CBarberMDNEW: Have acute appendicitis? To the OR… not so fast.
10-year RCT data (APPAC) show antibiotics alone work for many with uncomplicated disease:
• ~56% avoided surgery
• Recurrence ~38%
• MUCH fewer complications (8.5% vs 27.4% with surgery)
Appendectomy isn’t the only answer anymore. #press #EvidenceBased #evidencebased #press https://jamanetwork.com/journals/jama/fullarticle/2844116?guestAccessKey=0d7f20b5-a2e0-48c8-94c9-cee3a1efb051&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jama&utm_content=etoc-tfl_&utm_term=032426
Antibiotic Therapy for Uncomplicated Acute Appendicitis
This observational follow-up of patients in the Appendicitis Acuta multicenter randomized clinical trial conducted in Finland assesses the 10-year appendicitis recurrence and appendectomy rate in adult patients with uncomplicated appendicitis treated with antibiotics.