Table 1.
Clinical trials and meta-analyses comparing primary antibiotic treatment vs surgery for acute appendicitis
|
Ref.
|
Publishing year
|
Study design
|
Patients in NOM (n)
|
Age (yr)
|
Initially successful
|
Recurrence rate
|
| Harnoss et al[10] | 2017 | Meta-analysis | 1312 | 13-75 | 89.2% | 1-yr: 27.4% |
| Podda et al[11] | 2019 | Meta-analysis | 1743 | Unrestricted | 91.5% | 1-yr: 19.2% |
| Eriksson et al[13] | 1995 | RCT | 20 | ≥ 18 | 95% | 1-yr: 37% |
| APPAC study[14,15] | 2015 | Multicentre RCT | 257 | ≥ 18 | 94% | 1-yr: 27%; 5-yr: 39.1%; |
| Minneci et al[16] | 2016 | Prospective cohort | 37 | 7-17 | 94.6% | 30-d: 5.4%; 1-yr: 18.9% |
| Georgiou et al[72] | 2017 | Meta-analysis | 413 | < 18 | 97% | Adjusted: 14% |
| Joo et al[73] | 2017 | Prospective observational | 20 | Pregnant women | 85% | 10% |
The table is not an exhaustive list and the scope has been restricted to references that are discussed in the main text. NOM: Nonoperative management; RCT: Randomised controlled trial.