TPTh 3.15 Systematic Review of Clinical Practice Guidelines to Identify Recommendations for The Diagnosis and Management of Acute Appendicitis During Pregnancy
Clicks: 1
ID: 324003
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #384 of 432 articles by views in the british journal of surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Introduction Acute appendicitis is the most common emergency general surgical condition in pregnancy. Due to limited high-quality evidence on this condition, surgeons are likely to rely on clinical practice guidelines (CPGs) to guide decision-making. We aimed to systematically assess the quality, scope and consistency of CPGs on the management of acute appendicitis during pregnancy. Methods CPGs making recommendations for the diagnosis and/or management of acute appendicitis in pregnancy were included. Medline, Scopus and PubMed databases, professional association websites and the grey literature was searched (January 2005 - October 2025). The quality of CPGs was assessed independently by three reviewers using the AGREE-II instrument, and data extraction performed by two reviewers. Recommendations of interest included diagnostic imaging, management approach, surgical approach, antibiotic use and venous thromboembolism prophylaxis. Results 20 CPGs were included. Only 6 exclusively targeted pregnant women. 5 CPGs were rated high quality (AGREE-II score >75%), 11 moderate (>60% to <75%), and 4 poor (<60%). When discussed, most guidelines recommended ultrasound as first-line imaging (11/15) followed by MRI if inconclusive (9/15). Surgical approach showed more variation. In CPGs discussing laparoscopic versus open appendicectomy, some favoured laparoscopic appendicectomy (6/11) and others indicated no preference (5/11). Only 1 guideline covered all recommendations of interest. Recommendations on antibiotic use and venous thromboembolism prophylaxis were the least reported. Conclusion High quality and comprehensive CPGs for acute appendicitis in pregnancy are lacking. This can contribute to clinical uncertainty and practice variation. Unified guidelines addressing surgeons’ informational needs are essential to standardise care in this population.
| Reference Key |
openalex_W7172526674
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Lucy Papadakis-Taylor, Rebecca Dickson, Emma Craig, Maia Smith, Aarushi Johri, Nilofer Husnoo |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.452
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.