Are abdominal radiographs still overutilised in the assessment of acute abdominal pain? A district general hospital audit

Journal of the Royal College of Surgeons of Edinburgh

Volumn 43, Issue 4, 1998, Pages 267-270

  Anyanwu, A C ^a,b   Moalypour, S M ^a  

^a KINGSTON HOSPITAL   (United Kingdom)

^b ROYAL COLLEGE OF SURGEONS OF ENGLAND   (United Kingdom)

Author keywords

Abdominal radiography; Acute abdominal pain; Audit; Plain film radiography

Indexed keywords

ABDOMINAL RADIOGRAPHY; ACUTE ABDOMEN; ADOLESCENT; ADULT; AGED; ARTICLE; CLINICAL PROTOCOL; DIGESTIVE SYSTEM PERFORATION; EMERGENCY WARD; FEMALE; HUMAN; INTESTINE ISCHEMIA; KIDNEY COLIC; MAJOR CLINICAL STUDY; MALE; MEDICAL AUDIT; PERITONITIS; RETROSPECTIVE STUDY; STAFF TRAINING; STOMACH OBSTRUCTION; ULTRASOUND; X RAY FILM;

ABDOMEN, ACUTE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CLINICAL COMPETENCE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALS, DISTRICT; HOSPITALS, GENERAL; HUMANS; MALE; MEDICAL AUDIT; MIDDLE AGED; RADIOGRAPHY, ABDOMINAL; RETROSPECTIVE STUDIES; UNNECESSARY PROCEDURES;

EID: 0031716418     PISSN: 00358835     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

1. Baker SR. The abdominal plain film. What will be its role in the future? Radiol Clin North Am 1993; 31: 1335-44.
2. Lee PW. The plain X-ray in the acute abdomen: a surgeon's evaluation. Br J Surg 1976; 63: 763-6.
3. Brewer BJ, Golden GT, Hitch DC, Rudolf LE, Wangensteen SL. Abdominal pain. An analysis of 1,000 consecutive cases in a University Hospital emergency room. Am J Surg 1976; 131: 219-23.
4. de Lacey GJ, Wignall BK, Bradbrooke S, Reidy J, Hussain S, Cramer B. Rationalising abdominal radiography in the accident and emergency department. Clin Radiol 1980; 31: 453-5.
5. Eisenberg RL, Heineken P, Hedgcock MW, Federle M, Goldberg HI. Evaluation of plain abdominal radiographs in the diagnosis of abdominal pain. Ann. Intern Med 1982; 97: 257-61.
6. Hayward MW, Hayward C, Ennis WP, Roberts CJ. A pilot evaluation of radiography of the acute abdomen. Clin Radiol 1984; 35: 289-91.
7. Stower MJ, Amar SS, Mikulin T, Kean DM, Hardcastle JD. Evaluation of the plain abdominal X-ray in the acute abdomen. J R Soc Med 1985; 78: 630-3.
8. Campbell JP, Gunn AA. Plain abdominal radiographs and acute abdominal pain. Br J Surg 1988; 75: 554-6.
9. Flak B, Rowley VA. Acute abdomen: plain film utilization and analysis. Can Assoc Radiol J 1993; 44: 423-8.
10. Plewa MC. Emergency abdominal radiography, Emerg Med Clin North Am 1991; 9: 827-52.
11. RCR Working Party. Making the Best Use of a Department of Clinical Radiology. Guidelines for Doctors, 3rd edn. London: Royal College of Radiologists, 1995.
12. Jewett MA, Bombardier C, Caron D, et al. Potential for inter-observer and intra-observer variability in X-ray review to establish stone-free rates after lithotripsy. J Urol 1992; 147: 559-62.
13. McNally E, de Lacey G, Lovell P, Welch T. Posters for accident departments: a simple method of sustaining reduction in X-ray examinations. BMJ 1995; 310: 640-2.
14. Goldberg B. Department of inappropriate investigations. BMJ 1977; 2: 1274-5.
15. Miller RE, Nelson SW. The roentgenologic demonstration of tiny amounts of free intraperitoneal gas: experimental and clinical studies. Am J Roentgenol 1971; 112: 574-85.
16. Berk RN, Reit RJ. Intra-abdominal chicken-bone abscess. Radiology 1971; 101: 311-3.
17. Craig JO. Pitfalls in Diagnostic Radiology. Part 3. London: Medical Protection Society, 1993.
18. Rose JF, Gallivan S. Plain film reporting in the UK. Clin Radiol 1991; 44: 192-4.
19. Touquet R, Driscoll P, Nicholson D. Teaching in accident and emergency medicine: 10 commandments in accident and emergency radiology. BMJ 1995; 310: 642-5.
20. Mendelson EB. The development and meaning of appropriateness guidelines. Radiol Clin North Am 1995; 33: 1081-4.
21. Walsh PF, Crawford D, Crossling FT, Sutherland GR, Negrette JJ, Shand J. The value of immediate ultrasound in acute abdominal conditions: a critical appraisal. Clin Radiol 1990; 42: 47-9.
22. Puylaert JB. When in doubt, sound it out. Radiology 1994; 191: 320-1.
23. Williams RJ, Windsor AC, Rosin RD, Mann DV, Crofton M. Ultrasound scanning of the acute abdomen by surgeons in training. Ann R Coll Surg Engl 1994; 76: 228-33.
24. Wardrope J, Chennells PM. Should all casualty radiographs be reviewed? BMJ 1985; 290: 1638-40.
25. Walsh Kelly CM, Melzer Lange MD, Hennes HM, et al. Clinical impact of radiograph misinterpretation in a pediatric ED and the effect of physician training level. Am J Emerg Med 1995; 13: 262-4.
26. Simon HK, Khan NS, Nordenberg DF, Wright JA. Pediatric emergency physician interpretation of plain radiographs: is routine review by a radiologist necessary and cost-effective? Ann Emerg Med 1996; 27: 295-8.
27. McLain PL, Kirkwood CR. The quality of emergency room radiograph interpretations. J Fam Pract 1985; 20: 443-8.
28. Smith R. Distance is dead: the world will change. BMJ 1996; 313: 1572.
29. Roberts CJ. The Royal College of Radiologists Multicentre Guideline Study: implications for clinical practice. Clin Radiol 1992; 45: 365-8.