To the Editor We thank Mällinen et al1 for their study questioning the need for interval appendectomy in patients presenting with periappendicular abscess following successful initial nonoperative treatment. The study was terminated at a much earlier stage than anticipated owing to an interim analysis that reported a high incidence rate of appendiceal tumors found, which meant it was no longer ethically viable to have a follow-up group. We therefore urge caution in using the data collected in drawing any form of conclusion. The topic remains controversial,2,3 and we therefore wish to encourage more studies to be conducted and make 2 points about this study.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Li C, Owyang D. Potential Benefit of Nonsurgical Management to Periappendicular Abscess. JAMA Surg. Published online June 05, 2019154(9):882–883. doi:10.1001/jamasurg.2019.1682
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: