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EAES rapid guideline: appendicitis in the elderly.
Antoniou, Stavros A; Mavridis, Dimitris; Kontouli, Katerina Maria; Drakopoulos, Vasileios; Gorter-Stam, Marguerite; Eriksson, Sture; Leone, Marc; Pérez-Bocanegra, Maria Carmen; Smart, Neil J; Milone, Marco; Carrano, Francesco Maria; Antoniou, George A; Vandvik, Per Olav.
Afiliación
  • Antoniou SA; Surgical Department, Mediterranean Hospital of Cyprus, Limassol, Cyprus. stavros.antoniou@hotmail.com.
  • Mavridis D; Medical School, European University Cyprus, Nicosia, Cyprus. stavros.antoniou@hotmail.com.
  • Kontouli KM; Department of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
  • Drakopoulos V; Faculté de Médecine, Université Paris Descartes, Paris, France.
  • Gorter-Stam M; Department of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
  • Eriksson S; 1st Department of Surgery & Organ Transplant Unit, Evangelismos General Hospital of Athens, Athens, Greece.
  • Leone M; Department of Surgery, Amsterdam University Medical Center, Amsterdam, Netherlands.
  • Pérez-Bocanegra MC; Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
  • Smart NJ; Department of Anesthesiology and Critical Care Medicine, Nord Hospital, Marseille, France.
  • Milone M; Geriatrics Department, Hospital Universitari Vall D'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
  • Carrano FM; Department of Surgery, Department of Surgery, Royal Devon & Exeter Hospital, Exeter, UK.
  • Antoniou GA; Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy.
  • Vandvik PO; PhD Program in Applied Medical-Surgical Sciences, University of Rome "Tor Vergata", 00133, Rome, Italy.
Surg Endosc ; 35(7): 3233-3243, 2021 07.
Article en En | MEDLINE | ID: mdl-33999255
BACKGROUND: There is a lack of trustworthy evidence-informed guidelines on the diagnosis and management of acute appendicitis in elderly patients. METHODS: We developed a rapid guideline in accordance with GRADE and AGREE II standards. The steering group consisted of general surgeons, members of the EAES Research Committee/Guidelines Subcommittee with expertise and experience in guideline development, advanced medical statistics and evidence synthesis, biostatisticians, and a guideline methodologist. The guideline panel consisted of three general surgeons, an intensive care physician, a geriatrician and a patient advocate. We conducted systematic reviews and the results of evidence synthesis were summarized in evidence tables. Recommendations were authored and published through an online authoring and publication platform (MAGICapp), with the guideline panel making use of an evidence-to-decision framework and a Delphi process to arrive at consensus. RESULTS: This rapid guideline provides a weak recommendation against the use of clinical scoring systems to replace cross-sectional imaging in the diagnostic approach of suspected appendicitis in elderly patients. It provides a weak recommendation against the use of antibiotics alone over surgical treatment in patients who are deemed fit for surgery, and a weak recommendation for laparoscopic over open surgery. Furthermore, it provides a summary of surgery-associated risks in elderly patients. The guidelines, with recommendations, evidence summaries and decision aids in user-friendly formats can also be accessed in MAGICapp: https://app.magicapp.org/#/guideline/4494 . CONCLUSIONS: This rapid guideline provides evidence-informed trustworthy recommendations on the diagnosis and management of acute appendicitis in elderly patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Laparoscopía Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Aged / Humans Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Chipre Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Laparoscopía Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Aged / Humans Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Chipre Pais de publicación: Alemania