{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:59:45Z","timestamp":1781053185363,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001297","name":"Royal College of Anaesthetists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001297","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/Y009398\/1"],"award-info":[{"award-number":["MR\/Y009398\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Appendicitis is one of the most common emergency surgical pathologies in childhood. This study used data from the Children's Acute Surgical Abdomen Programme study to describe compliance with published standards of care and the relationship between care delivery and 30\u2010day postoperative morbidity for children aged 1\u201316 y undergoing appendicectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 80 hospitals and this included the type of care delivered, the setting in which care was provided and patient level factors. Bivariable and multivariable analysis was undertaken to identify associations between care delivery and outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data collected from 2799 children highlighted variation in care provision related to the use of pre\u2010operative imaging, multimodal analgesia and the proportion of children undergoing surgery within 24\u2009h of presentation; compliance with these standards was 42.6%, 70.8% and 72.8%, respectively. Children managed in specialist paediatric centres were younger, with a higher burden of chronic disease and higher rates of complicated appendicitis. They were also less likely to have a negative appendicectomy but more likely to experience postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Despite a high compliance with published recommendations for several aspects of care, deficiencies were identified. A focused effort is needed to improve diagnostic accuracy, optimise analgesia management and reduce the duration of time for which children are waiting for surgery. Similarly, further work is required to better understand the increased rates of postoperative morbidity seen in specialist paediatric centres. Addressing these factors may lead to discernible improvements in experience and outcomes for children with suspected appendicitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70183","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:40:27Z","timestamp":1773312027000},"page":"972-984","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of care received by children with suspected appendicitis in the\n                    <scp>UK<\/scp>\n                    National Health Service"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5511-0202","authenticated-orcid":false,"given":"L. Amaki","family":"Sogbodjor","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine Great Ormond Street Hospital NHS Foundation Trust  London UK"},{"name":"Centre for Peri\u2010operative Medicine, Research Department for Targeted Intervention University College London, Division of Surgery and Interventional Science  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Razavi","sequence":"additional","affiliation":[{"name":"Centre for Peri\u2010operative Medicine, Research Department for Targeted Intervention University College London, Division of Surgery and Interventional Science  London UK"},{"name":"Department of Anaesthesia Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Guy's and St Thomas' NHS Foundation Trust  London UK"},{"name":"Health Services Research Centre National Institute for Academic Anaesthesia, Royal College of Anaesthetists  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Selman","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehal M.","family":"Pinto Pereira","sequence":"additional","affiliation":[{"name":"Centre for Peri\u2010operative Medicine, Research Department for Targeted Intervention University College London, Division of Surgery and Interventional Science  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Davenport","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery King's College London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Ramani","family":"Moonesinghe","sequence":"additional","affiliation":[{"name":"Centre for Peri\u2010operative Medicine, Research Department for Targeted Intervention University College London, Division of Surgery and Interventional Science  London UK"},{"name":"Department for Anaesthesia and Perioperative Medicine University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"KennyS.Getting It Right First Time: Paediatric Surgery GIRFT\u00a0Programme National Specialty Report.2021.https:\/\/gettingitrightfirsttime.co.uk\/wp\u2010content\/uploads\/2021\/09\/PaediatricSurgeryReport\u2010Sept21w.pdf(accessed 10.03.2025)."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001099"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000246"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16184"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.16.1977"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.10.045"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005\u20100273"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2012.12.008"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000596"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004316"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.10.032"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000707"},{"key":"e_1_2_6_14_1","unstructured":"KennyS.Getting It Right First Time: Paediatric Acute Abdominal Pain and Appendicectomy: Best Practice Pathway Guidance.2022.https:\/\/www.gettingitrightfirsttime.co.uk\/wp\u2010content\/uploads\/2022\/06\/20220607_Paediatric\u2010general\u2010surgery_Pathway\u2010guide_Acute\u2010abdominal\u2010pain\u2010and\u2010appendicectomy.pdf(accessed 10.03.2025)."},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad082"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9455"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.05.010"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.25"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.12.021"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/children6020033"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.04.018"},{"key":"e_1_2_6_22_1","unstructured":"BartholomewK CleggT CraskeJ.Chapter 10 \u2013 Guidelines for the Provision of Anaesthesia Services (GPAS). 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