{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T14:36:38Z","timestamp":1778682998284,"version":"3.51.4"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T00:00:00Z","timestamp":1655078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["843002708"],"award-info":[{"award-number":["843002708"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.jss.2022.06.011","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T12:48:32Z","timestamp":1656938912000},"page":"218-227","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Implementing Nonoperative Treatment Strategy for Simple Pediatric Appendicitis: A Qualitative Study"],"prefix":"10.1016","volume":"279","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0780-6395","authenticated-orcid":false,"given":"Max","family":"Knaapen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"de Wind","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna H.","family":"van der Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roel","family":"Bakx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernest LW.","family":"van Heurn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes R.","family":"Anema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon R.","family":"Gorter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2022.06.011_bib1","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1093\/oxfordjournals.aje.a115734","article-title":"The epidemiology of appendicitis and appendectomy in the United States","volume":"132","author":"Addiss","year":"1990","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.jss.2022.06.011_bib2","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s00383-018-4244-2","article-title":"Imaging in pediatric appendicitis is key to a low normal appendix percentage: a national audit on the outcome of appendectomy for appendicitis in children","volume":"34","author":"Bolmers","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jss.2022.06.011_bib3","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1002\/bjs.9455","article-title":"Paediatric surgery trainees research network and the National Surgical Research Collaborative. Outcome of appendicectomy in children performed in paediatric surgery units compared with general surgery units","volume":"101","author":"Tiboni","year":"2014","journal-title":"Br J Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib4","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1016\/j.jpedsurg.2017.05.003","article-title":"Nonoperative management in children with early acute appendicitis: a systematic review","volume":"52","author":"Xu","year":"2017","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib5","doi-asserted-by":"crossref","first-page":"e20163003","DOI":"10.1542\/peds.2016-3003","article-title":"Efficacy and safety of nonoperative treatment for acute appendicitis: a meta-analysis","volume":"138","author":"Georgiou","year":"2017","journal-title":"Pediatrics"},{"key":"10.1016\/j.jss.2022.06.011_bib6","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1136\/bmj.317.7156.465","article-title":"Getting research findings into practice: closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings","volume":"317","author":"Bero","year":"1998","journal-title":"BMJ"},{"key":"10.1016\/j.jss.2022.06.011_bib7","doi-asserted-by":"crossref","first-page":"II46","DOI":"10.1097\/00005650-200108002-00003","article-title":"Successes and failures in the implementation of evidence-based guidelines for clinical practice","volume":"39","author":"Grol","year":"2001","journal-title":"Med Care"},{"key":"10.1016\/j.jss.2022.06.011_bib8","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1136\/bmj.329.7473.999","article-title":"What\u2019s the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients\u2019 notes, and interviews","volume":"329","author":"Sheldon","year":"2004","journal-title":"BMJ"},{"key":"10.1016\/j.jss.2022.06.011_bib9","doi-asserted-by":"crossref","first-page":"e018145","DOI":"10.1136\/bmjopen-2017-018145","article-title":"Initial non-operative management of uncomplicated appendicitis in children: a protocol for a multicentre randomised controlled trial (APAC trial)","volume":"7","author":"Knaapen","year":"2017","journal-title":"BMJ Open"},{"key":"10.1016\/j.jss.2022.06.011_bib10","doi-asserted-by":"crossref","first-page":"e000057","DOI":"10.1136\/fmch-2018-000057","article-title":"Semistructured interviewing in primary care research: a balance of relationship and rigour","volume":"7","author":"DeJonckheere","year":"2019","journal-title":"Fam Med Community Heal"},{"key":"10.1016\/j.jss.2022.06.011_bib11","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1093\/intqhc\/mzh030","article-title":"Determinants of innovation within health care organizations: literature review and Delphi study","volume":"16","author":"Fleuren","year":"2004","journal-title":"Int J Qual Health Care"},{"key":"10.1016\/j.jss.2022.06.011_bib12","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.surg.2015.01.008","article-title":"Initial antibiotic treatment for acute simple appendicitis in children is safe: Short-term results from a multicenter, prospective cohort study","volume":"157","author":"Gorter","year":"2015","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2022.06.011_bib13","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful Sampling for qualitative data collection and analysis in Mixed method implementation research","volume":"42","author":"Palinkas","year":"2015","journal-title":"Adm Policy Ment Health"},{"key":"10.1016\/j.jss.2022.06.011_bib14","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough?: an experiment with data saturation and variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field Methods"},{"key":"10.1016\/j.jss.2022.06.011_bib15","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1016\/j.jpedsurg.2019.02.053","article-title":"Factors influencing choice of medical vs. surgical treatment of pediatric appendicitis","volume":"54","author":"Brahmamdam","year":"2019","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib16","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1001\/jamasurg.2017.5310","article-title":"Patient preferences for surgery or antibiotics for the treatment of acute appendicitis","volume":"153","author":"Hanson","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib17","doi-asserted-by":"crossref","first-page":"E348","DOI":"10.1097\/00007632-200108010-00013","article-title":"Implementation barriers for general practice guidelines on low back pain","volume":"26","author":"Schers","year":"2001","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jss.2022.06.011_bib18","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1001\/archfami.5.8.448","article-title":"What influences physician practice behavior? An interview study of physicians who received consultative geriatric assessment recommendations","volume":"5","author":"Maly","year":"1996","journal-title":"Arch Fam Med"},{"key":"10.1016\/j.jss.2022.06.011_bib19","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00423-015-1300-4","article-title":"Laparoscopic cholecystectomy: consensus conference-based guidelines","volume":"400","author":"Agresta","year":"2015","journal-title":"Langenbeck\u2019s Arch Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib20","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1016\/j.jpedsurg.2017.02.001","article-title":"Barriers and facilitators to the implementation of evidence-based practice by pediatric surgeons","volume":"52","author":"Sullivan","year":"2017","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib21","doi-asserted-by":"crossref","first-page":"36","DOI":"10.3390\/healthcare4030036","article-title":"Barriers and strategies in guideline implementation\u2014a scoping review","volume":"4","author":"Fischer","year":"2016","journal-title":"Healthcare (Basel)"},{"key":"10.1016\/j.jss.2022.06.011_bib22","doi-asserted-by":"crossref","first-page":"2274","DOI":"10.1016\/j.jpedsurg.2019.04.007","article-title":"Accuracy of surgeon prediction of appendicitis severity in pediatric patients","volume":"54","author":"Yu","year":"2019","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib23","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1148\/radiol.2016160175","article-title":"Diagnostic performance of US for differentiating perforated from nonperforated pediatric appendicitis: a prospective cohort study","volume":"282","author":"Carpenter","year":"2017","journal-title":"Radiology"},{"key":"10.1016\/j.jss.2022.06.011_bib24","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1097\/SLA.0b013e3182864fd6","article-title":"Decision aids for patients facing a surgical treatment decision","volume":"257","author":"Knops","year":"2013","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2022.06.011_bib25","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.acap.2015.03.011","article-title":"Shared decision making in pediatrics: a systematic review and meta-analysis","volume":"15","author":"Wyatt","year":"2015","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.jss.2022.06.011_bib26","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1001\/jama.2016.0168","article-title":"Shared decision making in uncomplicated appendicitis: it is time to include nonoperative management","volume":"315","author":"Telem","year":"2016","journal-title":"JAMA"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480422003651?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480422003651?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T14:59:16Z","timestamp":1758380356000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480422003651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":26,"alternative-id":["S0022480422003651"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2022.06.011","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Implementing Nonoperative Treatment Strategy for Simple Pediatric Appendicitis: A Qualitative Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2022.06.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}