Evidence map›Paper›PMID 41893373›Full record

ArticlePathophysiology : the official journal of the International Society for Pathophysiology2026

Association of Sex, Age, and Inflammatory Cell Counts with Complicated Acute Appendicitis.

Said José Serrano Guzmán, Carlos Leyber Vargas Juárez, Marcos Hernández Gómez, José Roberto Luis Vásquez, Sergio Roberto Aguilar Ruiz, Juan Carlos Ramos Martínez, Joscelin Amaranta Macías Ríos, Edgar Gustavo Ramos Martínez, José Luis Cano Pérez, Jesús David Guzmán Ortiz and 2 more

Abstract read
In one paragraph

Article in Pathophysiology : the official journal of the International Society for Pathophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Said José Serrano GuzmánDivisión de Cirugía, Hospital Básico Comunitario de Río Grande Villa de Tututepec, Instituto Mexicano del Seguro Social para el Bienestar, Oaxaca 71830, Mexico.
Carlos Leyber Vargas JuárezFacultad de Sistemas Biológicos e Innovación Tecnológica, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca 68120, Mexico.
Marcos Hernández GómezDivisión de Cirugía, Hospital Cruz Azul, Oaxaca 70380, Mexico.
José Roberto Luis VásquezDivisión de Cirugía, Hospital General San Pedro Pochutla, Oaxaca 70900, Mexico.
Sergio Roberto Aguilar RuizFacultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca 68120, Mexico.ORCID 0000-0002-2412-0360
Juan Carlos Ramos MartínezUnidad Médica de Alta Especialidad UMAE Yucatán, Ignacio García Téllez, Yucatán 97155, Mexico.
Joscelin Amaranta Macías RíosDivisión de Medicina Interna, Hospital General "Dr. Aurelio Valdivieso", Instituto Mexicano del Seguro Social Para el Bienestar, Oaxaca 68050, Mexico.
Edgar Gustavo Ramos MartínezFacultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca 68120, Mexico.ORCID 0000-0003-3985-3628
José Luis Cano PérezFacultad de Sistemas Biológicos e Innovación Tecnológica, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca 68120, Mexico.ORCID 0000-0002-9213-553X
Jesús David Guzmán OrtizDivisión de Cirugía, Hospital General "Dr. Aurelio Valdivieso", Instituto Mexicano del Seguro Social Para el Bienestar, Oaxaca 68050, Mexico.
Martha Silvia Martínez LunaDivisión de Cirugía, Hospital General "Dr. Aurelio Valdivieso", Instituto Mexicano del Seguro Social Para el Bienestar, Oaxaca 68050, Mexico.
Leticia Lorena Hernández GonzálezFacultad de Sistemas Biológicos e Innovación Tecnológica, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca 68120, Mexico.ORCID 0000-0002-3114-4571

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSex and age influence inflammatory responses, but researchers have not fully characterized their combined association with complicated acute appendicitis (CAA). This study assessed the independent and interactive associations of sex, age, and inflammatory cell counts with CAA.

methodsWe conducted a retrospective observational study of 708 patients with histopathologically confirmed uncomplicated appendicitis (UAA) or CAA. We analyzed demographic and clinical data, including preoperative complete blood counts, stratified by sex. We used multivariable logistic regression models with interaction terms to evaluate associations and possible effect modification by sex and age. We explored the direction and magnitude of these interactions by estimating marginal predicted probabilities.

resultsThe incidence of CAA was significantly higher in men than in women. In men with CAA, complete blood count analysis showed elevated neutrophil and monocyte counts and reduced lymphocyte counts. Male sex (odds ratio (OR) 2.197, 95% confidence interval (CI) 1.610-2.999), continuous age (1.017, 1.002-1.033), lymphocyte count (0.656, 0.526-0.820), monocyte count (1.551, 1.036-2.321), and platelet count (1.004, 1.001-1.006) were independently associated with CAA. Interaction analysis revealed significant interactions between neutrophils and both sex and age (

conclusionsThis study provides new insight into complex sex- and age-related immune cell patterns in CAA and may inform future diagnostic and management strategies by highlighting immune profile variability.

Indexed as

acute appendicitiscomplicated appendicitislogistic regression modelsmarginal effectsneutrophilsrisk factorssex factors

Identifiers

PMID41893373
PMCPMC13028704

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.