was read the article
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Roig-Vila" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "García-Armengol" ] 1 => array:2 [ "nombre" => "Carolina" "apellidos" => "Martínez-Pérez" ] 2 => array:2 [ "nombre" => "José V." 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(B) Four long perforations at the proximal jejunum.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mauricio Gonzalez-Urquijo, Ilse Frias-Molina, Eduardo Lozano-González, Javier Rojas-Mendez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mauricio" "apellidos" => "Gonzalez-Urquijo" ] 1 => array:2 [ "nombre" => "Ilse" "apellidos" => "Frias-Molina" ] 2 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Lozano-González" ] 3 => array:2 [ "nombre" => "Javier" "apellidos" => "Rojas-Mendez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X21002499?idApp=UINPBA00004N" "url" => "/0009739X/0000010000000010/v1_202209120505/S0009739X21002499/v1_202209120505/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Comment on “Evaluation of preoperative clinical and serological determinations in complicated acute appendicitis: A score for predicting complicated appendicitis”" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "663" "paginaFinal" => "664" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rıfat Peksöz, Adem Aslan, Sabri Selçuk Atamanalp" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Rıfat" "apellidos" => "Peksöz" "email" => array:1 [ 0 => "rifat-peksoz@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Adem" "apellidos" => "Aslan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Sabri Selçuk" "apellidos" => "Atamanalp" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of General Surgery, Atatürk University Research Hospital, Erzurum, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of General Surgery, Ağrı İbrahim Çeçen University Faculty of Medicine – Ağrı Education and Research Hospital, Ağrı, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario sobre “Valoración de parámetros clínicos y analíticos preoperatorios en apendicitis aguda complicada. Score para predecir apendicitis complicada”" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We were read this valuable article “Evaluation of preoperative clinical and serological determinations in complicated acute appendicitis: A score for predicting complicated appendicitis” by García-Amador et al.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> with a great interest. Diagnostic methods based on basic blood parameters and clinical features without the need for advanced imaging methods are very important. This situation is especially important for physicians in rural areas. In this regard, this study will make a significant contribution to the literature. However, we believe that reviewing some points can make a significant contribution to the study.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Firstly, when the recent publications are examined, the negative appendectomy rate varies between 3 and 25%.<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">2,3</span></a> This rate increases even more in pregnant patients.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">4,5</span></a> García-Amador et al. (8/292) showed this rate as 2.73%. This rate is far below the current literature. Patients whose appendix histopathology is evaluated as normal appendix, lymphoid hyperplasia, obliterative appendix should be considered as negative appendectomy.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> In the light of these data, patient groups should be re-evaluated in the article.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Secondly, the main emphasis of the study is on basic laboratory parameters. These parameters are affected by various diseases such as hematological diseases, malignant or inflammatory diseases, chronic diseases, allergic diseases, or receiving various drugs.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> It was understood that patients who have these diseases were not excluded from the study. This will lead to erroneous evaluations. The inclusion and exclusion criteria of the study should be well defined.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Thirdly, in many studies, especially the neutrophil-to-lymphocyte ratio (NLR) value was found to be higher than other hemogram parameters in diagnosing acute appendicitis or determining its complication.<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">5,7</span></a> Using this parameter can also give better results. On the other hand, although the mean platelet volume (MPV) value is not in the defined model, it has been examined in the article. We do not recommend using MPV value in the diagnosis of acute appendicitis or complicated appendicitis. Because MPV value in complicated appendicitis patients increased in some studies compared to the uncomplicated patient group,<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> while in some studies, on the contrary, it was observed that this value decreased in patients with complicated appendicitis.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> This conflict has not yet been clarified. Therefore, it would be more accurate to use the NLR value instead of the MPV value. Again, including the cut-off values of laboratory values in Table 1 will provide important information in the differentiation of complicated and uncomplicated appendicitis.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">No funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of preoperative clinical and serological determinations in complicated acute appendicitis: a score for predicting complicated appendicitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. García-Amador" 1 => "V. Arteaga Peralta" 2 => "R. de la Plaza Llamas" 3 => "M. Torralba" 4 => "A. Medina Velasco" 5 => "J.M. Ramia" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cir Esp (Engl Ed)" "fecha" => "2021" "volumen" => "99" "paginaInicial" => "282" "paginaFinal" => "288" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reducing the negative appendectomy rate with the laparoscopic appendicitis score; a multicenter prospective cohort and validation study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K. Gelpke" 1 => "J.T.H. Hamminga" 2 => "J.J. van Bastelaar" 3 => "B. de Vos" 4 => "M.E. Bodegom" 5 => "E. 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Elgohary" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/08941939.2017.1284964" "Revista" => array:6 [ "tituloSerie" => "J Invest Surg" "fecha" => "2018" "volumen" => "31" "paginaInicial" => "121" "paginaFinal" => "129" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28635513" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/0009739X/0000010000000010/v1_202209120505/S0009739X22000331/v1_202209120505/en/main.assets" "Apartado" => array:4 [ "identificador" => "7407" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/0009739X/0000010000000010/v1_202209120505/S0009739X22000331/v1_202209120505/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X22000331?idApp=UINPBA00004N" ]
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