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» Articles » PMID: 39718656

Patient Reported Outcomes After Laparoscopic Appendectomy for Acute Appendicitis

Overview
Journal Langenbecks Arch Surg
Specialty General Surgery
Date 2024 Dec 24
PMID 39718656
Authors
Emilie Schultz Hougaard
Lasse Kaalby Moller
Signe A Ronde Kristensen
Mai Elizabeth Hoyer
Mark Bremholm Ellebaek
Issam Al-Najami
Affiliations
Soon will be listed here.
Abstract

Purpose: The purpose of this study is to establish more evidence to provide the clinicians with a greater knowledge on the patient reported outcomes and quality of life (QoL) after laparoscopic appendectomy (LA).

Method: 105 patients who had undergone LA for acute appendicitis regardless of severity, were included prospectively at Odense University Hospital, Svendborg. The patient reported consequence of surgery were assessed through the validated electronic survey from European-QoL questionnaire (5Q-5D-5L) including a self-reported VAS-score (0-100). The first survey was sent out the first day after surgery and the subsequent surveys at 7, 30 and 90 days. The replies was converted into an index-score expressing the QoL from 0 (death) to 1 (full health).

Results: All patients experienced pain/discomfort at day 1. At day 7, 30 and 90 it was 95%, 45% and 25%, respectively. The median index-score at day 1, 7, 30 and 90 was 0.778, 0.840, 0.984 and 1.00, respectively.

References
1.
Ferris M, Quan S, Kaplan B, Molodecky N, Ball C, Chernoff G . The Global Incidence of Appendicitis: A Systematic Review of Population-based Studies. Ann Surg. 2017; 266(2):237-241. DOI: 10.1097/SLA.0000000000002188. View
2.
Flum D, Davidson G, Monsell S, Shapiro N, Odom S, Sanchez S . A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis. N Engl J Med. 2020; 383(20):1907-1919. DOI: 10.1056/NEJMoa2014320. View
3.
Salminen P, Paajanen H, Rautio T, Nordstrom P, Aarnio M, Rantanen T . Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The APPAC Randomized Clinical Trial. JAMA. 2015; 313(23):2340-8. DOI: 10.1001/jama.2015.6154. View
4.
Vons C, Barry C, Maitre S, Pautrat K, Leconte M, Costaglioli B . Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, randomised controlled trial. Lancet. 2011; 377(9777):1573-9. DOI: 10.1016/S0140-6736(11)60410-8. View
5.
Pata F, Nardo B, Ielpo B, Di Martino M, Murzi V, Di Saverio S . Endoscopic retrograde appendicitis therapy versus appendectomy or antibiotics in the modern approach to uncomplicated acute appendicitis: A systematic review and meta-analysis. Surgery. 2023; 174(6):1292-1301. DOI: 10.1016/j.surg.2023.08.029. View