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Comment & Response
May 15, 2019

Questioning the Higher Abscess Rate and Overall Cost of Care Associated With Nonoperative Management of Uncomplicated Acute Appendicitis

Author Affiliations
  • 1Division of Digestive Surgery, Turku University Hospital, Turku, Finland
  • 2Department of Surgery, University of Turku, Turku, Finland
JAMA Surg. 2019;154(8):784. doi:10.1001/jamasurg.2019.1161

To the Editor The article published by Sceats et al1 compared appendectomy (n = 55 709) with nonoperative management (n = 2620) in the treatment of uncomplicated acute appendicitis (UAA) in a national retrospective cohort study using data from an insurance claims database and showed that nonoperative management was associated with higher rates of abscess, readmission, and higher overall costs. Sceats et al1 concluded that these data suggest that nonoperative management may not be the preferred first-line therapy for all patients with UAA.

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