Effect of Computed Tomography of the Appendix on Treatment of Patients and Use of Hospital Resources

Rao, Patrick M.; Rhea, James T.; Novelline, Robert A.; Mostafavi, Amy A.; McCabe, Charles J.

doi:10.1056/nejm199801153380301

Cited by 649 publications

(284 citation statements)

References 19 publications

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“…High accuracy of CT has been reported for appendicitis and for acute diverticulitis (98%) [3,4]. A study evaluating the diagnostic value of abdominal CT in patients with acute abdominal pain in general also showed good results, with an accuracy of 78% for CT, including clinical evaluation [5].…”

Section: Introductionmentioning

confidence: 89%

Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

et al. 2009

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The level of inter-observer agreement of abdominal computed tomography (CT) in unselected patients presenting with acute abdominal pain at the Emergency Department (ED) was evaluated. Two hundred consecutive patients with acute abdominal pain were prospectively included. Multi-slice CT was performed in all patients with intravenous contrast medium only. Three radiologists independently read all CT examinations. They recorded specific radiological features and a final diagnosis on a case record form. We calculated the proportion of agreement and kappa values, for overall, urgent and frequently occurring diagnoses. The mean age of the evaluated patients was 46 years (range 19-94), of which 54% were women. Overall agreement on diagnoses was good, with a median kappa of 0.66. Kappa values for specific urgent diagnoses were excellent, with median kappa values of 0.84, 0.90 and 0.81, for appendicitis, diverticulitis and bowel obstruction, respectively. Abdominal CT has good inter-observer agreement in unselected patients with acute abdominal pain at the ED, with excellent agreement for specific urgent diagnoses as diverticulitis and appendicitis.

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Section: Introductionmentioning

confidence: 89%

Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

et al. 2009

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“…The value of US in the diagnosis and management of appendicitis is well established world wide. In fact computed tomography is also being widely and increasingly used in the diagnosis and management of appendicitis [14]. However, keeping in view of ready availability, high accuracy in diagnosing appendicitis and much less expenses involved, US becomes the first modality of imaging investigation of choice in our country.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography in Patients with Suspected Acute Appendicitis

Debnath

Ram

Balani

et al. 2005

Medical Journal Armed Forces India

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“…Other studies showed that CT affects the treatment of appendicitis by avoidance of unnecessary appendectomy, avoidance of unnecessary observations, and exclusion of other pathologies [1,10,12,13]. By avoiding unnecessary operations, CT reduces the cost of treatment [14].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

Öztürk¹

2015

Ann Clin Anal Med

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Anahtar KelimelerApendektomi; Tomografi; Karın Ağrısı Abstract Aim: The purpose of this study is to evaluate the effect of computed tomography (CT) on the diagnosis and treatment plan of surgeons in patients with suspected appendicitis. Material and Method: Our study was conducted between 2010 -2011. One hundred twenty five patients suspected appendicitis and underwent abdominal computed tomography scanning were enrolled. The effects of CT scanning on the diagnosis and treatment plan of surgeons were evaluated. Results: After CT scanning the findings of appendicitis was revealed in 89 patients were not revealed in 36. Eighty eight patients diagnosed with acute appendicitis after a CT scan and the 5 patients with clinical suspect of appendicitis which is not confirmed by CT scan were operated (total 93 patients). In according to histopathological findings acute appendicitis were confirmed in 83 patients and were not confirmed acute appendicitis in 10 patients. According to our study, CT has changed the diagnosis and treatment plan in 98 patients (78.4%) with suspected appendicitis. The diagnosis of acute appendicitis was confirmed in 65 (52%) of these patients, and treatment was started ending the observation. Diagnostic and treatment plan was changed in 33 patients and CT did not affect surgeon's decision in 27 (21.6%) patients. Discussion: CT is a diagnostic method which affects the diagnosis and treatment of patients with suspected appendicitis. We recommend CT scans without waiting in patients with suspected acute appendicitis.

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Effect of Computed Tomography of the Appendix on Treatment of Patients and Use of Hospital Resources

Abstract: Routine appendiceal CT performed in patients who present with suspected appendicitis improves patient care and reduces the use of hospital resources.

Cited by 649 publications

References 19 publications

Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

Ultrasonography in Patients with Suspected Acute Appendicitis

The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

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