The Feny�-Lindberg scoring system for appendicitis increases positive predictive value in fertile women?A prospective study in 455 patients randomized to either laparoscopic or open appendectomy

Enochsson, Lars; Guðbjartsson, Tómas; Hellberg, Anders; Rudberg, Claes; Wenner, Jörgen; Ringqvist, Ivar; Sörensen, Stefan; Fenyö, G

doi:10.1007/s00464-003-9323-2

Cited by 23 publications

(19 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For Fenyö-Lindberg score (at cut off point -2), results in our study showed lower sensitivity (59% vs. 5 . Also, in this study, ROC curve analysis revealed that the best single cut-off value for discriminating acute appendicitis from other abdominal pain causes was -15, showing 91% PPV (Table 4, Fig.…”

Section: Discussioncontrasting

confidence: 41%

“…However, there was signifi cant diff erence when applied to female population in favor of the score. Comparing these two populations, there was higher PPV in the male population 5 . Accordingly, diff erences should be respected and validity of a score varies among diff erent subpopulations.…”

Section: Discussionmentioning

confidence: 95%

“…It is known that extreme age groups have a higher rate of perforation 15 . It has been reported that Fenyö-Lindberg score, when applied to general population, has better PPV as compared with clinician diagnosis 5 . When stratifi ed by gender, PPV of Fenyö-Lindberg score showed signifi cant diff erence compared with PPV obtained by clinician diagnosis in male population.…”

Section: Discussionmentioning

confidence: 99%

“…Th erefore, accurate identifi cation of patients that require immediate surgery as opposed to those that will benefi t from active observation is not always easy 3 . Th ere are a number of scoring systems that have been constructed to help in decision making in doubtful cases, including Fenyö-Lindberg et al 4,5 , Teicher et al 6 , and several others. Scores are based on routine clinical and laboratory assessments, so they do not increase the cost and duration of diagnostic procedure, and are simple to use in a variety of clinical settings.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women

Madžar¹,

Kopljar

Madžar

et al. 2016

acc

View full text Add to dashboard Cite

SUMMARY -Th e aim of the study was to assess diagnostic accuracy (sensitivity and specifi city) of Fenyö-Lindberg and Teicher scores for distinguishing patients that need immediate surgical treatment from the others, in a female population from an urban setting. Th e study prospectively included 130 female patients admitted to the emergency department with abdominal pain indicating acute appendicitis. Th e scores and parameters of validity were calculated and compared to defi nitive diagnosis. For Fenyö-Lindberg score of -17 or less, 84.5% sensitivity, 55.6% specifi city, 87.9% positive predictive value (PPV) and 48.4% negative predictive value (NPV) were recorded. For cut-off value greater or equal to -2, there was 59.2% sensitivity, 77.8% specifi city, 91% PPV and 33.3% NPV. Th e Receiver Operating Characteristic (ROC) curve analysis of Fenyö-Lindberg score showed that the best single cut-off value for discriminating acute appendicitis in the study population was -15. For Teicher score, values greater than -3 yielded 89.3% sensitivity and 22.2% specifi city, 81.4% PPV and 35.3% NPV. In conclusion, Fenyö-Lindberg score could be used as an additional tool to exclude appendicitis and avoid unnecessary appendectomies. Teicher score may help in recognizing patients with appendicitis. None of the two scores can indicate or decline appendectomy in all cases. Scoring systems may be useful for pointing to important clinical signs and symptoms in specifi c subpopulations.

show abstract

Section: Discussioncontrasting

confidence: 41%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women

Madžar¹,

Kopljar

Madžar

et al. 2016

acc

View full text Add to dashboard Cite

show abstract

“…Other variations exist but do not differ much. 13,14 Use of Alvarado like scoring system was evaluated in large German study. The scoring system consisted of eight variables.…”

Section: Discussionmentioning

confidence: 99%

Appendicitis inflammatory response score: a novel scoring system for acute appendicitis

Patil¹,

Harwal²,

Harwal³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

INTRODUCTIONReginald Fitz from Boston first identified inflammation of the appendix as a cause of right lower quadrant pain. He coined the term appendicitis and recommended early surgery intervention. Robert Lawson performed first appendectomy in England.1 Now 130 years later, acute appendicitis still remains one of the most common abdominal emergency, demanding surgery. Mortality rate has improved since advent of antibiotics in 1940. No perfect diagnostic evaluation tool exists to detect appendicitis if symptoms are ambiguous. If symptoms are vague diagnostic process takes longer, thus delaying surgery increasing the possibility of complications. On the other hand, hasty operation without accurate diagnosis will lead to negative appendectomy, increasing the morbidity and cost of treatment. 2,3Even with the advent of modern diagnostic tools, misdiagnosis of appendicitis has remained more or less constant. The percentage of misdiagnosis is higher among women than men. Diagnostic approaches include symptomatology, physical examinations, laboratory findings and imaging modalities like ultrasonography and computerized tomography (CT) of abdomen. Although the advent of ultrasound has improved the diagnosis of ABSTRACT Background: Acute appendicitis is one of the most common surgical emergencies encountered by doctors on call with emergency appendicectomy being a very common outcome of emergency laparotomies. There's been a marked decline in mortality over the past 50 years, but the rates of perforation and negative laparotomy have not changed much as they're influenced by factors untouched by technological advances. Methods: A prospective comparative study to compare appendicitis inflammatory response score (AIR) and Alvarado scoring systems in evaluating suspected cases of acute appendicitis. 100 patients presenting with pain in the right lower quadrant of abdomen at the surgical clinics at Basaveshwar Teaching and General Hospital, Kalaburagi, Karnataka, India, who after clinical examination and relevant investigations were provisionally diagnosed to have acute appendicitis and warranted surgery for the same were evaluated using the scoring systems -Alvarado Score and Appendicitis Inflammatory Response Score. The scores were tallied and compared with final histopathology report. The study was conducted for a period of one and a half year. Results:The results revealed that AIR (at score >4) demonstrated a higher sensitivity and specificity compared to Alvarado score (89.9 versus 78.6%) and (63.6 versus 54.5) respectively. Alvarado showed a slightly better sensitivity at score>8 (21.3 versus 12.3%). Conclusions: The Appendicitis Inflammatory Response Score outperformed the Alvarado score. It holds promise to be incorporated into the clinician's daily inventory in efficiently diagnosing Appendicitis.

show abstract

Ultrasonography for diagnosis of acute appendicitis

Wild

Abdul

Ritchie

et al. 2013

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

The Feny�-Lindberg scoring system for appendicitis increases positive predictive value in fertile women?A prospective study in 455 patients randomized to either laparoscopic or open appendectomy

Cited by 23 publications

References 18 publications

Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women

Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women

Appendicitis inflammatory response score: a novel scoring system for acute appendicitis

Ultrasonography for diagnosis of acute appendicitis

Contact Info

Product

Resources

About