0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Clinical Practice Guidelines for Pediatric Complicated Appendicitis The Value in Discipline Online Only

Diana Lee Farmer, MD, FRCS1
[+] Author Affiliations
1Department of Surgery, University of California Davis Health System, University of California Davis Children’s Hospital, Sacramento
JAMA Surg. 2016;151(5):e160193. doi:10.1001/jamasurg.2016.0193.
Text Size: A A A
Published online

Extract

Appendicitis has been written about since surgical journals began. There have been randomized trials about when to operate, how to operate (open vs laparoscopic), what antibiotics to use, whether to use drains or not, or, as reported in JAMA Surgery, whether to let the patient choose to be operated on.

Frankly, one would think that after almost 100 years since the development of anesthesia and antibiotics, we would have at least figured out appendicitis. It appears that we have not. If the standing-room-only attendance at the 2015 plenary session of the American College of Surgeons meeting is an indication, surgeons continue to seek information about the best treatment scheme. Although the article by Willis et al1 does not completely illuminate the path (and, in full disclosure, I must confess my West Coast bias against the routine use of drains), it does demonstrate that no matter what technique is used, if everyone in the hospital uses the same protocol and pays attention to following the plan (clinical practice guidelines), the patients in the hospital will do better than they did before.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

386 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Appendicitis, Adult

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Appendicitis, Child

brightcove.createExperiences();