key: cord-030407-w4bl5fer
authors: Kvasnovsky, Charlotte
title: Reply to letter to the editor
date: 2020-08-12
journal: J Pediatr Surg
DOI: 10.1016/j.jpedsurg.2020.08.002
sha: 
doc_id: 30407
cord_uid: w4bl5fer

nan

To the Editor, We thank Dr. Ayesha Saleem and associates for sharing their experience. Unlike your findings, we and other researchers 1 did not find an increase in patients presenting with complicated appendicitis during the height of the pandemic, although these are admittedly all small studies. We agree that this pandemic has forced us all to be flexible and re-think our previous workflows.

The long-term impact of the COVID-19 pandemic on patient care and research remains to be seen. Pre-existing disparities in access to quality care are being amplified by this pandemic. The resilience of our social safety nets will be tested in the months and years to come. 

The Decreasing Incidence of Acute Appendicitis During COVID-19: A Retrospective Multi-centre Study