Non-operative treatment of appendicitis: public perception and decision-making View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-11

AUTHORS

Emer P. O’Connell, Annmarie White, Paul Cromwell, Emma Carroll, Waqar Khan, Ronan Waldron, Iqbal Z. Khan, Kevin Barry

ABSTRACT

BACKGROUND: Appendectomy has for many years been the accepted treatment of appendicitis. In recent years, non-operative management of appendicitis (NOTA) has been reported as an effective treatment option. AIMS: We aimed to assess the perspectives of public hospital attendees regarding the diagnosis and treatment options for appendicitis. METHODS: We conducted a cross-sectional survey of outpatients over a 10-week period (December 2016-March 2017). The questionnaire contained an information sheet and consent form and included open, closed and multiple-choice questions. RESULTS: Two hundred forty-four participants (159 female, 85 male) were surveyed. A high level of awareness of appendicitis as a surgical emergency existed amongst the participants. The primary reason participants were reluctant to receive non-operative treatment was a fear of their appendix "bursting" if not removed. CONCLUSIONS: Participant knowledge levels were variable with many concerned that non-operated appendicitis would always perforate. Perceptions of treatment were variable with some believing surgery was an absolute requirement and others preferring antibiotics due to the belief that NOTA is complication-free. More... »

PAGES

1029-1038

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11845-018-1758-5

DOI

http://dx.doi.org/10.1007/s11845-018-1758-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100919936

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29423825


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