Is the increased incidence of pathologically proven acute appendicitis more likely seen in elderly patients? A retrospective cohort study.

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Aging Male Pub Date : 2021-12-01 DOI:10.1080/13685538.2021.1911990

Abdullah Sisik, Ilyas Kudas, Fatih Basak, Mustafa Hasbahceci

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引用次数: 3

Abstract

Aim: Although appendicitis is a disease of the young, it has been speculated that its incidence has increased among the elderly people. In this study, it was aimed to evaluate annual changes of appendicitis seen in older patients (≥60 years) throughout a 10-year period.

Methods: All adult patients who were surgically treated for acute appendicitis were retrospectively analyzed with respect to pathological analysis, gender, age and proportion of the patients aged 60 or over in an annual base. Variability in the mean age and proportion of the older patients aged 60 or over throughout the study years were regarded as the main outcomes.

Results: There were 3296 patients with a mean age of 30.42 ± 12 years. Distribution of gender was similar (p = 0.636). There was a significant positive correlation in the mean age of the patients throughout the study years (p = 0.043). Stratification by the age of 60 yielded a significant increase in percent of the older patients, from 0.93% at 2007 to 4.28% at 2016 (p = 0.019).

Conclusions: The mean age of the patients with acute appendicitis is going to increase. Therefore, it is expected that all surgeons are more likely to be confronted with elderly patients with appendicitis in the near-future.

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病理证实的急性阑尾炎发病率增加是否更容易在老年患者中看到?回顾性队列研究。

目的:虽然阑尾炎是一种年轻人的疾病，但据推测，其发病率在老年人中有所增加。在这项研究中，旨在评估老年患者(≥60岁)在10年期间阑尾炎的年度变化。方法:回顾性分析所有经手术治疗的成人急性阑尾炎患者的病理分析、性别、年龄及60岁及以上患者所占比例。在整个研究期间，平均年龄和60岁或以上老年患者比例的变异性被视为主要结果。结果:3296例患者，平均年龄30.42±12岁。性别分布相似(p = 0.636)。在整个研究期间，患者的平均年龄有显著的正相关(p = 0.043)。按60岁分层，老年患者的百分比显著增加，从2007年的0.93%增加到2016年的4.28% (p = 0.019)。结论:急性阑尾炎患者的平均年龄呈上升趋势。因此，预计在不久的将来，所有外科医生都将更容易遇到老年阑尾炎患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.