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โ† Trials
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A Global Prospective Cohort Study on Outcomes of Appendicectomy for Appendicitis

Recruitingn/aAges any - anyAllUniversity of Birmingham
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In plain words

What the trial is, and whether it could suit you

This study aims to assess and improve the global management of appendicitis, the most common emergency surgery, by examining various aspects of emergency care systems worldwide. Appendicitis is a time-sensitive condition, and delays in diagnosis or treatment can lead to complications, affecting patient outcomes and increasing healthcare costs. The study uses appendicitis as a "tracer condition" to explore how different healthcare systems manage emergency care, focusing on factors like access, quality, and efficiency. By gathering data from hospitals worldwide, the study seeks to identify areas where emergency surgical care can be improved, particularly in low- and middle-income countries (LMICs). The main goal is to identify gaps in emergency care systems, using a set of key performance measures (KPMs) that assess access to care, the quality of surgical treatment, and patient safety. Th

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Age: There are no age restrictions, although, if appropriate participating hospitals can choose to only include children or only adults, based on an age cut-off of their choice. * Procedure: All patients undergoing appendicectomy for suspected or confirmed appendicitis by any surgical approach should be included. This includes patients who went theatre with suspect appendicitis even if the intraoperative or pathology results found a different diagnosis, so long as an appendicectomy was performed. It also includes patients who went to theatre for reasons other than suspected appendicitis but were found to have appendicitis intraoperatively and underwent appendicectomy. This includes interval appendicectomy and right hemicolectomy if performed for acute appendicitis. * Approach: Both open and minimally invasive (laparoscopic and robotic) interventions are eligible for inclusion. Laparoscopic and robotic converted to open cases are also eligible. Exclusion Criteria: * Indication: Appendicectomy for any indication other than suspected or confirmed appendicitis should be excluded. For example, patients having appendicectomy for known appendiceal neoplasm. * Procedure: Patients having appendectomy as part of another surgical procedure should be excluded. For example, patients having removal of appendix as part of a colon cancer procedure are not eligible for inclusion. * Approach: Natural orifice surgery and endoscopic treatment for suspected appendicitis are excluded. * Previous appendicectomy: Patients having surgery for stump appendicitis are excluded. * Return to theatre: Patients should be entered into study only once. A patient returning to theatre after appendectomy should not be re-entered as a new patient.
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What it tests

  • Appendicectomy
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Where

7 sites
University of Abomey Calavi
Cotonou, Benin
Tamale Teaching Hospital
Tamale, Ghana
Christian Medical College and Hospital Ludhiana
Ludhiana, India
Hospital Espanol Veracruz
Veraruz, Mexico
Lagos University Teaching Hospital
Lagos, Nigeria
University Teaching Hospital of Kigali (CHUK)
Kigali, Rwanda
Chris Hani Baragwanath Academic Hospital
Johannesburg, South Africa
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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