Aderombi verfasserin aut Donald Menzies verfasserin aut Ali Murtada verfasserin aut Corina Dragu verfasserin aut Vincent Quan verfasserin aut Krashna Patel verfasserin aut Sesi Hotonu verfasserin aut Ashley Meikle verfasserin aut Ajay Belgaumkar verfasserin aut Prabhat Narayan verfasserin aut Thomas Badenoch verfasserin aut Frances Goulder verfasserin aut Katie Siggens verfasserin aut Kizzie Peters verfasserin aut Fiona Kirkham verfasserin aut Paul Froggatt verfasserin aut Karen Lai verfasserin aut Cristina Navarro verfasserin aut Dorinda Chandrabose verfasserin aut Simon Toh verfasserin aut Elizabeth Gemmill verfasserin aut Keira Lily verfasserin aut Mark Dilworth verfasserin aut Dimitrios Stamatiou verfasserin aut Alasdair Macmillan verfasserin aut Danielle Clyde verfasserin aut Majid Rashid verfasserin aut Gandrapu Srinivas verfasserin aut Katherine Buckley verfasserin aut Darren Smith verfasserin aut Henry Dowson verfasserin aut Gautam Singh verfasserin aut Seshu Kumar Bylapudi verfasserin aut Louise Phillips verfasserin aut Kimberley Hallam verfasserin aut Marisa Clemente verfasserin aut Karol Pal verfasserin aut George Ninkovic-Hall verfasserin aut Emila Paul verfasserin aut Theo Pelly verfasserin aut Joe Vance-Daniel verfasserin aut Venkatesh Kanakala verfasserin aut Edward J Nevins verfasserin aut James Dixon verfasserin aut Michael John verfasserin aut Jude Prince verfasserin aut Georgios Karagiannidis verfasserin aut Suzette Samlalsingh verfasserin aut Chrsitine Ozone verfasserin aut Amina Bouhelal verfasserin aut Siddhartha Handa verfasserin aut Sathasivam Rajeev verfasserin aut Ellen Ross verfasserin aut Ali Wadah verfasserin aut John Hallett verfasserin aut Shirish Tewari verfasserin aut Vinay Shah verfasserin aut Nick Reay-Jones verfasserin aut Salman Bodla verfasserin aut Harriet Corbett verfasserin aut Sumita Chhabra verfasserin aut Athanasios Tyraskis verfasserin aut Benjamin Allin verfasserin aut Angus Fitchie verfasserin aut Michael Stanton verfasserin aut Mark Vipond verfasserin aut Harry Dean verfasserin aut Matthew Boal verfasserin aut Jonathan Goring verfasserin aut Mahmoud Marei verfasserin aut Christian Verhoef verfasserin aut Jonathan Ducey verfasserin aut Chipo Mushonga verfasserin aut Dan Frith verfasserin aut Ashok Ram verfasserin aut Ferzine Mohamed verfasserin aut Nadine Dyar verfasserin aut Rick MacMahon verfasserin aut Mohammed Fakhrul-Aldeen verfasserin aut Iain Bain verfasserin aut Graham Branagan verfasserin aut Rachel Carten verfasserin aut Chee Wan Lai verfasserin aut Anindya Niyogi verfasserin aut Claudia Koh verfasserin aut Christian Fox verfasserin aut Stavros Loukogeorgakis verfasserin aut Joe Curry verfasserin aut Jayaram Sivaraj verfasserin aut Milda Jancauskaite verfasserin aut Helen Please verfasserin aut Wayne Fradley verfasserin aut Maki Jitsumara verfasserin aut Sinead Hassett verfasserin aut Ancuta Muntean verfasserin aut Sarah Yassin verfasserin aut Suzanne Lawther verfasserin aut Ciaran Durand verfasserin aut Mohamed Eltom verfasserin aut Kirsty Brennan verfasserin aut Clara Chong verfasserin aut Hasan Mukhtar verfasserin aut Hany Khalil verfasserin aut Stephanie Clark verfasserin aut Ashish Desai verfasserin aut Amulya Saxena verfasserin aut Joshua Cave verfasserin aut Alistair Sharples verfasserin aut Lukas O’Brien verfasserin aut George Kerans verfasserin aut Ashwini Ghorpade verfasserin aut Felicity Arthur verfasserin aut Muhammad Tobbal verfasserin aut Rachael Robertson verfasserin aut Ben Martin verfasserin aut Ben Woodward verfasserin aut Kieran McGovern verfasserin aut Duncan Rutherford verfasserin aut In BMJ Paediatrics Open BMJ Publishing Group, 2018 4(2020), 1 (DE-627)88814136X (DE-600)2895377-0 23999772 nnns volume:4 year:2020 number:1 https://doi.org/10.1136/bmjpo-2020-000831 kostenfrei https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 kostenfrei https://bmjpaedsopen.bmj.com/content/4/1/e000831.full kostenfrei https://doaj.org/toc/2399-9772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2020 1
allfieldsGer	10.1136/bmjpo-2020-000831 doi (DE-627)DOAJ057519714 (DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73 DE-627 ger DE-627 rakwb eng RJ1-570 Nigel J Hall verfasserin aut Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Pediatrics Vivek Gupta verfasserin aut Anna-may Long verfasserin aut Nuha Yassin verfasserin aut Alan Askari verfasserin aut David Colvin verfasserin aut Stewart Cleeve verfasserin aut Arun Kelay verfasserin aut Chris Driver verfasserin aut Clare Rees verfasserin aut Eleri Cusick verfasserin aut Hetal Patel verfasserin aut Ingo Jester verfasserin aut Khalid Elmalik verfasserin aut Sean Marven verfasserin aut Tim Bradnock verfasserin aut Oliver Brown verfasserin aut Andrew Jackson verfasserin aut Richard Egan verfasserin aut Laura Phillips verfasserin aut Marianne Hollyman verfasserin aut Bankole Oyewole verfasserin aut Fenella Welsh verfasserin aut Dale Vimalachandran verfasserin aut Melissa Gabriel verfasserin aut Kate Cross verfasserin aut Iain Yardley verfasserin aut Mark Peter verfasserin aut Andrew Beamish verfasserin aut Sophie Lewis verfasserin aut Milan Gopal verfasserin aut Joshua McIntyre verfasserin aut Merrill McHoney verfasserin aut Ionica Stoica verfasserin aut Hany Gabra verfasserin aut Tristan Boam verfasserin aut Angeliki Kosti verfasserin aut Katie cross verfasserin aut Andrew Mitchell verfasserin aut Michael Terry verfasserin aut George S Bethell verfasserin aut Clare M Rees verfasserin aut Jonathan R Sutcliffe verfasserin aut Florin Djendov verfasserin aut Victor Emordi verfasserin aut Sarah Staight verfasserin aut Christina Major verfasserin aut Oscar Croysdale verfasserin aut Mike Nelson verfasserin aut Hannah Rhodes verfasserin aut Juliette King verfasserin aut Gillian Winter verfasserin aut Selena Curkovic verfasserin aut Raef Jackson verfasserin aut Bhushanrao Jadhav verfasserin aut Thomas Raymond verfasserin aut Vijay Gangalam verfasserin aut Deepak Selvakumar verfasserin aut Reda Habak verfasserin aut Muslim Abdullah verfasserin aut Mohamed Ahmed Osama verfasserin aut Khlud Asanai verfasserin aut Noman Zafar verfasserin aut Sophia Lewis verfasserin aut Florence Kashora verfasserin aut Dixa Thakrar verfasserin aut Dean Rex verfasserin aut Annita Budzanowski verfasserin aut Jennifer Binnington verfasserin aut Simon Timbrell verfasserin aut Megan Ridgeway verfasserin aut Shirley Chan verfasserin aut Amani Asour verfasserin aut Adetayo Aderombi verfasserin aut Donald Menzies verfasserin aut Ali Murtada verfasserin aut Corina Dragu verfasserin aut Vincent Quan verfasserin aut Krashna Patel verfasserin aut Sesi Hotonu verfasserin aut Ashley Meikle verfasserin aut Ajay Belgaumkar verfasserin aut Prabhat Narayan verfasserin aut Thomas Badenoch verfasserin aut Frances Goulder verfasserin aut Katie Siggens verfasserin aut Kizzie Peters verfasserin aut Fiona Kirkham verfasserin aut Paul Froggatt verfasserin aut Karen Lai verfasserin aut Cristina Navarro verfasserin aut Dorinda Chandrabose verfasserin aut Simon Toh verfasserin aut Elizabeth Gemmill verfasserin aut Keira Lily verfasserin aut Mark Dilworth verfasserin aut Dimitrios Stamatiou verfasserin aut Alasdair Macmillan verfasserin aut Danielle Clyde verfasserin aut Majid Rashid verfasserin aut Gandrapu Srinivas verfasserin aut Katherine Buckley verfasserin aut Darren Smith verfasserin aut Henry Dowson verfasserin aut Gautam Singh verfasserin aut Seshu Kumar Bylapudi verfasserin aut Louise Phillips verfasserin aut Kimberley Hallam verfasserin aut Marisa Clemente verfasserin aut Karol Pal verfasserin aut George Ninkovic-Hall verfasserin aut Emila Paul verfasserin aut Theo Pelly verfasserin aut Joe Vance-Daniel verfasserin aut Venkatesh Kanakala verfasserin aut Edward J Nevins verfasserin aut James Dixon verfasserin aut Michael John verfasserin aut Jude Prince verfasserin aut Georgios Karagiannidis verfasserin aut Suzette Samlalsingh verfasserin aut Chrsitine Ozone verfasserin aut Amina Bouhelal verfasserin aut Siddhartha Handa verfasserin aut Sathasivam Rajeev verfasserin aut Ellen Ross verfasserin aut Ali Wadah verfasserin aut John Hallett verfasserin aut Shirish Tewari verfasserin aut Vinay Shah verfasserin aut Nick Reay-Jones verfasserin aut Salman Bodla verfasserin aut Harriet Corbett verfasserin aut Sumita Chhabra verfasserin aut Athanasios Tyraskis verfasserin aut Benjamin Allin verfasserin aut Angus Fitchie verfasserin aut Michael Stanton verfasserin aut Mark Vipond verfasserin aut Harry Dean verfasserin aut Matthew Boal verfasserin aut Jonathan Goring verfasserin aut Mahmoud Marei verfasserin aut Christian Verhoef verfasserin aut Jonathan Ducey verfasserin aut Chipo Mushonga verfasserin aut Dan Frith verfasserin aut Ashok Ram verfasserin aut Ferzine Mohamed verfasserin aut Nadine Dyar verfasserin aut Rick MacMahon verfasserin aut Mohammed Fakhrul-Aldeen verfasserin aut Iain Bain verfasserin aut Graham Branagan verfasserin aut Rachel Carten verfasserin aut Chee Wan Lai verfasserin aut Anindya Niyogi verfasserin aut Claudia Koh verfasserin aut Christian Fox verfasserin aut Stavros Loukogeorgakis verfasserin aut Joe Curry verfasserin aut Jayaram Sivaraj verfasserin aut Milda Jancauskaite verfasserin aut Helen Please verfasserin aut Wayne Fradley verfasserin aut Maki Jitsumara verfasserin aut Sinead Hassett verfasserin aut Ancuta Muntean verfasserin aut Sarah Yassin verfasserin aut Suzanne Lawther verfasserin aut Ciaran Durand verfasserin aut Mohamed Eltom verfasserin aut Kirsty Brennan verfasserin aut Clara Chong verfasserin aut Hasan Mukhtar verfasserin aut Hany Khalil verfasserin aut Stephanie Clark verfasserin aut Ashish Desai verfasserin aut Amulya Saxena verfasserin aut Joshua Cave verfasserin aut Alistair Sharples verfasserin aut Lukas O’Brien verfasserin aut George Kerans verfasserin aut Ashwini Ghorpade verfasserin aut Felicity Arthur verfasserin aut Muhammad Tobbal verfasserin aut Rachael Robertson verfasserin aut Ben Martin verfasserin aut Ben Woodward verfasserin aut Kieran McGovern verfasserin aut Duncan Rutherford verfasserin aut In BMJ Paediatrics Open BMJ Publishing Group, 2018 4(2020), 1 (DE-627)88814136X (DE-600)2895377-0 23999772 nnns volume:4 year:2020 number:1 https://doi.org/10.1136/bmjpo-2020-000831 kostenfrei https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 kostenfrei https://bmjpaedsopen.bmj.com/content/4/1/e000831.full kostenfrei https://doaj.org/toc/2399-9772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2020 1
allfieldsSound	10.1136/bmjpo-2020-000831 doi (DE-627)DOAJ057519714 (DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73 DE-627 ger DE-627 rakwb eng RJ1-570 Nigel J Hall verfasserin aut Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far. Pediatrics Vivek Gupta verfasserin aut Anna-may Long verfasserin aut Nuha Yassin verfasserin aut Alan Askari verfasserin aut David Colvin verfasserin aut Stewart Cleeve verfasserin aut Arun Kelay verfasserin aut Chris Driver verfasserin aut Clare Rees verfasserin aut Eleri Cusick verfasserin aut Hetal Patel verfasserin aut Ingo Jester verfasserin aut Khalid Elmalik verfasserin aut Sean Marven verfasserin aut Tim Bradnock verfasserin aut Oliver Brown verfasserin aut Andrew Jackson verfasserin aut Richard Egan verfasserin aut Laura Phillips verfasserin aut Marianne Hollyman verfasserin aut Bankole Oyewole verfasserin aut Fenella Welsh verfasserin aut Dale Vimalachandran verfasserin aut Melissa Gabriel verfasserin aut Kate Cross verfasserin aut Iain Yardley verfasserin aut Mark Peter verfasserin aut Andrew Beamish verfasserin aut Sophie Lewis verfasserin aut Milan Gopal verfasserin aut Joshua McIntyre verfasserin aut Merrill McHoney verfasserin aut Ionica Stoica verfasserin aut Hany Gabra verfasserin aut Tristan Boam verfasserin aut Angeliki Kosti verfasserin aut Katie cross verfasserin aut Andrew Mitchell verfasserin aut Michael Terry verfasserin aut George S Bethell verfasserin aut Clare M Rees verfasserin aut Jonathan R Sutcliffe verfasserin aut Florin Djendov verfasserin aut Victor Emordi verfasserin aut Sarah Staight verfasserin aut Christina Major verfasserin aut Oscar Croysdale verfasserin aut Mike Nelson verfasserin aut Hannah Rhodes verfasserin aut Juliette King verfasserin aut Gillian Winter verfasserin aut Selena Curkovic verfasserin aut Raef Jackson verfasserin aut Bhushanrao Jadhav verfasserin aut Thomas Raymond verfasserin aut Vijay Gangalam verfasserin aut Deepak Selvakumar verfasserin aut Reda Habak verfasserin aut Muslim Abdullah verfasserin aut Mohamed Ahmed Osama verfasserin aut Khlud Asanai verfasserin aut Noman Zafar verfasserin aut Sophia Lewis verfasserin aut Florence Kashora verfasserin aut Dixa Thakrar verfasserin aut Dean Rex verfasserin aut Annita Budzanowski verfasserin aut Jennifer Binnington verfasserin aut Simon Timbrell verfasserin aut Megan Ridgeway verfasserin aut Shirley Chan verfasserin aut Amani Asour verfasserin aut Adetayo Aderombi verfasserin aut Donald Menzies verfasserin aut Ali Murtada verfasserin aut Corina Dragu verfasserin aut Vincent Quan verfasserin aut Krashna Patel verfasserin aut Sesi Hotonu verfasserin aut Ashley Meikle verfasserin aut Ajay Belgaumkar verfasserin aut Prabhat Narayan verfasserin aut Thomas Badenoch verfasserin aut Frances Goulder verfasserin aut Katie Siggens verfasserin aut Kizzie Peters verfasserin aut Fiona Kirkham verfasserin aut Paul Froggatt verfasserin aut Karen Lai verfasserin aut Cristina Navarro verfasserin aut Dorinda Chandrabose verfasserin aut Simon Toh verfasserin aut Elizabeth Gemmill verfasserin aut Keira Lily verfasserin aut Mark Dilworth verfasserin aut Dimitrios Stamatiou verfasserin aut Alasdair Macmillan verfasserin aut Danielle Clyde verfasserin aut Majid Rashid verfasserin aut Gandrapu Srinivas verfasserin aut Katherine Buckley verfasserin aut Darren Smith verfasserin aut Henry Dowson verfasserin aut Gautam Singh verfasserin aut Seshu Kumar Bylapudi verfasserin aut Louise Phillips verfasserin aut Kimberley Hallam verfasserin aut Marisa Clemente verfasserin aut Karol Pal verfasserin aut George Ninkovic-Hall verfasserin aut Emila Paul verfasserin aut Theo Pelly verfasserin aut Joe Vance-Daniel verfasserin aut Venkatesh Kanakala verfasserin aut Edward J Nevins verfasserin aut James Dixon verfasserin aut Michael John verfasserin aut Jude Prince verfasserin aut Georgios Karagiannidis verfasserin aut Suzette Samlalsingh verfasserin aut Chrsitine Ozone verfasserin aut Amina Bouhelal verfasserin aut Siddhartha Handa verfasserin aut Sathasivam Rajeev verfasserin aut Ellen Ross verfasserin aut Ali Wadah verfasserin aut John Hallett verfasserin aut Shirish Tewari verfasserin aut Vinay Shah verfasserin aut Nick Reay-Jones verfasserin aut Salman Bodla verfasserin aut Harriet Corbett verfasserin aut Sumita Chhabra verfasserin aut Athanasios Tyraskis verfasserin aut Benjamin Allin verfasserin aut Angus Fitchie verfasserin aut Michael Stanton verfasserin aut Mark Vipond verfasserin aut Harry Dean verfasserin aut Matthew Boal verfasserin aut Jonathan Goring verfasserin aut Mahmoud Marei verfasserin aut Christian Verhoef verfasserin aut Jonathan Ducey verfasserin aut Chipo Mushonga verfasserin aut Dan Frith verfasserin aut Ashok Ram verfasserin aut Ferzine Mohamed verfasserin aut Nadine Dyar verfasserin aut Rick MacMahon verfasserin aut Mohammed Fakhrul-Aldeen verfasserin aut Iain Bain verfasserin aut Graham Branagan verfasserin aut Rachel Carten verfasserin aut Chee Wan Lai verfasserin aut Anindya Niyogi verfasserin aut Claudia Koh verfasserin aut Christian Fox verfasserin aut Stavros Loukogeorgakis verfasserin aut Joe Curry verfasserin aut Jayaram Sivaraj verfasserin aut Milda Jancauskaite verfasserin aut Helen Please verfasserin aut Wayne Fradley verfasserin aut Maki Jitsumara verfasserin aut Sinead Hassett verfasserin aut Ancuta Muntean verfasserin aut Sarah Yassin verfasserin aut Suzanne Lawther verfasserin aut Ciaran Durand verfasserin aut Mohamed Eltom verfasserin aut Kirsty Brennan verfasserin aut Clara Chong verfasserin aut Hasan Mukhtar verfasserin aut Hany Khalil verfasserin aut Stephanie Clark verfasserin aut Ashish Desai verfasserin aut Amulya Saxena verfasserin aut Joshua Cave verfasserin aut Alistair Sharples verfasserin aut Lukas O’Brien verfasserin aut George Kerans verfasserin aut Ashwini Ghorpade verfasserin aut Felicity Arthur verfasserin aut Muhammad Tobbal verfasserin aut Rachael Robertson verfasserin aut Ben Martin verfasserin aut Ben Woodward verfasserin aut Kieran McGovern verfasserin aut Duncan Rutherford verfasserin aut In BMJ Paediatrics Open BMJ Publishing Group, 2018 4(2020), 1 (DE-627)88814136X (DE-600)2895377-0 23999772 nnns volume:4 year:2020 number:1 https://doi.org/10.1136/bmjpo-2020-000831 kostenfrei https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 kostenfrei https://bmjpaedsopen.bmj.com/content/4/1/e000831.full kostenfrei https://doaj.org/toc/2399-9772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2020 1
language	English
source	In BMJ Paediatrics Open 4(2020), 1 volume:4 year:2020 number:1
sourceStr	In BMJ Paediatrics Open 4(2020), 1 volume:4 year:2020 number:1
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topic_facet	Pediatrics
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container_title	BMJ Paediatrics Open
authorswithroles_txt_mv	Nigel J Hall @@aut@@ Vivek Gupta @@aut@@ Anna-may Long @@aut@@ Nuha Yassin @@aut@@ Alan Askari @@aut@@ David Colvin @@aut@@ Stewart Cleeve @@aut@@ Arun Kelay @@aut@@ Chris Driver @@aut@@ Clare Rees @@aut@@ Eleri Cusick @@aut@@ Hetal Patel @@aut@@ Ingo Jester @@aut@@ Khalid Elmalik @@aut@@ Sean Marven @@aut@@ Tim Bradnock @@aut@@ Oliver Brown @@aut@@ Andrew Jackson @@aut@@ Richard Egan @@aut@@ Laura Phillips @@aut@@ Marianne Hollyman @@aut@@ Bankole Oyewole @@aut@@ Fenella Welsh @@aut@@ Dale Vimalachandran @@aut@@ Melissa Gabriel @@aut@@ Kate Cross @@aut@@ Iain Yardley @@aut@@ Mark Peter @@aut@@ Andrew Beamish @@aut@@ Sophie Lewis @@aut@@ Milan Gopal @@aut@@ Joshua McIntyre @@aut@@ Merrill McHoney @@aut@@ Ionica Stoica @@aut@@ Hany Gabra @@aut@@ Tristan Boam @@aut@@ Angeliki Kosti @@aut@@ Katie cross @@aut@@ Andrew Mitchell @@aut@@ Michael Terry @@aut@@ George S Bethell @@aut@@ Clare M Rees @@aut@@ Jonathan R Sutcliffe @@aut@@ Florin Djendov @@aut@@ Victor Emordi @@aut@@ Sarah Staight @@aut@@ Christina Major @@aut@@ Oscar Croysdale @@aut@@ Mike Nelson @@aut@@ Hannah Rhodes @@aut@@ Juliette King @@aut@@ Gillian Winter @@aut@@ Selena Curkovic @@aut@@ Raef Jackson @@aut@@ Bhushanrao Jadhav @@aut@@ Thomas Raymond @@aut@@ Vijay Gangalam @@aut@@ Deepak Selvakumar @@aut@@ Reda Habak @@aut@@ Muslim Abdullah @@aut@@ Mohamed Ahmed Osama @@aut@@ Khlud Asanai @@aut@@ Noman Zafar @@aut@@ Sophia Lewis @@aut@@ Florence Kashora @@aut@@ Dixa Thakrar @@aut@@ Dean Rex @@aut@@ Annita Budzanowski @@aut@@ Jennifer Binnington @@aut@@ Simon Timbrell @@aut@@ Megan Ridgeway @@aut@@ Shirley Chan @@aut@@ Amani Asour @@aut@@ Adetayo Aderombi @@aut@@ Donald Menzies @@aut@@ Ali Murtada @@aut@@ Corina Dragu @@aut@@ Vincent Quan @@aut@@ Krashna Patel @@aut@@ Sesi Hotonu @@aut@@ Ashley Meikle @@aut@@ Ajay Belgaumkar @@aut@@ Prabhat Narayan @@aut@@ Thomas Badenoch @@aut@@ Frances Goulder @@aut@@ Katie Siggens @@aut@@ Kizzie Peters @@aut@@ Fiona Kirkham @@aut@@ Paul Froggatt @@aut@@ Karen Lai @@aut@@ Cristina Navarro @@aut@@ Dorinda Chandrabose @@aut@@ Simon Toh @@aut@@ Elizabeth Gemmill @@aut@@ Keira Lily @@aut@@ Mark Dilworth @@aut@@ Dimitrios Stamatiou @@aut@@ Alasdair Macmillan @@aut@@ Danielle Clyde @@aut@@ Majid Rashid @@aut@@ Gandrapu Srinivas @@aut@@ Katherine Buckley @@aut@@ Darren Smith @@aut@@ Henry Dowson @@aut@@ Gautam Singh @@aut@@ Seshu Kumar Bylapudi @@aut@@ Louise Phillips @@aut@@ Kimberley Hallam @@aut@@ Marisa Clemente @@aut@@ Karol Pal @@aut@@ George Ninkovic-Hall @@aut@@ Emila Paul @@aut@@ Theo Pelly @@aut@@ Joe Vance-Daniel @@aut@@ Venkatesh Kanakala @@aut@@ Edward J Nevins @@aut@@ James Dixon @@aut@@ Michael John @@aut@@ Jude Prince @@aut@@ Georgios Karagiannidis @@aut@@ Suzette Samlalsingh @@aut@@ Chrsitine Ozone @@aut@@ Amina Bouhelal @@aut@@ Siddhartha Handa @@aut@@ Sathasivam Rajeev @@aut@@ Ellen Ross @@aut@@ Ali Wadah @@aut@@ John Hallett @@aut@@ Shirish Tewari @@aut@@ Vinay Shah @@aut@@ Nick Reay-Jones @@aut@@ Salman Bodla @@aut@@ Harriet Corbett @@aut@@ Sumita Chhabra @@aut@@ Athanasios Tyraskis @@aut@@ Benjamin Allin @@aut@@ Angus Fitchie @@aut@@ Michael Stanton @@aut@@ Mark Vipond @@aut@@ Harry Dean @@aut@@ Matthew Boal @@aut@@ Jonathan Goring @@aut@@ Mahmoud Marei @@aut@@ Christian Verhoef @@aut@@ Jonathan Ducey @@aut@@ Chipo Mushonga @@aut@@ Dan Frith @@aut@@ Ashok Ram @@aut@@ Ferzine Mohamed @@aut@@ Nadine Dyar @@aut@@ Rick MacMahon @@aut@@ Mohammed Fakhrul-Aldeen @@aut@@ Iain Bain @@aut@@ Graham Branagan @@aut@@ Rachel Carten @@aut@@ Chee Wan Lai @@aut@@ Anindya Niyogi @@aut@@ Claudia Koh @@aut@@ Christian Fox @@aut@@ Stavros Loukogeorgakis @@aut@@ Joe Curry @@aut@@ Jayaram Sivaraj @@aut@@ Milda Jancauskaite @@aut@@ Helen Please @@aut@@ Wayne Fradley @@aut@@ Maki Jitsumara @@aut@@ Sinead Hassett @@aut@@ Ancuta Muntean @@aut@@ Sarah Yassin @@aut@@ Suzanne Lawther @@aut@@ Ciaran Durand @@aut@@ Mohamed Eltom @@aut@@ Kirsty Brennan @@aut@@ Clara Chong @@aut@@ Hasan Mukhtar @@aut@@ Hany Khalil @@aut@@ Stephanie Clark @@aut@@ Ashish Desai @@aut@@ Amulya Saxena @@aut@@ Joshua Cave @@aut@@ Alistair Sharples @@aut@@ Lukas O’Brien @@aut@@ George Kerans @@aut@@ Ashwini Ghorpade @@aut@@ Felicity Arthur @@aut@@ Muhammad Tobbal @@aut@@ Rachael Robertson @@aut@@ Ben Martin @@aut@@ Ben Woodward @@aut@@ Kieran McGovern @@aut@@ Duncan Rutherford @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	88814136X
id	DOAJ057519714
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ057519714</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230308213541.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230227s2020 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1136/bmjpo-2020-000831</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ057519714</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ1249b4946c344dadb8a9298b82bf5d73</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RJ1-570</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Nigel J Hall</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. 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author	Nigel J Hall
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topic_title	RJ1-570 Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
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title	Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
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title_full	Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
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author_browse	Nigel J Hall Vivek Gupta Anna-may Long Nuha Yassin Alan Askari David Colvin Stewart Cleeve Arun Kelay Chris Driver Clare Rees Eleri Cusick Hetal Patel Ingo Jester Khalid Elmalik Sean Marven Tim Bradnock Oliver Brown Andrew Jackson Richard Egan Laura Phillips Marianne Hollyman Bankole Oyewole Fenella Welsh Dale Vimalachandran Melissa Gabriel Kate Cross Iain Yardley Mark Peter Andrew Beamish Sophie Lewis Milan Gopal Joshua McIntyre Merrill McHoney Ionica Stoica Hany Gabra Tristan Boam Angeliki Kosti Katie cross Andrew Mitchell Michael Terry George S Bethell Clare M Rees Jonathan R Sutcliffe Florin Djendov Victor Emordi Sarah Staight Christina Major Oscar Croysdale Mike Nelson Hannah Rhodes Juliette King Gillian Winter Selena Curkovic Raef Jackson Bhushanrao Jadhav Thomas Raymond Vijay Gangalam Deepak Selvakumar Reda Habak Muslim Abdullah Mohamed Ahmed Osama Khlud Asanai Noman Zafar Sophia Lewis Florence Kashora Dixa Thakrar Dean Rex Annita Budzanowski Jennifer Binnington Simon Timbrell Megan Ridgeway Shirley Chan Amani Asour Adetayo Aderombi Donald Menzies Ali Murtada Corina Dragu Vincent Quan Krashna Patel Sesi Hotonu Ashley Meikle Ajay Belgaumkar Prabhat Narayan Thomas Badenoch Frances Goulder Katie Siggens Kizzie Peters Fiona Kirkham Paul Froggatt Karen Lai Cristina Navarro Dorinda Chandrabose Simon Toh Elizabeth Gemmill Keira Lily Mark Dilworth Dimitrios Stamatiou Alasdair Macmillan Danielle Clyde Majid Rashid Gandrapu Srinivas Katherine Buckley Darren Smith Henry Dowson Gautam Singh Seshu Kumar Bylapudi Louise Phillips Kimberley Hallam Marisa Clemente Karol Pal George Ninkovic-Hall Emila Paul Theo Pelly Joe Vance-Daniel Venkatesh Kanakala Edward J Nevins James Dixon Michael John Jude Prince Georgios Karagiannidis Suzette Samlalsingh Chrsitine Ozone Amina Bouhelal Siddhartha Handa Sathasivam Rajeev Ellen Ross Ali Wadah John Hallett Shirish Tewari Vinay Shah Nick Reay-Jones Salman Bodla Harriet Corbett Sumita Chhabra Athanasios Tyraskis Benjamin Allin Angus Fitchie Michael Stanton Mark Vipond Harry Dean Matthew Boal Jonathan Goring Mahmoud Marei Christian Verhoef Jonathan Ducey Chipo Mushonga Dan Frith Ashok Ram Ferzine Mohamed Nadine Dyar Rick MacMahon Mohammed Fakhrul-Aldeen Iain Bain Graham Branagan Rachel Carten Chee Wan Lai Anindya Niyogi Claudia Koh Christian Fox Stavros Loukogeorgakis Joe Curry Jayaram Sivaraj Milda Jancauskaite Helen Please Wayne Fradley Maki Jitsumara Sinead Hassett Ancuta Muntean Sarah Yassin Suzanne Lawther Ciaran Durand Mohamed Eltom Kirsty Brennan Clara Chong Hasan Mukhtar Hany Khalil Stephanie Clark Ashish Desai Amulya Saxena Joshua Cave Alistair Sharples Lukas O’Brien George Kerans Ashwini Ghorpade Felicity Arthur Muhammad Tobbal Rachael Robertson Ben Martin Ben Woodward Kieran McGovern Duncan Rutherford
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title_sort	management and early outcomes of children with appendicitis in the uk and ireland during the covid-19 pandemic: a survey of surgeons and observational study
callnumber	RJ1-570
title_auth	Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
abstract	Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far.
abstractGer	Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far.
abstract_unstemmed	Objectives Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. Overall patient outcomes do not appear to have been adversely impacted by change in management during the pandemic thus far.
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title_short	Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
url	https://doi.org/10.1136/bmjpo-2020-000831 https://doaj.org/article/1249b4946c344dadb8a9298b82bf5d73 https://bmjpaedsopen.bmj.com/content/4/1/e000831.full https://doaj.org/toc/2399-9772
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In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment and avoid laparoscopy where possible. This study aims to report management and outcomes, to date, of children with appendicitis in the UK and Ireland during the COVID-19 pandemic.Design Survey of consultant surgeons who treat children with appendicitis that informed a prospective multicentre observational cohort study.Setting Data were collected from centres in the UK and Ireland for cases admitted between 1 April and 31 May 2020 (first 2 months of the COVID-19 pandemic) at both general surgical and specialist paediatric surgical centres.Participants The study cohort includes 838 children with a clinical and/or radiological diagnosis of acute appendicitis of which 527 (63%) were male.Main outcomes measured Primary outcome was treatment strategy used for acute appendicitis. Other outcomes reported include change in treatment strategy over time, use of diagnostic imaging and important patient outcomes to 30 days following hospital admission.Results From very early in the pandemic surgeons experienced a change in their management of children with appendicitis and almost all surgeons who responded to the survey anticipated further changes during the pandemic. Overall, 326/838 (39%) were initially treated non-operatively of whom 81/326 (25%) proceeded to appendicectomy within the initial hospital admission. Of cases treated initially surgically 243/512 (48%) were performed laparoscopically. Diagnostic imaging was used in 445/838 (53%) children. Cases treated non-operatively had a shorter hospital stay than those treated surgically but hospital readmissions within 30 days were similar between groups. In cases treated surgically the negative appendicectomy rate was 4.5%. There was a trend towards increased use of surgical treatment and from open to laparoscopic appendicectomy as the pandemic progressed.Conclusion Non-operative treatment of appendicitis has been widely used for the first time in children in the UK and Ireland and is safe and effective in selected patients. 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Habak</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Muslim Abdullah</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mohamed Ahmed Osama</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Khlud Asanai</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Noman Zafar</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sophia Lewis</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield 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Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study

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