Global attitudes in the management of acute appendicitis during COVID-19 pandemic : ACIE Appy Study
Ielpo, Benedetto
Pellino, Gianluca (Hospital Universitari Vall d'Hebron)
Pata, F. (Nicola Giannettasio Hospital)
Di Saverio, S. (University Hospital of Varese)
Gallo, Gaia
Navarro, Alba
Smith, A.
Nacion, A.J.D.
Elmabri, A.
Rubio, A.V.
Kumar, A.
De Luca, A.
Boddy, A.
Charalabopoulos, A.
Das, A.
Bondurri, A.
Costanzi, A.
Romano, Alejandra
Ioannidis, A.
Khan, A.
Rashid, A.
Mittal, A.
Mehraj, A.
Marinis, A.
Iqbal, A.
Moncada, A.
Martin-Perez, B.
De Simone, B.
Creavin, B.
Goh, B.K.P.
Oliva, C.
Guerci, C.
Varela, C.
Moro-Valdezate, D.
Pertile, D.
Mazingi, D.
Baili, E.
Douka, E.
Martin-Perez, E.
Samadov, E.
Morales, E.
Peña, E.
Colás-Ruiz, E.
Aytac, E.
Marra, E.
Rosa, F.
Alconchel, Felipe
Agresta, Ferdinando
Cordera, F.
Mendoza-Moreno, F.
Pardo Aranda, Fernando
Taylor, F.
Colombo, F.
Di Marzo, F.
Schlottmann, F.
Van Ramshorst, G.
Papadopoulos, G.
Pagano, Gennaro
Romeo, G.
Ortega, G.
Stavrou, G.A.
Marcucci, G.
Ahmed, H.
Ateca, I.V.
Negoi, I.
Russo, I.S.
Palomares, I.
Hussain, I.
Mora Guzmán, Ismael
Jang, J.Y.
Dziakova, J.
Beatson, K.
Ferrario, L.
Bonavina, L.
Conti, Luisa
Grande, L.
Sánchez-Guillén, L.
Tallon-Aguilar, L.
David, M.
Di Martino, M.
Bellini, M.I.
Martínez, M.
Rutegård, M.
Rottoli, M.
Tolonen, M.
Cervellera, M.
Domínguez, M.G.
Lim, M.
Campanelli, M.
Hernandez Bartolome, M.A.
Calvo, M.P.
Sotelo, M.
Hassan, M.
Zaieem, M.
Younis, M.U.
Alselaim, N.
Smart, N.
de'Angelis, Nicola
Tamini, N.
Machairas, N.
Ioannidis, Orestis
Rodrigues, P.
Ruiz, P.
Silva, J.
Koh, Y.X.
Koh, P.S.
Major, P.
Bali, R.S.
Brady, R.
Davies, R.J.
Morales Conde, Salvador
Fuentes, S.
Awad, S.
Chan, S.M.
García, S.
Shaw, S.
Cárdenas, Sasha
Pérez-Bertólez, S.
López, T.N.
Liakakos, T.
Brown, T.
Bracale, Umberto
Celentano, Valerio
Vigorita, V.
Carneros, V.J.
Bellato, V.
Altinel, Y.
Podda, M. (Cagliari University Hospital)
Caruso, R. (Hospital Universitario HM Sanchinarro (Madrid))
Gravante, G. (Ospedale 'Francesco Ferrari')
Lui, R.
Orengia, A.
Chowdary, A.
Kulkarni, A.
Kuvvetli, A.
Pisanu, A.
Ibiricu, A.C.
Alsaleh, A.
Alhazmi, A.
Wani, A.
Rencuzogullari, A.
Lasarte, A.S.
Bavikatte, A.
Jamiri, A.R.
Padilla, A.M.A.
Cacurri, A.
De San Ildefonso, A.
Porcu, A.
Sartori, A.
Rocca, A.
Paz Yáñez, A.
Becaria, A.
Solís-Peña, A.
Sretenović, A.
Urbistondo, A.
Bandin, A.
Najar, A.
Tzivanakis, A.
Amendola, A.
De Velasco, A.R.G.
Yildirim, A.C.
Frontali, A.
Toure, A.O.
García-Granero, A.
Roldan, A.M.
Larrainzar, A.S.
Ratnayake, A.S.
Gonzalez-Ganso, A.M.
Minaya-Bravo, A.M.
Lucchi, A.
Mazzari, A.
Musig, A.
Peloso, A.
Piano, A.
Police, A.
Mihailescu, A.
Pouy, A.
Iossa, A.
Leonetti, A.C.
Guariniello, A.
Isaac, A.
Bovi, A.P.D.
Chessa, A.
Tromba, A.
Martínez, A.Á.
Brillantino, A.
Caira, A.
Castaldi, A.
Ferronetti, A.
Giuliani, A.
Prestera, A.
De La Medina, A.R.
Tarasconi, A.
Tornambè, A.
Picciariello, A.
Leppäniemi, A.
Pérez-Sánchez, A.L.E.
Mitul, A.R.
Laharwal, A.R.
Dorismé, A.
Braccio, B.
Alkhafaji, B.
De Andrés Asenjo, B.
Pérez, B.S.
Cali, B.
Pascotto, B.
Stubbs, B.
Retes, B.Z.
Jovanovic, B.
Sensi, B.
Biddau, C.
Gazia, C.
Vallicelli, C.
Fagundes, C.A.
Santacruz, C.C.
Chirico, C.
Díaz, C.J.G.
Petrola, C.
Rodriguez, C.S.
Benítez, C.Y.
Dammaro, C.
Faro, C.L.
Reinke, C.
Paez, C.D.
Paranjape, C.
Thomas, C.
Chia, C.F.
Kong, C.K.
De Lucia, C.
Chao, C.O.
Arcudi, C.
Chia, C.
Parise, C.
Folliero, C.
Ferguson, D.M.
Camacho, D.
Popowich, D.
Lima, D.S.
Rega, D.
Delogu, D.
Zigiotto, D.
Vinci, D.
D'Antonio, D.
Parini, D.
Merlini, D.A.
De Zimmerman, D.
Giusti, D.M.
Keller, D.S.
Tarik, D.
Kalivaçi, D.
Maldonado-Pintado, D.G.
Sasia, D.
Linardoutsos, D.
Osilli, D.
Murrone, D.
Russello, D.
Rodas, E.
Roa, E.A.A.
Ricciardi, E.
Rosso, E.
Saladino, E.
Flores-Villalba, E.
Ajs, E.R.
Smith-Singares, E.
Kouroumpas, E.
Bourmpouteli, E.
Guaitoli, E.
Francone, E.
Vaterlini, E.
Zhao, E.
Del Pozo Andres, E.
Benzoni, E.
Erdas, E.
Pinotti, E.
Laterza, E.
Agastra, E.
Foianini, E.
Moscoso, E.
Laviano, E.
Cardamone, E.
Licardie, E.
Mpaili, E.
Pinna, E.
Varo, E.
Navarro, F.M.
Marino, F.
Medas, F.
Romano, F.
Maraska, F.
Saliu, F.
Madrid, F.
Mastella, F.
Gheza, F.
Luvisetto, F.
Vieira, F.M.
Pareja, F.
Luna, F.
Bonilla, F.
Burdió, F.
Flores, F.M.
Ramos, F.L.
Fernandes, F.
Tropeano, F.P.
Balestra, F.
Bianco, F.
Ceci, F.
Ferrara, F.
Lancellotti, F.
Lazzarin, F.
Litta, F.
Martini, F.
Pizza, F.
Roscio, F.
Virdis, F.
Antona, F.B.
Ramírez, F.C.
Fernandez, F.M.
Llinares, F.O.
Quezada, F.
Herrera-Almario, G.
Massaferro, G.
Bislenghi, G.
Luglio, G.
Bointas, G.
Kampouroglou, G.
Manrique, G.A.
Calini, G.
Nastri, G.
Formisano, G.
Galiffa, G.
Palini, G.M.
Colucci, G.
Vanni, G.
Pattacini, G.C.
De Paola, G.
Lisi, G.
Partida, G.
Bellanova, G.
De Nobili, G.
Necchi, G.S.
Sinibaldi, G.
Tebala, G.
Bagaglini, G.
Izzo, G.
Argenio, G.
Brisinda, G.
Candilio, G.
Di Grezia, G.
Esposito, G.
Faillace, G.
Frazzetta, G.
La Gumina, G.
Nigri, G.
Amatriaín, G.C.
Martin-Martin, G.
Gunadi, None
Ugon, G.A.
MacHain, G.
Martínez-Mier, G.
Nari, G.
Calvo, H.
Fathy, H.
Hamilto, None
Faraj, H.
Nava, H.
MacIas, H.O.
Nikaj, H.
Solano, H.
Khan, H.A.
Alarcón, H.S.
Ebied, H.
Giani, I.
Neri, I.
Roman, I.A.S.
Fidoshev, I.
Rodriguez, I.M.
Ortega, I.
Bernescu, I.
Rodríguez, I.V.
Baltazar, I.
Torrejimeno, I.J.
Jurado, I.M.C.
Reccia, I.
Toledo, I.B.
Al-Najami, I.
Dogaru, I.
Romic, I.
Balciscueta, I.
Kenington, J.C.
Sagolsem, J.
Olivier, J.
Lammel-Lindemann, J.
Villavicencio, J.I.R.
Salinas, J.
Parreira, J.P.J.G.
Jovanovic, None
Pérez, J.R.
Reyes, J.A.S.R.
Luque, J.A.M.
Mak, J.K.C.
Rodriguez, J.S.
Kok, J.H.H.
Krook, J.
Diaz-Elizondo, J.A.
Castell, J.
García-Flores, J.E.
Navalón, J.M.J.
Rodrigues, J.M.S.
Pinto, J.P.
Gómez, J.T.C.
Luque, J.B.
Del Olmo, J.C.M.
Olivier, J.F.C.
Laina, J.L.B.
Ordoñez, J.M.
Gutierrez, J.
Abba, J.
Sofi, J.A.
Sherafgan, K.
Sahnan, K.
Yanaga, K.
Asim, L.
Alvarez, L.
Siragusa, L.
Farber, L.
Ong, L.
Athanasios, L.
García-Bruña, L.
De Martino, L.
Giordano, L.
Gordini, L.
Pio, L.
Ponchietti, L.
Moletta, L.
Curella, L.
Poggi, L.
Taglietti, L.
Goffredi, L.
Ruiz, L.A.G.
Barrionuevo, L.
Fregoso, L.E.
Cabrera, L.F.
Rodriguez, L.G.
Osoria, L.G.
Gonzalez, L.J.K.
Tresierra, L.
Giavarini, L.
Hasabelnabi, M.
Odovic, M.
Uemura, M.
Khan, M.
Artiles-Armas, M.
Spampinato, M.G.
Ribeiro, M.A.F.
Viola, M.
Angrisani, M.
Calussi, M.
Cannistrà, M.
Catarci, M.
Cereda, M.
Conte, M.
Giordano, M.
Pellicciaro, M.
Marino, M.V.
Vaterlini, M.E.
Jiménez, M.F.
Lolli, M.G.
Lemma, M.
Chiarello, M.M.
Nicola, M.
Arrigo, M.
Mejia, M.C.
Manrique, M.M.
Rodriguez-Lopez, M.
Serradilla-Martín, M.
Lara, M.Z.
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Peter, M.
Lara, M.C.
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Gonzalez, M.P.
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Hassan, M.S.E.
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Korkoman, M.
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Shalaby, M.
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Elhadi, M.
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Fieturi, N.A.
Ortega, N.
Mercado, O.A.
Irkorucu, O.
Alsherif, O.
Valles, O.
Palmas, O.H.
Palmas, O.I.H.
Guadarrama, O.S.
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Di Fronzo, P.
Talento, P.
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Andrade, P.
Ferri, P.V.
De Luca, G.M.
Ingallinella, S.
Pueyo, E. L.
Palmieri, F.
Chin, K.M.
Syn, N.
Tonini, V.
Gonzales-Ganso, A.
Simó, V.E.
Ajawin, M.V.D.
Abadía-Barnó, P.
Castañeda, P.A.N.
Arevalos, P.O.S.
Bellver, P.P.
Souza, P.
Khattar, R.M.
Melo, R.B.
Ebrahiminia, R.
Azar, R.
Murga, R.L.
Pirolo, R.
Dholakia, R.
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Singhal, R.
Lim, R.Z.M.
Angelico, R.
Isernia, R.M.
Tutino, R.
Faccincani, R.
Peltrini, R.
Carrera-Ceron, R.
Tejos, R.
Kashyap, R.
Fajardo, R.
Lozito, R.
Pareja, R.M.
Garbarino, S.
Benli, S.
Mansour, S.
Flores, S.
Suarez, S.L.
Ben, S.L.
De Las Casas, S.G.
Napetti, S.
De Guzmán, S.O.
Luján, S.A.W.
Gentilli, S.
Grimaldi, S.
Pizarro, S.O.
Tayar, S.
Nabi, S.
Junaid, S.
Rojas, S.
Monetti, S.
Salvans, S.
Tenconi, S.
Santoni, S.
Parra, S.A.
Chiappetta, S.
Dessureault, S.
Delis, S.
Bonapasta, S.A.
Rausei, S.
Scaringi, S.
Keswani, S.
Ali, S.M.
Cetinkunar, S.
Fung, T.L.D.
Rawashdeh, T.
De Campos, T.
Duque, T.C.
Perra, T.
Daskalakis, T.
Barnes, T.
Koëter, T.
Zalla, T.
González, T.E.
Elosua, T.
Campagnaro, T.
Luoto, T.
Oumar, T.A.
Giustizieri, U.
Grossi, U.
Rivas, U.
Sosa, V.
Testa, V.
Andriola, V.
Balassone, V.
Progno, V.
Raju, V.
Carroni, V.
Cavallaro, V.
Katta, V.R.
De Simone, V.
Romaguera, V.P.
Orozco, V.H.G.
Luraschi, V.
Rachkov, V.
Turrado-L, V.
Visag-Castillo, V.
Dowling, V.
Graham, V.
Papagni, V.
Fonseca, V.C.
Gonçalves, W.
Powers, W.F.
Grigg, W.
Bechstein, W.O.
Lim, Y.B.
Golubović, Z.
Balciscueta, Z.
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2021
Resum:	Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19∙8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6∙6 and 2∙4 per cent respectively before, but 23∙7 and 5∙3 per cent, during the pandemic (both P < 0∙001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Anti-Bacterial Agents ; Appendectomy ; Appendicitis ; Attitude of Health Personnel ; COVID-19 ; COVID-19 Testing ; Hospital Administration ; Humans ; Pandemics ; Personal Protective Equipment ; Practice Patterns, Physicians' ; Surgeons ; Surveys and Questionnaires
Publicat a:	British journal of surgery, Vol. 108, Num. 6 (January-March 2021) , p. 717-726, ISSN 1365-2168

DOI: 10.1002/bjs.11999
PMID: 34157090

Postprint 45 p, 1.7 MB

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