{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T17:46:25Z","timestamp":1744911985145,"version":"3.30.1"},"reference-count":20,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5,14]]},"abstract":"<jats:p>Introduction\u2008: L\u2019appendicite est bien connue par la population g\u00e9n\u00e9rale et m\u00e9dicale. Pourtant, en France, les taux de recours \u00e0 l\u2019appendicectomie chez l\u2019enfant varient d\u2019un facteur\u00a01 \u00e0 4 selon les d\u00e9partements. But de l\u2019\u00e9tude\u2008: Cette \u00e9tude a permis de comparer, en fonction du d\u00e9partement de scolarisation, les repr\u00e9sentations et les attitudes des parents face \u00e0 la douleur abdominale de l\u2019enfant et leur recours au syst\u00e8me de soins. Nous avons s\u00e9lectionn\u00e9 trois d\u00e9partements, correspondant chacun \u00e0 une des tranches de taux d\u2019intervention en France selon le rapport de la Dress de 2012\u2008: la\u00a0Meurthe-et-Moselle, dont le taux est situ\u00e9 entre 15,65 et 23,48\/10\u00a0000\u00a0habitants, la Seine-et-Marne, situ\u00e9e entre 23,48 et 31,30\/10\u00a0000 et le Jura, sup\u00e9rieur \u00e0 31\/10\u00a0000. R\u00e9sultats\u2008: Au total, 797\u00a0questionnaires ont pu \u00eatre exploit\u00e9s (45,2\u2008%). Les parents r\u00e9pondaient diff\u00e9remment selon le d\u00e9partement. Les Jurassiens, et dans une moindre mesure les Seine-et-Marnais, \u00e9taient ceux ayant le plus fr\u00e9quemment v\u00e9cu une appendicectomie. Les parents issus de ces deux d\u00e9partements \u00e0 fort taux d\u2019appendicectomie pensaient davantage \u00e0 une appendicite aigu\u00eb devant une douleur abdominale et craignaient moins l\u2019appendicectomie. Ils \u00e9taient \u00e9galement plus favorables au traitement chirurgical que les parents vivant en Meurthe-et-Moselle. Conclusion\u2008: L\u2019\u00e9tat des connaissances, les repr\u00e9sentations parentales et le recours au syst\u00e8me de soins sont des facteurs pouvant influer sur la prise en charge m\u00e9dicale et peuvent en partie expliquer les variations de taux de recours \u00e0 l\u2019appendicectomie au sein du territoire fran\u00e7ais. La diffusion de cette connaissance aux m\u00e9decins pourrait permettre de mieux appr\u00e9hender les diff\u00e9rents profils de patients et de les rassurer au besoin, afin d\u2019amenuiser ces facteurs d\u2019influence sur les pratiques.<\/jats:p>","DOI":"10.3917\/spub.191.0019","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T00:31:58Z","timestamp":1558485118000},"page":"19-29","source":"Crossref","is-referenced-by-count":1,"title":["Repr\u00e9sentations parentales de l\u2019appendicite de l\u2019enfant et\u00a0leurs cons\u00e9quences sur le traitement chirurgical"],"prefix":"10.3917","volume":"Vol. 31","author":[{"given":"Pauline","family":"Beno\u00eet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9ric","family":"Imbault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Louis","family":"Lemelle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9douard","family":"Germain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9dric","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amandine","family":"Luc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Marc","family":"Boivin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1Oberlin\u00a0P, Mouquet\u00a0MC. La longue diminution des appendicectomies en France. \u00c9tudes et r\u00e9sultats, Drees. 2014;868. [Visit\u00e9 le 13\/12\/2017]. En ligne\u2008: http:\/\/drees.solidarites-sante.gouv.fr\/IMG\/pdf\/er868.pdf."},{"key":"rb2","unstructured":"2Duch\u00eane\u00a0A, Marty\u00a0M. \u00c9pid\u00e9miologie de l\u2019appendicectomie en France. E-M\u00e9m L\u2019Acad\u00e9mie Natl Chir. 2012;11(4):95-9."},{"key":"rb3","doi-asserted-by":"crossref","unstructured":"3Slim\u00a0K, Oberlin\u00a0P. Will management of appendicitis have the same fate as management of duodenal ulcer? J Visc Surg. 2014;151(5):331-3.","DOI":"10.1016\/j.jviscsurg.2014.05.002"},{"key":"rb4","unstructured":"4Evans\u00a0A. Atlas des variations de pratiques m\u00e9dicales\u2008: Recours \u00e0 dix\u00a0interventions chirurgicales. Paris\u2008: Irdes\u2008; 2016."},{"key":"rb5","doi-asserted-by":"crossref","unstructured":"5Andersson\u00a0RE. The natural history and traditional management of appendicitis revisited: spontaneous resolution and predominance of\u00a0prehospital perforations imply that a correct diagnosis is more important than an early diagnosis. World J Surg. 2007;31(1):86-92.","DOI":"10.1007\/s00268-006-0056-y"},{"key":"rb6","unstructured":"6Voron\u00a0T, Zinzindohou\u00e9\u00a0F. Appendicitis in the child and the adult. Rev\u00a0Prat. 2014;64(7):1007-13."},{"key":"rb7","doi-asserted-by":"crossref","unstructured":"7Cohen\u00a0R. Les antibiotiques, c\u2019est pas automatique. Enfances & Psy. 2004;1(25):24-30. DOI\u00a010.3917\/ep.025.0024","DOI":"10.3917\/ep.025.0024"},{"key":"rb8","doi-asserted-by":"crossref","unstructured":"8Livingston\u00a0EH, Fomby\u00a0TB, Woodward\u00a0WA, Haley\u00a0RW. Epidemiological similarities between appendicitis and diverticulitis suggesting a common underlying pathogenesis. Arch Surg Chic. 2011;146(3): 308-14.","DOI":"10.1001\/archsurg.2011.2"},{"key":"rb9","unstructured":"9Morer\u00a0G. Histoire de l\u2019appendicite\u2008: premi\u00e8re p\u00e9riode, premi\u00e8re partie des origines \u00e0 Dupuytren (r\u00e9sum\u00e9). P\u00e9rigueux\u2008: Imp. Desseaux\u2008; 1978. 10\u00a0p."},{"key":"rb10","unstructured":"10Drogou\u00a0I. Deux \u00e9pid\u00e9miologies distinctes selon la forme compliqu\u00e9e ou non\u2008: L\u2019appendicite aigu\u00eb compliqu\u00e9e, une entit\u00e9 (et un traitement) \u00e0 part [Internet]. Le Quotidien du m\u00e9decin\u2008; 20\/02\/2017. [Visit\u00e9 le 13\/12\/2017]. En ligne\u2008: https:\/\/www.lequotidiendumedecin.fr\/actualites\/article\/2017\/02\/20\/lappendicite-aigue-compliquee-une-entite-et-un-traitement-part_844883."},{"key":"rb11","doi-asserted-by":"crossref","unstructured":"11Kulik\u00a0DM, Uleryk\u00a0EM, Maguire\u00a0JL. Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain. J Clin Epidemiol. 2013;66(1):95-104.","DOI":"10.1016\/j.jclinepi.2012.09.004"},{"key":"rb12","doi-asserted-by":"crossref","unstructured":"12Br\u00e9aud\u00a0J, Montoro\u00a0J, Lauron\u00a0J, Haas\u00a0H. Valeur des scores diagnostiques cliniques d\u2019appendicite aigu\u00eb chez l\u2019enfant. Arch Pediatr. 2008;15(5):553-5.","DOI":"10.1016\/S0929-693X(08)71831-1"},{"key":"rb13","doi-asserted-by":"crossref","unstructured":"13Chang\u00a0FC, Hogle\u00a0HH, Welling\u00a0DR. The fate of the negative appendix. Am J Surg. 1973;126(6):752-4.","DOI":"10.1016\/S0002-9610(73)80063-7"},{"key":"rb14","unstructured":"14Arnbj\u00f6rnsson\u00a0E. Small intestinal obstruction after appendectomy: an avoidable complication? Curr Surg. 1984;41(5):354-7."},{"key":"rb15","doi-asserted-by":"crossref","unstructured":"15Wu\u00a0JX, Sacks\u00a0GD, Dawes\u00a0AJ, DeUgarte\u00a0D, Lee\u00a0SL. The cost-effectiveness of nonoperative management versus laparoscopic appendectomy for the treatment of acute, uncomplicated appendicitis in children. J Pediatr Surg. 2017;52(7):1135-40.","DOI":"10.1016\/j.jpedsurg.2016.10.009"},{"key":"rb16","doi-asserted-by":"crossref","unstructured":"16Liu\u00a0ZH, Li\u00a0C, Zhang\u00a0XW, Kang\u00a0L, Wang\u00a0JP. Meta-analysis of the therapeutic effects of antibiotic versus appendicectomy for the treatment of acute appendicitis. Exp Ther Med. 2014;7(5):1181-6.","DOI":"10.3892\/etm.2014.1584"},{"key":"rb17","doi-asserted-by":"crossref","unstructured":"17Farmer\u00a0DL, Stark\u00a0RA. Should patients choose their care? JAMA Surg. 2016;151(5):415-6.","DOI":"10.1001\/jamasurg.2015.4656"},{"key":"rb18","unstructured":"18Kotobi\u00a0H. Appendicite aigu\u00eb de l\u2019enfant\u2008: o\u00f9 en sommes-nous en 2014\u2008? EPU de l\u2019h\u00f4pital Armand-Trousseau. R\u00e9alit\u00e9s P\u00e9diatriques. 2014;183. [Visit\u00e9 le 13\/12\/2017]. En ligne\u2008: https:\/\/www.realites-pediatriques.com\/appendicite-aigue-de-lenfant%e2%80%89-ou-en-sommes-nous-en-2014%e2%80%89\/."},{"key":"rb19","doi-asserted-by":"crossref","unstructured":"19Sinclair\u00a0D. Emergency department overcrowding: implications for paediatric emergency medicine. Paediatr Child Health. 2007;12(6): 491-4.","DOI":"10.1093\/pch\/12.6.491"},{"key":"rb20","doi-asserted-by":"crossref","unstructured":"20Gras-Le Guen\u00a0C, Levieux\u00a0K, Lucas\u00a0V, Vrignaud\u00a0B, Groupe francophone de r\u00e9animation et urgence p\u00e9diatrique. Limiter l\u2019engorgement hivernal aux urgences p\u00e9diatriques. Soins P\u00e9diatrie\/Pu\u00e9riculture. 2014;35(281):19-22.","DOI":"10.1016\/j.spp.2014.09.003"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T22:56:49Z","timestamp":1701989809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2019-1-page-19.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2019,5,14]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,5,14]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.191.0019","relation":{},"ISSN":["0995-3914"],"issn-type":[{"type":"print","value":"0995-3914"}],"subject":[],"published":{"date-parts":[[2019,5,14]]}}}