Meta-analyses of studies that have investigated appendicectomy in UC or PSC
I: Appendicectomy rate in patient and control groups: meta-analysis of four studies | ||||
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Study | PSC (n) | UC (n) | Control group (n) | Comments |
(a) van Erpecum40 | 59 | 130 | 197 | Small groups, reported all appendicectomy—before and after diagnosis. |
(b) Mitchell41 | 170 | 170 | 170 | Did not find low App+ in UC. |
(c) Selby25 | 23 | 236 | 280 | Small PSC group. |
(d) Florin | 90 | 294 | 1466 | Disease specific control groups. |
Meta-analysis (a–d) | 342 | 830 | 2113 | |
App+ | 61 | 62 | 424 | App data missing for 166 controls and 1 PSC. |
App− | 280 | 768 | 1523 | |
p Value (App+: disease v controls) | 0.12 | <0.0001; OR 0.29 (CI 0.22 –0.38) | OR (CI) of App+ in UC relative to App+ in control group. |
II: Appendicectomy v colorectal cancer: meta-analysis of two studies | ||||
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PSC, primary sclerosing cholangitis; IBD, inflammatory bowel disease; UC, ulcerative colitis; OR, odds ratio; CI, confidence interval; App, appendicectomy; CRC, colorectal cancer. | ||||
Meta-analysis (c, d) | 113 | 530 | High grade dysplasia not analysed because these data not available in (c). | |
App+ (CRC) | 26 (1) | 28 (3) | Prior appendicectomy data missing for 1 PSC-IBD case. | |
App− (CRC) | 86 (3) | 502 (4) | ||
p Value (CRC v App+) | 1.0 | 0.004; OR 14.9 (CI 3.2–70) | OR (CI) of colorectal cancer in UC patients with prior appendicectomy relative to UC patients who have not undergone prior appendicectomy. |