The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)

Over the past 20 years evidence has accumulated confirming the immunomodulatory role of the appendix in ulcerative colitis (UC). This led to the idea that appendectomy might alter the clinical course of established UC. The objective of this body of research is to evaluate the short-term and medium-t...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMC surgery 2015-03, Vol.15 (1), p.30-30, Article 30
Hauptverfasser: Gardenbroek, Tjibbe J, Pinkney, Thomas D, Sahami, Saloomeh, Morton, Dion G, Buskens, Christianne J, Ponsioen, Cyriel Y, Tanis, Pieter J, Löwenberg, Mark, van den Brink, Gijs R, Broeders, Ivo Amj, Pullens, Paul Hjm, Seerden, Tom, Boom, Maarten J, Mallant-Hent, Rosalie C, Pierik, Robert Egjm, Vecht, Juda, Sosef, Meindert N, van Nunen, Annick B, van Wagensveld, Bart A, Stokkers, Pieter Cf, Gerhards, Michael F, Jansen, Jeroen M, Acherman, Yair, Depla, Annekatrien Ctm, Mannaerts, Guido Hh, West, Rachel, Iqbal, Tariq, Pathmakanthan, Shrikanth, Howard, Rebecca, Magill, Laura, Singh, Baljit, Htun Oo, Ye, Negpodiev, Dmitri, Dijkgraaf, Marcel Gw, Ram D'Haens, Geert, Bemelman, Willem A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 30
container_issue 1
container_start_page 30
container_title BMC surgery
container_volume 15
creator Gardenbroek, Tjibbe J
Pinkney, Thomas D
Sahami, Saloomeh
Morton, Dion G
Buskens, Christianne J
Ponsioen, Cyriel Y
Tanis, Pieter J
Löwenberg, Mark
van den Brink, Gijs R
Broeders, Ivo Amj
Pullens, Paul Hjm
Seerden, Tom
Boom, Maarten J
Mallant-Hent, Rosalie C
Pierik, Robert Egjm
Vecht, Juda
Sosef, Meindert N
van Nunen, Annick B
van Wagensveld, Bart A
Stokkers, Pieter Cf
Gerhards, Michael F
Jansen, Jeroen M
Acherman, Yair
Depla, Annekatrien Ctm
Mannaerts, Guido Hh
West, Rachel
Iqbal, Tariq
Pathmakanthan, Shrikanth
Howard, Rebecca
Magill, Laura
Singh, Baljit
Htun Oo, Ye
Negpodiev, Dmitri
Dijkgraaf, Marcel Gw
Ram D'Haens, Geert
Bemelman, Willem A
description Over the past 20 years evidence has accumulated confirming the immunomodulatory role of the appendix in ulcerative colitis (UC). This led to the idea that appendectomy might alter the clinical course of established UC. The objective of this body of research is to evaluate the short-term and medium-term efficacy of appendectomy to maintain remission in patients with UC, and to establish the acceptability and cost-effectiveness of the intervention compared to standard treatment. These paired phase III multicenter prospective randomised studies will include patients over 18 years of age with an established diagnosis of ulcerative colitis and a disease relapse within 12 months prior to randomisation. Patients need to have been medically treated until complete clinical (Mayo score
doi_str_mv 10.1186/s12893-015-0017-1
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4393565</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1674687623</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-c67c8df3ceab3f4f38f5ef25c243e8fafa7f703c8bf949ed6a829e1164ceb5993</originalsourceid><addsrcrecordid>eNpVUsFu1DAUjBCIlsIHcEE-thKB2E5imwNSFRWoqIq07J4tr_NMjZw42E5FP5Z_wdndVu3J9nsz8-bJUxRvcfUBY95-jJhwQcsKN2VVYVbiZ8UxrhkuSc3J80f3o-JVjL8XDG-al8URaThnjIvj4t_6BtB5121WF2UKVrlPKOUKGAM6IW-QmiYY-_zwwx3y466rnR2tVg5pP4cIC2x2GoJK9jZ3vbPJxvdIoaDG3g82Qo_smCCMGeHHTBxml6yGpYZ2Y9Hp9XpFOKdnKHN2Uw6uNt_RwdgTPfi703Noss6ne5HLn6tufd20DaEVFmevixdGuQhvDudJsflyse6-lVc_vl5251elpkKkUrdM895QDWpLTW0oNw0Y0mhSU-BGGcUMq6jmWyNqAX2rOBGAcVtr2DZC0JPi8153mrcD9MtiQTk5BTuocCe9svJpZ7Q38pe_lTUVNLvNAqcHgeD_zBCTzFtqcE6N4OcoccvqlrOW0AzFe6gOPsYA5mEMruQSC7mPhcyxkMuXS5w57x77e2Dc54D-B4lrtjY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1674687623</pqid></control><display><type>article</type><title>The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>SpringerLink Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><source>Springer Nature OA Free Journals</source><creator>Gardenbroek, Tjibbe J ; Pinkney, Thomas D ; Sahami, Saloomeh ; Morton, Dion G ; Buskens, Christianne J ; Ponsioen, Cyriel Y ; Tanis, Pieter J ; Löwenberg, Mark ; van den Brink, Gijs R ; Broeders, Ivo Amj ; Pullens, Paul Hjm ; Seerden, Tom ; Boom, Maarten J ; Mallant-Hent, Rosalie C ; Pierik, Robert Egjm ; Vecht, Juda ; Sosef, Meindert N ; van Nunen, Annick B ; van Wagensveld, Bart A ; Stokkers, Pieter Cf ; Gerhards, Michael F ; Jansen, Jeroen M ; Acherman, Yair ; Depla, Annekatrien Ctm ; Mannaerts, Guido Hh ; West, Rachel ; Iqbal, Tariq ; Pathmakanthan, Shrikanth ; Howard, Rebecca ; Magill, Laura ; Singh, Baljit ; Htun Oo, Ye ; Negpodiev, Dmitri ; Dijkgraaf, Marcel Gw ; Ram D'Haens, Geert ; Bemelman, Willem A</creator><creatorcontrib>Gardenbroek, Tjibbe J ; Pinkney, Thomas D ; Sahami, Saloomeh ; Morton, Dion G ; Buskens, Christianne J ; Ponsioen, Cyriel Y ; Tanis, Pieter J ; Löwenberg, Mark ; van den Brink, Gijs R ; Broeders, Ivo Amj ; Pullens, Paul Hjm ; Seerden, Tom ; Boom, Maarten J ; Mallant-Hent, Rosalie C ; Pierik, Robert Egjm ; Vecht, Juda ; Sosef, Meindert N ; van Nunen, Annick B ; van Wagensveld, Bart A ; Stokkers, Pieter Cf ; Gerhards, Michael F ; Jansen, Jeroen M ; Acherman, Yair ; Depla, Annekatrien Ctm ; Mannaerts, Guido Hh ; West, Rachel ; Iqbal, Tariq ; Pathmakanthan, Shrikanth ; Howard, Rebecca ; Magill, Laura ; Singh, Baljit ; Htun Oo, Ye ; Negpodiev, Dmitri ; Dijkgraaf, Marcel Gw ; Ram D'Haens, Geert ; Bemelman, Willem A</creatorcontrib><description>Over the past 20 years evidence has accumulated confirming the immunomodulatory role of the appendix in ulcerative colitis (UC). This led to the idea that appendectomy might alter the clinical course of established UC. The objective of this body of research is to evaluate the short-term and medium-term efficacy of appendectomy to maintain remission in patients with UC, and to establish the acceptability and cost-effectiveness of the intervention compared to standard treatment. These paired phase III multicenter prospective randomised studies will include patients over 18 years of age with an established diagnosis of ulcerative colitis and a disease relapse within 12 months prior to randomisation. Patients need to have been medically treated until complete clinical (Mayo score &lt;3) and endoscopic (Mayo score 0 or 1) remission. Patients will then be randomised 1:1 to a control group (maintenance 5-ASA treatment, no appendectomy) or elective laparoscopic appendectomy plus maintenance treatment. The primary outcome measure is the one year cumulative UC relapse rate - defined both clinically and endoscopically as a total Mayo-score ≥5 with endoscopic subscore of 2 or 3. Secondary outcomes that will be assessed include the number of relapses per patient at 12 months, the time to first relapse, health related quality of life and treatment costs, and number of colectomies in each arm. The ACCURE and ACCURE-UK trials will provide evidence on the role and acceptability of appendectomy in the treatment of ulcerative colitis and the effects of appendectomy on the disease course. NTR2883 ; ISRCTN56523019.</description><identifier>ISSN: 1471-2482</identifier><identifier>EISSN: 1471-2482</identifier><identifier>DOI: 10.1186/s12893-015-0017-1</identifier><identifier>PMID: 25887789</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Appendectomy - methods ; Clinical Protocols ; Colitis, Ulcerative - surgery ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Pilot Projects ; Prospective Studies ; Quality of Life ; Recurrence ; Study Protocol ; Treatment Outcome</subject><ispartof>BMC surgery, 2015-03, Vol.15 (1), p.30-30, Article 30</ispartof><rights>Gardenbroek et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-c67c8df3ceab3f4f38f5ef25c243e8fafa7f703c8bf949ed6a829e1164ceb5993</citedby><cites>FETCH-LOGICAL-c399t-c67c8df3ceab3f4f38f5ef25c243e8fafa7f703c8bf949ed6a829e1164ceb5993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393565/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393565/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25887789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gardenbroek, Tjibbe J</creatorcontrib><creatorcontrib>Pinkney, Thomas D</creatorcontrib><creatorcontrib>Sahami, Saloomeh</creatorcontrib><creatorcontrib>Morton, Dion G</creatorcontrib><creatorcontrib>Buskens, Christianne J</creatorcontrib><creatorcontrib>Ponsioen, Cyriel Y</creatorcontrib><creatorcontrib>Tanis, Pieter J</creatorcontrib><creatorcontrib>Löwenberg, Mark</creatorcontrib><creatorcontrib>van den Brink, Gijs R</creatorcontrib><creatorcontrib>Broeders, Ivo Amj</creatorcontrib><creatorcontrib>Pullens, Paul Hjm</creatorcontrib><creatorcontrib>Seerden, Tom</creatorcontrib><creatorcontrib>Boom, Maarten J</creatorcontrib><creatorcontrib>Mallant-Hent, Rosalie C</creatorcontrib><creatorcontrib>Pierik, Robert Egjm</creatorcontrib><creatorcontrib>Vecht, Juda</creatorcontrib><creatorcontrib>Sosef, Meindert N</creatorcontrib><creatorcontrib>van Nunen, Annick B</creatorcontrib><creatorcontrib>van Wagensveld, Bart A</creatorcontrib><creatorcontrib>Stokkers, Pieter Cf</creatorcontrib><creatorcontrib>Gerhards, Michael F</creatorcontrib><creatorcontrib>Jansen, Jeroen M</creatorcontrib><creatorcontrib>Acherman, Yair</creatorcontrib><creatorcontrib>Depla, Annekatrien Ctm</creatorcontrib><creatorcontrib>Mannaerts, Guido Hh</creatorcontrib><creatorcontrib>West, Rachel</creatorcontrib><creatorcontrib>Iqbal, Tariq</creatorcontrib><creatorcontrib>Pathmakanthan, Shrikanth</creatorcontrib><creatorcontrib>Howard, Rebecca</creatorcontrib><creatorcontrib>Magill, Laura</creatorcontrib><creatorcontrib>Singh, Baljit</creatorcontrib><creatorcontrib>Htun Oo, Ye</creatorcontrib><creatorcontrib>Negpodiev, Dmitri</creatorcontrib><creatorcontrib>Dijkgraaf, Marcel Gw</creatorcontrib><creatorcontrib>Ram D'Haens, Geert</creatorcontrib><creatorcontrib>Bemelman, Willem A</creatorcontrib><title>The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)</title><title>BMC surgery</title><addtitle>BMC Surg</addtitle><description>Over the past 20 years evidence has accumulated confirming the immunomodulatory role of the appendix in ulcerative colitis (UC). This led to the idea that appendectomy might alter the clinical course of established UC. The objective of this body of research is to evaluate the short-term and medium-term efficacy of appendectomy to maintain remission in patients with UC, and to establish the acceptability and cost-effectiveness of the intervention compared to standard treatment. These paired phase III multicenter prospective randomised studies will include patients over 18 years of age with an established diagnosis of ulcerative colitis and a disease relapse within 12 months prior to randomisation. Patients need to have been medically treated until complete clinical (Mayo score &lt;3) and endoscopic (Mayo score 0 or 1) remission. Patients will then be randomised 1:1 to a control group (maintenance 5-ASA treatment, no appendectomy) or elective laparoscopic appendectomy plus maintenance treatment. The primary outcome measure is the one year cumulative UC relapse rate - defined both clinically and endoscopically as a total Mayo-score ≥5 with endoscopic subscore of 2 or 3. Secondary outcomes that will be assessed include the number of relapses per patient at 12 months, the time to first relapse, health related quality of life and treatment costs, and number of colectomies in each arm. The ACCURE and ACCURE-UK trials will provide evidence on the role and acceptability of appendectomy in the treatment of ulcerative colitis and the effects of appendectomy on the disease course. NTR2883 ; ISRCTN56523019.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Appendectomy - methods</subject><subject>Clinical Protocols</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Study Protocol</subject><subject>Treatment Outcome</subject><issn>1471-2482</issn><issn>1471-2482</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUsFu1DAUjBCIlsIHcEE-thKB2E5imwNSFRWoqIq07J4tr_NMjZw42E5FP5Z_wdndVu3J9nsz8-bJUxRvcfUBY95-jJhwQcsKN2VVYVbiZ8UxrhkuSc3J80f3o-JVjL8XDG-al8URaThnjIvj4t_6BtB5121WF2UKVrlPKOUKGAM6IW-QmiYY-_zwwx3y466rnR2tVg5pP4cIC2x2GoJK9jZ3vbPJxvdIoaDG3g82Qo_smCCMGeHHTBxml6yGpYZ2Y9Hp9XpFOKdnKHN2Uw6uNt_RwdgTPfi703Noss6ne5HLn6tufd20DaEVFmevixdGuQhvDudJsflyse6-lVc_vl5251elpkKkUrdM895QDWpLTW0oNw0Y0mhSU-BGGcUMq6jmWyNqAX2rOBGAcVtr2DZC0JPi8153mrcD9MtiQTk5BTuocCe9svJpZ7Q38pe_lTUVNLvNAqcHgeD_zBCTzFtqcE6N4OcoccvqlrOW0AzFe6gOPsYA5mEMruQSC7mPhcyxkMuXS5w57x77e2Dc54D-B4lrtjY</recordid><startdate>20150318</startdate><enddate>20150318</enddate><creator>Gardenbroek, Tjibbe J</creator><creator>Pinkney, Thomas D</creator><creator>Sahami, Saloomeh</creator><creator>Morton, Dion G</creator><creator>Buskens, Christianne J</creator><creator>Ponsioen, Cyriel Y</creator><creator>Tanis, Pieter J</creator><creator>Löwenberg, Mark</creator><creator>van den Brink, Gijs R</creator><creator>Broeders, Ivo Amj</creator><creator>Pullens, Paul Hjm</creator><creator>Seerden, Tom</creator><creator>Boom, Maarten J</creator><creator>Mallant-Hent, Rosalie C</creator><creator>Pierik, Robert Egjm</creator><creator>Vecht, Juda</creator><creator>Sosef, Meindert N</creator><creator>van Nunen, Annick B</creator><creator>van Wagensveld, Bart A</creator><creator>Stokkers, Pieter Cf</creator><creator>Gerhards, Michael F</creator><creator>Jansen, Jeroen M</creator><creator>Acherman, Yair</creator><creator>Depla, Annekatrien Ctm</creator><creator>Mannaerts, Guido Hh</creator><creator>West, Rachel</creator><creator>Iqbal, Tariq</creator><creator>Pathmakanthan, Shrikanth</creator><creator>Howard, Rebecca</creator><creator>Magill, Laura</creator><creator>Singh, Baljit</creator><creator>Htun Oo, Ye</creator><creator>Negpodiev, Dmitri</creator><creator>Dijkgraaf, Marcel Gw</creator><creator>Ram D'Haens, Geert</creator><creator>Bemelman, Willem A</creator><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150318</creationdate><title>The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)</title><author>Gardenbroek, Tjibbe J ; Pinkney, Thomas D ; Sahami, Saloomeh ; Morton, Dion G ; Buskens, Christianne J ; Ponsioen, Cyriel Y ; Tanis, Pieter J ; Löwenberg, Mark ; van den Brink, Gijs R ; Broeders, Ivo Amj ; Pullens, Paul Hjm ; Seerden, Tom ; Boom, Maarten J ; Mallant-Hent, Rosalie C ; Pierik, Robert Egjm ; Vecht, Juda ; Sosef, Meindert N ; van Nunen, Annick B ; van Wagensveld, Bart A ; Stokkers, Pieter Cf ; Gerhards, Michael F ; Jansen, Jeroen M ; Acherman, Yair ; Depla, Annekatrien Ctm ; Mannaerts, Guido Hh ; West, Rachel ; Iqbal, Tariq ; Pathmakanthan, Shrikanth ; Howard, Rebecca ; Magill, Laura ; Singh, Baljit ; Htun Oo, Ye ; Negpodiev, Dmitri ; Dijkgraaf, Marcel Gw ; Ram D'Haens, Geert ; Bemelman, Willem A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-c67c8df3ceab3f4f38f5ef25c243e8fafa7f703c8bf949ed6a829e1164ceb5993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Appendectomy - methods</topic><topic>Clinical Protocols</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Study Protocol</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gardenbroek, Tjibbe J</creatorcontrib><creatorcontrib>Pinkney, Thomas D</creatorcontrib><creatorcontrib>Sahami, Saloomeh</creatorcontrib><creatorcontrib>Morton, Dion G</creatorcontrib><creatorcontrib>Buskens, Christianne J</creatorcontrib><creatorcontrib>Ponsioen, Cyriel Y</creatorcontrib><creatorcontrib>Tanis, Pieter J</creatorcontrib><creatorcontrib>Löwenberg, Mark</creatorcontrib><creatorcontrib>van den Brink, Gijs R</creatorcontrib><creatorcontrib>Broeders, Ivo Amj</creatorcontrib><creatorcontrib>Pullens, Paul Hjm</creatorcontrib><creatorcontrib>Seerden, Tom</creatorcontrib><creatorcontrib>Boom, Maarten J</creatorcontrib><creatorcontrib>Mallant-Hent, Rosalie C</creatorcontrib><creatorcontrib>Pierik, Robert Egjm</creatorcontrib><creatorcontrib>Vecht, Juda</creatorcontrib><creatorcontrib>Sosef, Meindert N</creatorcontrib><creatorcontrib>van Nunen, Annick B</creatorcontrib><creatorcontrib>van Wagensveld, Bart A</creatorcontrib><creatorcontrib>Stokkers, Pieter Cf</creatorcontrib><creatorcontrib>Gerhards, Michael F</creatorcontrib><creatorcontrib>Jansen, Jeroen M</creatorcontrib><creatorcontrib>Acherman, Yair</creatorcontrib><creatorcontrib>Depla, Annekatrien Ctm</creatorcontrib><creatorcontrib>Mannaerts, Guido Hh</creatorcontrib><creatorcontrib>West, Rachel</creatorcontrib><creatorcontrib>Iqbal, Tariq</creatorcontrib><creatorcontrib>Pathmakanthan, Shrikanth</creatorcontrib><creatorcontrib>Howard, Rebecca</creatorcontrib><creatorcontrib>Magill, Laura</creatorcontrib><creatorcontrib>Singh, Baljit</creatorcontrib><creatorcontrib>Htun Oo, Ye</creatorcontrib><creatorcontrib>Negpodiev, Dmitri</creatorcontrib><creatorcontrib>Dijkgraaf, Marcel Gw</creatorcontrib><creatorcontrib>Ram D'Haens, Geert</creatorcontrib><creatorcontrib>Bemelman, Willem A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gardenbroek, Tjibbe J</au><au>Pinkney, Thomas D</au><au>Sahami, Saloomeh</au><au>Morton, Dion G</au><au>Buskens, Christianne J</au><au>Ponsioen, Cyriel Y</au><au>Tanis, Pieter J</au><au>Löwenberg, Mark</au><au>van den Brink, Gijs R</au><au>Broeders, Ivo Amj</au><au>Pullens, Paul Hjm</au><au>Seerden, Tom</au><au>Boom, Maarten J</au><au>Mallant-Hent, Rosalie C</au><au>Pierik, Robert Egjm</au><au>Vecht, Juda</au><au>Sosef, Meindert N</au><au>van Nunen, Annick B</au><au>van Wagensveld, Bart A</au><au>Stokkers, Pieter Cf</au><au>Gerhards, Michael F</au><au>Jansen, Jeroen M</au><au>Acherman, Yair</au><au>Depla, Annekatrien Ctm</au><au>Mannaerts, Guido Hh</au><au>West, Rachel</au><au>Iqbal, Tariq</au><au>Pathmakanthan, Shrikanth</au><au>Howard, Rebecca</au><au>Magill, Laura</au><au>Singh, Baljit</au><au>Htun Oo, Ye</au><au>Negpodiev, Dmitri</au><au>Dijkgraaf, Marcel Gw</au><au>Ram D'Haens, Geert</au><au>Bemelman, Willem A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)</atitle><jtitle>BMC surgery</jtitle><addtitle>BMC Surg</addtitle><date>2015-03-18</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>30</spage><epage>30</epage><pages>30-30</pages><artnum>30</artnum><issn>1471-2482</issn><eissn>1471-2482</eissn><abstract>Over the past 20 years evidence has accumulated confirming the immunomodulatory role of the appendix in ulcerative colitis (UC). This led to the idea that appendectomy might alter the clinical course of established UC. The objective of this body of research is to evaluate the short-term and medium-term efficacy of appendectomy to maintain remission in patients with UC, and to establish the acceptability and cost-effectiveness of the intervention compared to standard treatment. These paired phase III multicenter prospective randomised studies will include patients over 18 years of age with an established diagnosis of ulcerative colitis and a disease relapse within 12 months prior to randomisation. Patients need to have been medically treated until complete clinical (Mayo score &lt;3) and endoscopic (Mayo score 0 or 1) remission. Patients will then be randomised 1:1 to a control group (maintenance 5-ASA treatment, no appendectomy) or elective laparoscopic appendectomy plus maintenance treatment. The primary outcome measure is the one year cumulative UC relapse rate - defined both clinically and endoscopically as a total Mayo-score ≥5 with endoscopic subscore of 2 or 3. Secondary outcomes that will be assessed include the number of relapses per patient at 12 months, the time to first relapse, health related quality of life and treatment costs, and number of colectomies in each arm. The ACCURE and ACCURE-UK trials will provide evidence on the role and acceptability of appendectomy in the treatment of ulcerative colitis and the effects of appendectomy on the disease course. NTR2883 ; ISRCTN56523019.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>25887789</pmid><doi>10.1186/s12893-015-0017-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1471-2482
ispartof BMC surgery, 2015-03, Vol.15 (1), p.30-30, Article 30
issn 1471-2482
1471-2482
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4393565
source MEDLINE; DOAJ Directory of Open Access Journals; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals
subjects Adult
Aged
Aged, 80 and over
Appendectomy - methods
Clinical Protocols
Colitis, Ulcerative - surgery
Female
Humans
Laparoscopy
Male
Middle Aged
Pilot Projects
Prospective Studies
Quality of Life
Recurrence
Study Protocol
Treatment Outcome
title The ACCURE-trial: the effect of appendectomy on the clinical course of ulcerative colitis, a randomised international multicenter trial (NTR2883) and the ACCURE-UK trial: a randomised external pilot trial (ISRCTN56523019)
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T07%3A04%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20ACCURE-trial:%20the%20effect%20of%20appendectomy%20on%20the%20clinical%20course%20of%20ulcerative%20colitis,%20a%20randomised%20international%20multicenter%20trial%20(NTR2883)%20and%20the%20ACCURE-UK%20trial:%20a%20randomised%20external%20pilot%20trial%20(ISRCTN56523019)&rft.jtitle=BMC%20surgery&rft.au=Gardenbroek,%20Tjibbe%20J&rft.date=2015-03-18&rft.volume=15&rft.issue=1&rft.spage=30&rft.epage=30&rft.pages=30-30&rft.artnum=30&rft.issn=1471-2482&rft.eissn=1471-2482&rft_id=info:doi/10.1186/s12893-015-0017-1&rft_dat=%3Cproquest_pubme%3E1674687623%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1674687623&rft_id=info:pmid/25887789&rfr_iscdi=true