Progress in the diagnosis of appendicitis: A report from washington state's surgical care and outcomes assessment program

Annals of Surgery

Volumn 256, Issue 4, 2012, Pages 586-594

  Drake, Frederick Thurston ^a   Florence, Michael G ^b   Johnson, Morris G ^c   Jurkovich, Gregory J ^d   Kwon, Steve ^a   Schmidt, Zeila ^e   Thirlby, Richard C ^f   Flum, David R ^a,e  

^a UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

^b SWEDISH MEDICAL CENTER   (United States)

^c Skagit Valley College   (United States)

^d UNIVERSITY OF WASHINGTON   (United States)

^e University of Washington Surgical Outcomes Research Center   (United States)

^f VIRGINIA MASON MEDICAL CENTER   (United States)

Author keywords

appendicitis; computed tomography; negative appendectomy; quality improvement; surgery; ultrasonography

Indexed keywords

APPENDECTOMY; APPENDICITIS; APPENDIX PERFORATION; COMPUTER ASSISTED TOMOGRAPHY; CONFERENCE PAPER; ECHOGRAPHY; FEMALE; GROUPS BY AGE; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HUMAN; LEUKOCYTE COUNT; MAJOR CLINICAL STUDY; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; SEX DIFFERENCE; UNITED STATES;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; APPENDECTOMY; APPENDICITIS; BENCHMARKING; DIAGNOSTIC ERRORS; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OUTCOME ASSESSMENT (HEALTH CARE); PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; ULTRASONOGRAPHY; UNNECESSARY PROCEDURES; WASHINGTON; YOUNG ADULT;

EID: 84866558331     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0b013e31826a9602     Document Type: Conference Paper

References (35)

1. Rettenbacher T, Hollerweger A, Gritzmann N, et al. Appendicitis: should diagnostic imaging be performed if the clinical presentation is highly suggestive of the disease? Gastroenterology. 2002;123:992-998.
2. Lee CC, Golub R, Singer AJ, et al. Routine versus selective abdominal computed tomography scan in the evaluation of right lower quadrant pain: a randomized controlled trial. Acad Emerg Med. 2007;14:117-122. (Pubitemid 46149379)
3. Santos DA, Manunga J, Jr, Hohman D, et al. How often does computed tomography change the management of acute appendicitis? Am Surg. 2009;75:918-921.
4. Applegate KE, Sivit CJ, Salvator AE, et al. Effect of cross-sectional imaging on negative appendectomy and perforation rates in children. Radiology. 2001;220:103-107. (Pubitemid 32577967)
5. Bendeck SE, Nino-Murcia M, Berry GJ, et al. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology. 2002;225:131-136.
6. Coursey CA, Nelson RC, Patel MB, et al. Making the diagnosis of acute appendicitis: do more preoperative CT scans mean fewer negative appendectomies? A 10-year study. Radiology. 2010;254:460-468.
7. Guller U, Rosella L, McCall J, et al. Negative appendicectomy and perforation rates in patients undergoing laparoscopic surgery for suspected appendicitis. Br J Surg. 2011;98:589-595.
8. Jones K, Pena AA, Dunn EL, et al. Are negative appendectomies still acceptable? Am J Surg. 2004;188:748-754.
9. Piper HG, Rusnak C, Orrom W, et al. Current management of appendicitis at a community center\how can we improve? Am J Surg. 2008;195:585-588; discussion 588-589.
10. Rao PM, Rhea JT, Rattner DW, et al. Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates. Ann Surg. 1999;229:344-349. (Pubitemid 30191769)
11. Rao PM, Feltmate CM, Rhea JT, et al. Helical computed tomography in differentiating appendicitis and acute gynecologic conditions. Obstet Gynecol. 1999;93:417-421. (Pubitemid 29107004)
12. (Pubitemid 352010317)
13. Webb EM, Nguyen A, Wang ZJ, et al. The negative appendectomy rate: who benefits from preoperative CT? AJR Am J Roentgenol. 2011;197:861-866.
14. Weyant MJ, Eachempati SR, Maluccio MA, et al. Interpretation of computed tomography does not correlate with laboratory or pathologic findings in surgically confirmed acute appendicitis. Surgery. 2000;128:145-152. (Pubitemid 30622476)
15. Horton MD, Counter SF, Florence MG, et al. A prospective trial of computed tomography and ultrasonography for diagnosing appendicitis in the atypical patient. Am J Surg. 2000;179:379-381. (Pubitemid 30621645)
16. Walker S, Haun W, Clark J, et al. The value of limited computed tomography with rectal contrast in the diagnosis of acute appendicitis. Am J Surg. 2000;180:450-454; discussion 454-455.
17. Adibe OO, Amin SR, Hansen EN, et al. An evidence-based clinical protocol for diagnosis of acute appendicitis decreased the use of computed tomography in children. J Pediatr Surg. 2011;46:192-196.
18. Gaitini D, Beck-Razi N, Mor-Yosef D, et al. Diagnosing acute appendicitis in adults: accuracy of color Doppler sonography and MDCT compared with surgery and clinical follow-up. AJR Am J Roentgenol. 2008;190:1300-1306. (Pubitemid 351684904)
19. Garcia Pena BM, Mandl KD, Kraus SJ, et al. Ultrasonography and limited computed tomography in the diagnosis and management of appendicitis in children. JAMA. 1999;282:1041-1046. (Pubitemid 29436451)
20. Krishnamoorthi R, Ramarajan N, Wang NE, et al. Effectiveness of a staged US and CT protocol for the diagnosis of pediatric appendicitis: reducing radiation exposure in the age of ALARA. Radiology. 2011;259:231-239.
21. Poletti PA, Platon A, De Perrot T, et al. Acute appendicitis: prospective evaluation of a diagnostic algorithm integrating ultrasound and low-dose CT to reduce the need of standard CT. Eur Radiol. 2011;21:2558-2566.
22. Poortman P, Oostvogel HJ, Bosma E, et al. Improving diagnosis of acute appendicitis: results of a diagnostic pathway with standard use of ultrasonography followed by selective use of CT. J Am Coll Surg. 2009;208:434-441.
23. Ramarajan N, Krishnamoorthi R, Barth R, et al. An interdisciplinary initiative to reduce radiation exposure: evaluation of appendicitis in a pediatric emergency department with clinical assessment supported by a staged ultrasound and computed tomography pathway. Acad Emerg Med. 2009;16:1258-1265.
24. Cuschieri J, Florence M, Flum DR, et al. Negative appendectomy and imaging accuracy in the Washington State Surgical Care and Outcomes Assessment Program. Ann Surg. 2008;248:557-563.
25. Huynh V, Lalezarzadeh F, Lawandy S, et al. Abdominal computed tomography in the evaluation of acute and perforated appendicitis in the community setting. Am Surg. 2007;73:1002-1005. (Pubitemid 351396554)
26. Frei SP, Bond WF, Bazuro RK, et al. Appendicitis outcomes with increasing computed tomographic scanning. Am J Emerg Med. 2008;26:39-44. (Pubitemid 350245574)
27. Sarkaria IS, Eachempati SR, Weyant MJ, et al. Current surgical opinion of computed tomography for acute appendicitis. Surg Infect (Larchmt). 2004;5:243-252. (Pubitemid 39462167)
28. Doria AS, Moineddin R, Kellenberger CJ, et al. US or CT for diagnosis of appendicitis in children and adults? a meta-analysis. Radiology. 2006;241: 83-94. (Pubitemid 44433338)
29. Pickhardt PJ, Lawrence EM, Pooler BD, et al. Diagnostic performance of multidetector computed tomography for suspected acute appendicitis. Ann Intern Med. 2011;154:789-796, W-291.
30. Dearing DD, Recabaren JA, Alexander M. Can computed tomography scan be performed effectively in the diagnosis of acute appendicitis without the added morbidity of rectal contrast? Am Surg. 2008;74:917-920.
31. Kim K, Rhee JE, Lee CC, et al. Impact of helical computed tomography in clinically evident appendicitis. Emerg Med J. 2008;25:477-481
32. Platon A, Jlassi H, Rutschmann OT, et al. Evaluation of a low-dose CT protocol with oral contrast for assessment of acute appendicitis. Eur Radiol. 2009;19:446-454.
33. Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis: nationwide analysis. Arch Surg. 2002;137:799-804; discussion 804. (Pubitemid 34743169)
34. Weyant MJ, Eachempati SR, Maluccio MA, et al. The use of computed tomography for the diagnosis of acute appendicitis in children does not influence the overall rate of negative appendectomy or perforation. Surg Infect (Larchmt). 2001;2:19-23. (Pubitemid 32487499)
35. Flum DR, Morris A, Koepsell T, et al. Has misdiagnosis of appendicitis decreased over time? A population-based analysis. JAMA. 2001;286:1748-1753. (Pubitemid 33010261)