<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822021000200283</article-id>
<article-id pub-id-type="doi">10.30944/20117582.630</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Beneficios clínicos y de costos de un modelo de estandarización en el manejo de la apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and cost benefits of a standardization model in the management of acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera-Rivera]]></surname>
<given-names><![CDATA[Paulo Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Posso-Valencia]]></surname>
<given-names><![CDATA[Héctor Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dennis-Verano]]></surname>
<given-names><![CDATA[Rodolfo José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Cardionfantil - Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la Sabana  ]]></institution>
<addr-line><![CDATA[Chía ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Cardioinfantil - Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>283</fpage>
<lpage>300</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822021000200283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822021000200283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822021000200283&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La apendicitis aguda es la patología quirúrgica más frecuente en Colombia y en el mundo, con un riesgo de presentación del 7-8 % en la población general. El tratamiento de elección es la apendicectomía, la cual puede realizarse por vía convencional o por vía laparoscópica. El objetivo de este estudio fue comparar los desenlaces clínicos y costos de un modelo de estandarización en el manejo de la apendicitis aguda versus la no estandarización.  Métodos. Estudio observacional, analítico, para comparar el manejo de atención estandarizado y no estandarizado. Se incluyeron pacientes mayores de 18 años, que ingresaron al servicio de urgencias con diagnóstico de apendicitis aguda en el período de enero de 2016 a diciembre de 2018, y quienes fueron llevados a apendicectomía convencional o laparoscópica en la institución.  Resultados. Se incluyeron 1392 pacientes, 591 que cumplieron los criterios del modelo estandarizado y 801 que cumplieron los criterios del modelo no estandarizado. Al comparar los procesos de estandarización y no estandarización, se encontraron diferencias estadísticamente significativas en los resultados crudos de estancia hospitalaria y costos totales. En los estimativos ajustados por variables de confusión no se encontraron diferencias en los costos totales.  Discusión.  El modelo de estandarización demostró una disminución en los días de hospitalización. No encontró diferencias en términos de costos totales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction. Acute appendicitis is the most frequent surgical pathology in Colombia and in the world, with a risk of presentation of 7-8% in the general population. The treatment of choice is appendectomy, which can be performed conventionally or laparoscopically. The objective of this study is to compare the clinical outcomes and costs of a standardization model in the management of acute appendicitis.  Methods. Observational, analytical study to compare standardized versus non-standardized care management. Patients older than 18 years, who were admitted to the emergency department with a diagnosis of acute appendicitis in the period from January 2016 to December 2018 and underwent conventional or laparoscopic appendectomy at the institution were included.  Results.  1392 patients were included; 591 met the criteria of the standardized model and 801 met the criteria of the non-standardized model. When comparing the standardization versus non-standardization processes, statistically significant differences were found in the hospital stay and total costs. In the estimates adjusted for confounding variables, no differences were found in total costs.  Discussion. The standardization model showed a decrease in hospital length of stay. No differences were found in terms of total costs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[evaluación económica]]></kwd>
<kwd lng="es"><![CDATA[modelo]]></kwd>
<kwd lng="es"><![CDATA[predicción]]></kwd>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[economic evaluation]]></kwd>
<kwd lng="en"><![CDATA[prediction]]></kwd>
<kwd lng="en"><![CDATA[model]]></kwd>
<kwd lng="en"><![CDATA[General Surgery]]></kwd>
</kwd-group>
</article-meta>
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