Using quantitative methods to improve the diagnostic workup for abdominal pain in children

Journal of Pediatric Surgery

Volumn 40, Issue 6, 2005, Pages 949-954

  Lanning, David A ^a   Thomas, Ronald L ^b   Rood, Kim D ^c   Klein, Michael D ^b,c  

^a VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b CHILDREN'S HOSPITAL OF MICHIGAN   (United States)

^c WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Abdominal pain; Appendicitis; Bayes theorem; Posttest probability; Pretest probability; Quantitative analysis

Indexed keywords

ABDOMINAL PAIN; AGE DISTRIBUTION; ANALYSIS OF VARIANCE; ANAMNESIS; ARTICLE; CHILD; COMPARATIVE STUDY; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; HEALTH CARE COST; HUMAN; IMAGING; INFORMATION PROCESSING; LABORATORY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; PEDIATRICIAN; PHYSICAL EXAMINATION; PRIORITY JOURNAL; QUANTITATIVE DIAGNOSIS; RECORDING; SEX DIFFERENCE;

ABDOMINAL PAIN; AGE DISTRIBUTION; APPENDICITIS; BAYES THEOREM; CHILD; CHILD, PRESCHOOL; DECISION SUPPORT TECHNIQUES; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC TECHNIQUES AND PROCEDURES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH CARE COSTS; HUMANS; LENGTH OF STAY; MALE; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES;

EID: 20544454785     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2005.03.009     Document Type: Article

References (14)

1. M.D. Klein, A.B. Rabbani, and K.D. Rood Three quantitative approaches to the diagnosis of abdominal pain in children: practical applications of decision theory J Pediatr Surg 36 2001 1375 1380
2. L. Goldman Quantitative aspects of clinical reasoning A.S. Fauci E. Braunwald K.J. Isselbacher Harrison's principles of internal medicine 1998 McGraw-Hill New York (NY) 9 14
3. D. Oliak, R. Sinow, and S. French Computed tomography scanning for the diagnosis of perforated appendicitis Ann Surg 65 1999 959 964
4. S.K. Crady, J.S. Jones, and T. Wyn Clinical validity of ultrasound in children with suspected appendicitis Ann Emerg Med 22 1993 1125 1129
5. G. el Ferzli, G. Ozuner, and P.G. Davidson Barium enema in the diagnosis of acute appendicitis Surg Gynecol Obstet 171 1990 40 42
6. A. Alvarado A practical score for the early diagnosis of acute appendicitis Ann Emerg Med 15 1986 557 564
7. L. Graff, M.J. Radford, and C. Werne Probability of appendicitis before and after observation Ann Emerg Med 20 1991 503 507
8. B.S. Todd, and R. Stamper The relative accuracy of a variety of medical diagnostic programs Methods Inf Med 33 1994 402 416
9. S.F. Osborne Medical diagnosis aboard submarines: use of a computer-based Bayesian method of analysis in abdominal pain diagnostic program J Occup Med 26 1984 110 114
10. L. Goldman, M. Weinberg, and M. Weisberg A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain N Engl J Med 307 1982 588 596
11. A. Perrier, H. Bounameaux, and A. Morabia Diagnosis of pulmonary embolism by a decision analysis-based strategy including clinical probability, d-dimer levels, and ultrasonography: a management study Arch Intern Med 156 1996 531 536
12. N.H. Edwards The accuracy of a Bayesian computer program for diagnosis and teaching in acute abdominal pain in childhood Comput Methods Programs Biomed 23 1986 155 160
13. B.A. Hagendorf, J.R. Clarke, and R.S. Burd The optimal initial management of children with suspected appendicitis: a decision analysis J Pediatr Surg 39 2004 880 885
14. W.E. Berdon, and T.L. Slovis Where we are since ALARA and the series of articles on CT dose in children and long-term cancers: what has changed? Pediatr Radiol 32 2002 699