Willingness to undergo antibiotic treatment of acute appendicitis based on risk of treatment failure

Author:

Rosen J E12ORCID,Agrawal N23,Flum D R12,Liao J M24

Affiliation:

1. Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington, USA

2. Decision Science Group, Seattle, Washington, USA

3. Foster School of Business, University of Washington, Seattle, Washington, USA

4. Department of Medicine, University of Washington, Seattle, Washington, USA

Abstract

A randomized survey of 1257 respondents was used to assess willingness to undergo antibiotic treatment of appendicitis with different quoted risks of treatment failure requiring appendicectomy. Overall, 1045 respondents (83.1 per cent) were willing to try antibiotics. Even at a quoted 60 per cent risk of failure, 75 per cent of respondents were willing to attempt antibiotic treatment.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health

Marty and Linda Ellison

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference5 articles.

1. Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study;Ielpo;Br J Surg,2020

2. A randomized trial comparing antibiotics with appendectomy for appendicitis;Flum;New Engl J Med,2020

3. Meta-analysis of antibiotics versus appendicectomy for non-perforated acute appendicitis;Sallinen;Br J Surg,2016

4. A randomised clinical trial evaluating the efficacy and quality of life of antibiotic only treatment of acute uncomplicated appendicitis: results of the COMMA trial;O’Leary;Ann Surg,2021

5. Communication of uncertainty regarding individualized cancer risk estimates;Han;Med Decis Making,2011

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