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[Appendicitis and appendectomy in Norway 1990-2001].

Inger Johanne Bakken1, Finn Egil Skjeldestad, Odd Mjåland

  • 1Seksjon for epidemiologisk forskning, SINTEF Unimed, Trondheim. inger.j.bakken@sintef.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 10, 2004
PubMed
Summary

Appendicitis and appendectomy rates in Norway (1990-2001) show increasing diagnostic accuracy and perforation ratios. Laparoscopic appendectomy offers shorter hospital stays but remains uncommon.

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Area of Science:

  • Epidemiology
  • Surgical Outcomes

Context:

  • Appendicitis is a common surgical emergency.
  • Trends in appendicitis and appendectomy incidence and outcomes are crucial for public health.
  • Understanding diagnostic accuracy and surgical techniques informs clinical practice.

Purpose:

  • To examine the incidence of appendicitis and appendectomy in Norway between 1990 and 2001.
  • To analyze trends in diagnostic accuracy, perforation rates, and surgical techniques.
  • To compare outcomes of laparoscopic versus open appendectomy.

Summary:

  • Age-adjusted appendectomy incidence was ~117 per 100,000, highest in the 10-29 age group.
  • Diagnostic accuracy improved, while perforation ratios increased from 1990-2001.
  • Laparoscopic appendectomy use doubled (1998-2001) but remained low, offering shorter hospital stays without increased readmission.

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Impact:

  • Highlights evolving diagnostic capabilities and surgical practices in appendicitis management.
  • Suggests potential benefits of laparoscopic appendectomy regarding hospital stay duration.
  • Indicates a need for further investigation into the adoption of minimally invasive techniques for appendectomy in Norway.