{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:38:44Z","timestamp":1777934324532,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2015,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The post-operative management of appendectomy for acute appendicitis is based primarily on the operative findings. The surgeon describes the severity of the disease, and antibiotic therapy is administered accordingly. The histologic findings are not always considered in the decision about the management and may not be correlated with the clinical outcome. The aim of this study was to investigate the agreement between the surgeon's intra-operative visual description of the appendix and the pathologist's report in a consecutive series of patients with acute appendicitis. Complications were analyzed in relation to the classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A comparative observational study was performed in 69 patients who underwent surgery for acute appendicitis at the same hospital during a one-year period (the entire year of 2011). The surgeon's classification of the severity of appendicitis was compared with the pathologist's report using the kappa coefficient. Patient demographics, surgical techniques, and post-operative complications also were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Complicated appendicitis (gangrenous or perforated) was considered to be present in 36.2% of patients in the surgeon's classification and 43% of the patients in the histopathologic reports (p=0.033). The kappa coefficient showed only a weak correlation between the surgeons' and pathologists' descriptions (\u03ba=0.25). Significant differences in post-operative complications were found only in the surgeon's classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We found a weak correlation between the surgeon's macroscopic diagnosis and the pathologic findings. However, the differences did not have meaningful clinical implications. Further studies are required to evaluate the clinical meaning of these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2013.155","type":"journal-article","created":{"date-parts":[[2015,3,11]],"date-time":"2015-03-11T10:12:18Z","timestamp":1426068738000},"page":"41-44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Correlation Between Intraoperative Surgical Diagnosis of Complicated Acute Appendicitis and the Pathology Report: Clinical Implications"],"prefix":"10.1177","volume":"16","author":[{"given":"Jessica","family":"Correa","sequence":"first","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Jimeno","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Vallverdu","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cinzia","family":"Bizzoca","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesc","family":"Collado-Roura","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Estalella","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Hermoso","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Silva","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Sanchez-Pradell","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Par\u00e9s","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,3,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.08.018"},{"key":"e_1_3_3_3_2","first-page":"0408","article-title":"Appendicitis","volume":"2011","author":"D'Souza MN","year":"2011","unstructured":"D'Souza MN. Appendicitis. Clin Evid (Online), 2011; 2011:0408.","journal-title":"Clin Evid (Online)"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.104"},{"key":"e_1_3_3_5_2","first-page":"261","article-title":"[An useful classification for acute appendicitis] (Spa)","volume":"68","author":"Guzm\u00e1n-Valdivia G\u00f3mez G","year":"2003","unstructured":"Guzm\u00e1n-Valdivia G\u00f3mez G. [An useful classification for acute appendicitis] (Spa). Rev Gastroenterol Mex, 2003; 68:261\u2013265.","journal-title":"Rev Gastroenterol Mex"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2008.0095.supp"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-7-17"},{"key":"e_1_3_3_8_2","first-page":"221","article-title":"Unusual findings in appendicectomy specimens: Evaluation of 2458 cases and review of the literature","volume":"66","author":"Duzgun AP","year":"2004","unstructured":"Duzgun AP, , Moran M, , Uzun S, et al. Unusual findings in appendicectomy specimens: Evaluation of 2458 cases and review of the literature. Indian J Surg, 2004; 66:221\u2013226.","journal-title":"Indian J Surg"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.100"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1092-9134(00)90011-X"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.3.257"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0394"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1086\/501620"},{"key":"e_1_3_3_15_2","first-page":"591","article-title":"Comparative trial of four antibiotic combinations for perforated appendicitis in children","volume":"163","author":"Ciftci AO","year":"1997","unstructured":"Ciftci AO, , Tanyel FC, , B\u00fcy\u00fckpamuk\u00e7u N, , Hi\u00e7sonmez A. Comparative trial of four antibiotic combinations for perforated appendicitis in children. Eur J Surg, 1997; 163:591\u2013596.","journal-title":"Eur J Surg"},{"key":"e_1_3_3_16_2","first-page":"351","article-title":"A randomized clinical trial of ampicillin, gentamicin and clindamycin versus cefotaxime and clindamycin in children with ruptured appendicitis","volume":"172","author":"Schropp KP","year":"1991","unstructured":"Schropp KP, , Kaplan S, , Golladay ES, et al. A randomized clinical trial of ampicillin, gentamicin and clindamycin versus cefotaxime and clindamycin in children with ruptured appendicitis. Surg Gynecol Obstet, 1991; 172:351\u2013356.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_3_17_2","first-page":"93","article-title":"The correlation between gross appearance of the appendix at appendicectomy and histological examination","volume":"70","author":"Jones MW","year":"1988","unstructured":"Jones MW, , Paterson AG. The correlation between gross appearance of the appendix at appendicectomy and histological examination. Ann R Coll Surg Engl, 1988; 70:93\u201394.","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.048"}],"container-title":["Surgical Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/sur.2013.155","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/sur.2013.155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/sur.2013.155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:18:59Z","timestamp":1777688339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/sur.2013.155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,2,1]]}},"alternative-id":["10.1089\/sur.2013.155"],"URL":"https:\/\/doi.org\/10.1089\/sur.2013.155","relation":{},"ISSN":["1096-2964","1557-8674"],"issn-type":[{"value":"1096-2964","type":"print"},{"value":"1557-8674","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,1]]}}}