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E30: Cost-Effectiveness of Nonoperative Management vs Upfront Laparoscopic Appendectomy for Pediatric Uncomplicated Appendicitis Over 1 Year

29 min•23 januari 2025

In this episode, Lillian Erdahl, MD, FACS, is joined by Peter C Minneci, MD, FACS, MHSc, from the Department of Surgery, Nemours Children’s Health, Delaware Valley. They discuss Dr Minneci’s recent article, “Cost-Effectiveness of Nonoperative Management vs Upfront Laparoscopic Appendectomy for Pediatric Uncomplicated Appendicitis Over 1 Year,” in which the authors found that cost-effectiveness of management of pediatric appendicitis is sensitive to changes in utilities achieved by nonoperative management. Further studies should investigate reasons for treatment failure and the importance of shared decision-making in choosing treatment.

 

Disclosure Information: Drs Erdahl and Minneci have nothing to disclose. This research was funded by the Patient-Centered Outcomes Research Institute (PCORI ID CER-1507-31325) and the National Center for Advancing Translational Sciences (grant UL1TR001070).

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

 

Gil, Lindsay A MD, MPH; Asti, Lindsey MPH, PhD; Chen, Huey-Fen MHA, PhD; Saito, Jacqueline M MD, FACS, MSCI, MBA; Pattisapu, Prasanth MD, MPH; Deans, Katherine J MD, FACS, MHSc; Minneci, Peter C MD, FACS, MHSc;  for the Midwest Pediatric Surgery Consortium. Cost-Effectiveness of Nonoperative Management vs Upfront Laparoscopic Appendectomy for Pediatric Uncomplicated Appendicitis for 1 Year. Journal of the American College of Surgeons 240(3):p 288-298, March 2025. | DOI: 10.1097/XCS.0000000000001232 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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