Comparison of conservative versus surgical therapy for acute appendicitis with abscess in five German hospitals

Introduction The aim of this study was to evaluate the effectiveness of initially conservative therapy compared to immediate appendectomy for acute appendicitis with abscess in terms of medical and economic outcomes. Methods Of all the patients treated for appendicitis from January 2009 to December...

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Bibliographic Details
Published in:International journal of colorectal disease 2019-04, Vol.34 (4), p.649-655
Main Authors: Shekarriz, S., Keck, T., Kujath, P., Shekarriz, J., Strate, T., Keller, R., Schlöricke, E., Nolde, J., Ehlert, A., Shekarriz, H.
Format: Article
Language:English
Subjects:
Appendectomy
Appendicitis
Care and treatment
Comparative analysis
Gastroenterology
Hepatology
Hospital costs
Hospitals
Internal Medicine
Medical care
Medical care, Cost of
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Morbidity
Original Article
Patients
Proctology
Quality management
Quality of life
Surgery
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Summary:Introduction The aim of this study was to evaluate the effectiveness of initially conservative therapy compared to immediate appendectomy for acute appendicitis with abscess in terms of medical and economic outcomes. Methods Of all the patients treated for appendicitis from January 2009 to December 2017 in five German hospitals, 240 were included in the study. Fifty-three patients received conservative (CON) and 195 patients received surgical (SUR) therapy as initial treatment. Results Length of stay was similar (12.5 days in CON vs. 13.3 days in SUR, p  = 0.530). Readmission rate was higher in the conservative group (54.7% vs. 6.2%, p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-019-03238-w