The Alvarado Score Is the Most Impactful Diagnostic Tool for Appendicitis: A Bibliometric Analysis

Bahta, Nadir Noureldin Abdella; Zeinert, Philine; Rosenberg, Jacob; Fonnes, Siv

doi:10.1016/j.jss.2023.06.037

Cited by 2 publications

(1 citation statement)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Alvarado score, defined in 1986, is one of the most effective clinical scoring systems for AA and has been the subject of more than 1,000 studies to date. [ 9 ] It is the most researched scoring system, reporting a sensitivity of 94.7% to 99%, a specificity of 94.4% to 100%, and a negative predictive value of 97.4% for patients with suspected appendicitis. It encompasses eight different clinical findings, totaling 10 points: migration of pain - 1 point, anorexia - 1 point, nausea - 1 point, tenderness in the right lower quadrant - 2 points, rebound pain - 1 point, elevated temperature - 1 point, leukocytosis - 2 points, and shift of white blood cell count to the left - 1 point.…”

Section: Discussionmentioning

confidence: 99%

Identification of complicated and non-complicated appendicitis: a new alvarado-based scoring system

Polat Düzgün

2024

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: In the presence of non-complicated appendicitis, treatment typically involves a simple appendectomy and can even be managed medically. However, in cases of complicated appendicitis, surgery becomes more difficult, and the morbidity and mortality rates increase. This study aims to develop a method for recognizing complicated acute appendicitis operatively. METHODS: This retrospective study developed a scoring system based on the Alvarado score. Several variables were scored in this new scoring system, including the Alvarado score, female gender, elevated direct bilirubin, increased appendicitis thickness, and the presence of complications as evidenced by imaging or appendicoliths. RESULTS: The study included a total of 404 patients with a mean age of 38.50±12.94 years, all operated on for acute appendicitis. Of these, 45.8% were female. Complicated acute appendicitis was present in 25% of the patients. The presence of complicated acute appendicitis was identified with a sensitivity of 86.1% and a specificity of 90.4% in patients who scored 10.5 or above. CONCLUSION: It is critical to identify perioperative and postoperative complications, provide appropriate patient counseling, and consider medical treatment when appropriate to diagnose acute complex appendicitis effectively. The new scoring system is an effective method for recognizing acute complicated appendicitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Identification of complicated and non-complicated appendicitis: a new alvarado-based scoring system

Polat Düzgün

2024

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

Clinical decision rules for appendicitis are not used by surgeons in training: A survey

Bahta,

Gram‐Hanssen,

Jonsson

et al. 2024

World j. surg.

Self Cite

View full text Add to dashboard Cite

BackgroundsWe aimed to investigate surgeons in training knowledge of clinical decision rules (CDR) for diagnosing appendicitis and their attitudes toward implementing them.MethodsWe included surgeons in training practicing in East Denmark who independently could decide to perform a diagnostic laparoscopy for suspected appendicitis. The survey was developed in Research Electronic Data Capture and face‐validated before use. It consisted of three parts: (1) the characteristics of the surgeons, (2) their diagnostic approach, and (3) their knowledge and attitude toward introducing CDR in the clinic. Data were collected in January 2023.ResultsWe achieved 83 (90%) responses, and 52% of surgeons in training believed that appendicitis was difficult to diagnose. Their diagnostic approach mostly included symptoms and physical examinations for abdominal pain, and C‐reactive protein. A total of 48% knew of at least one clinical decision rule, and 72% had never used a clinical decision rule. Regarding the necessity of CDR in clinical practice, surgeons in training options were divided into thirds: not needed, neither needed nor not needed, and needed. Surgeons in training indicated that CDR needed to be validated and easily applied before they would implement them.ConclusionApproximately 3/4 of surgeons in training had never utilized a clinical decision rule to diagnose appendicitis, and only half knew of their existence. The symptoms and findings incorporated in most CDR aligned with their diagnostic approach. They were conflicted if CDR needed to be implemented in clinical practice.

show abstract

The Alvarado Score Is the Most Impactful Diagnostic Tool for Appendicitis: A Bibliometric Analysis

Cited by 2 publications

References 62 publications

Identification of complicated and non-complicated appendicitis: a new alvarado-based scoring system

Identification of complicated and non-complicated appendicitis: a new alvarado-based scoring system

Clinical decision rules for appendicitis are not used by surgeons in training: A survey

Contact Info

Product

Resources

About