Protocol for suspected pediatric appendicitis limits computed tomography utilization

Journal of Surgical Research

Volumn 199, Issue 1, 2015, Pages 153-158

  Wagenaar, Amy E ^a   Tashiro, Jun ^a   Wang, Bo ^a   Curbelo, Miosotys ^b   Mendelson, Kenneth L ^b   Perez, Eduardo A ^a,b   Hogan, Anthony R ^a,b   Neville, Holly L ^a,b   Sola, Juan E ^a,b  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^b Baptist Children's Hospital ^*  (United States)

Author keywords

Appendicitis; Computed tomography; Pediatrics; Protocol; Ultrasound

Indexed keywords

GENTAMICIN; INFUSION FLUID;

ACUTE APPENDICITIS; ALGORITHM; ANTIBIOTIC THERAPY; APPENDECTOMY; APPENDIX PERFORATION; ARTICLE; BLACK PERSON; CAUCASIAN; CHILD; CHILDHOOD DISEASE; CLINICAL PROTOCOL; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; COST BENEFIT ANALYSIS; EMERGENCY WARD; FEMALE; FLUID THERAPY; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HISPANIC; HOSPITAL CHARGE; HUMAN; LAPAROSCOPIC SURGERY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; RADIATION EXPOSURE; STAFF TRAINING; ADOLESCENT; APPENDICITIS; DECISION SUPPORT SYSTEM; ECHOGRAPHY; ECONOMICS; EMERGENCY HEALTH SERVICE; EVALUATION STUDY; PRACTICE GUIDELINE; RADIOGRAPHY; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION;

ADOLESCENT; ALGORITHMS; APPENDECTOMY; APPENDICITIS; CHILD; CLINICAL PROTOCOLS; DECISION SUPPORT TECHNIQUES; EMERGENCY SERVICE, HOSPITAL; FEMALE; FLORIDA; GUIDELINE ADHERENCE; HUMANS; LENGTH OF STAY; MALE; PRACTICE GUIDELINES AS TOPIC; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84944163749     PISSN: 00224804     EISSN: 10958673     Source Type: Journal    
DOI: 10.1016/j.jss.2015.04.028     Document Type: Article

References (49)

1. J.M. Wagner, W.P. McKinney, and J.L. Carpenter Does this patient have appendicitis? JAMA 276 Nov 20 1996 1589
2. S.G. Rothrock, G. Skeoch, J.J. Rush, and N.E. Johnson Clinical features of misdiagnosed appendicitis in children Ann Emerg Med 20 1991 45
3. P.M. Rao, J.T. Rhea, R.A. Novelline, A.A. Mostafavi, and C.J. McCabe Effect of computed tomography of the appendix on treatment of patients and use of hospital resources N Engl J Med 338 1998 141
4. D.L. Miglioretti, E. Johnson, A. Williams, and et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk JAMA Pediatr 167 2013 700
5. S.P. Frei, W.F. Bond, R.K. Bazuro, D.M. Richardson, G.M. Sierzega, and J.F. Reed Appendicitis outcomes with increasing computed tomographic scanning Am J Emerg Med 26 2008 39
6. A.L. Hryhorczuk, R.C. Mannix, and G.A. Taylor Pediatric abdominal pain: use of imaging in the emergency department in the United States from 1999 to 2007 Radiology 263 2012 778
7. J.D. Mathews, A.V. Forsythe, Z. Brady, M.W. Butler, S.K. Goergen, G.B. Byrnes, and et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians BMJ 346 2013 f2360
8. A.S. Brody, D.P. Frush, W. Huda, R.L. Brent American Academy of Pediatrics Section on R Radiation risk to children from computed tomography Pediatrics 120 2007 677
9. D.J. Brenner, and E.J. Hall Computed tomography - an increasing source of radiation exposure N Engl J Med 357 2007 2277
10. D. Brenner, C. Elliston, E. Hall, and W. Berdon Estimated risks of radiation-induced fatal cancer from pediatric CT AJR Am J Roentgenol 176 2001 289
11. G. Alzen, and G. Benz-Bohm Radiation protection in pediatric radiology Dtsch Arztebl Int 108 2011 407
12. G. Chodick, C.M. Ronckers, V. Shalev, and E. Ron Excess lifetime cancer mortality risk attributable to radiation exposure from computed tomography examinations in children Isr Med Assoc J 9 2007 584
13. E.J. Hall Lessons we have learned from our children: cancer risks from diagnostic radiology Pediatr Radiol 32 2002 700
14. Radiation UNSCotEoA Sources and effects of ionizing radiation: United Nations Scientific Committee on the effects of atomic radiation: UNSCEAR 2013 report to the General Assembly, with scientific annexes Vol II 2013 United Nations New York
15. A.S. Doria, R. Moineddin, C.J. Kellenberger, M. Epelman, J. Beyene, S. Schuh, and et al. US or CT for Diagnosis of Appendicitis in Children and Adults? A Meta-Analysis Radiology 241 2006 83
16. S.F. Polites, M.I. Mohamed, E.B. Habermann, J.L. Homme, J.L. Anderson, C.R. Moir, and et al. A simple algorithm reduces computed tomography use in the diagnosis of appendicitis in children Surgery 156 2014 448
17. A.S. Thirumoorthi, N.R. Fefferman, H.B. Ginsburg, K.A. Kuenzler, and S.S. Tomita Managing radiation exposure in children - reexamining the role of ultrasound in the diagnosis of appendicitis J Pediatr Surg 47 2012 2268
18. W.S. Russell, A.M. Schuh, J.G. Hill, A. Hebra, R.A. Cina, C.D. Smith, and et al. Clinical practice guidelines for pediatric appendicitis evaluation can decrease computed tomography utilization while maintaining diagnostic accuracy Pediatr Emerg Care 29 2013 568
19. J.M. Burford, M.S. Dassinger, and S.D. Smith Surgeon-performed ultrasound as a diagnostic tool in appendicitis J Pediatr Surg 46 2011 1115
20. A. Saucier, E.Y. Huang, C.A. Emeremni, and J. Pershad Prospective evaluation of a clinical pathway for suspected appendicitis Pediatrics 133 2014 e88
21. A.J. van Atta, H.J. Baskin, C.K. Maves, M.D. Rollins, R.G. Bolte, M.B. Mundorff, and et al. Implementing an ultrasound-based protocol for diagnosingappendicitis while maintaining diagnostic accuracy Pediatr Radiol 2014
22. G. Aspelund, A. Fingeret, E. Gross, D. Kessler, C. Keung, A. Thirumoorthi, and et al. Ultrasonography/MRI versus CT for diagnosing appendicitis Pediatrics 133 2014 586
23. M.K. Mittal, P.S. Dayan, C.G. Macias, R.G. Bachur, J. Bennett, N.C. Dudley, and et al. Performance of ultrasound in the diagnosis of appendicitis in children in a multicenter cohort Acad Emerg Med 20 2013 697
24. R. Krishnamoorthi, N. Ramarajan, N.E. Wang, B. Newman, E. Rubesova, C.M. Mueller, and 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 259 2011 231
25. K. Mandeville, T. Pottker, B. Bulloch, and J. Liu Using appendicitis scores in the pediatric ED Am J Emerg Med 29 2011 972
26. M. Bhatt, L. Joseph, F.M. Ducharme, G. Dougherty, and D. McGillivray Prospective validation of the pediatric appendicitis score in a Canadian pediatric emergency department Acad Emerg Med 16 2009 591
27. A.H. Shera, F.A. Nizami, A.A. Malik, Z.A. Naikoo, and M.A. Wani Clinical scoring system for diagnosis of acute appendicitis in children Indian J Pediatr 78 2011 287
28. A. Escriba, A.M. Gamell, Y. Fernandez, J.M. Quintilla, and C.L. Cubells Prospective validation of two systems of classification for the diagnosis of acute appendicitis Pediatr Emerg Care 27 2011 165
29. C.J. Sivit Imaging the child with right lower quadrant pain and suspected appendicitis: current concepts Pediatr Radiol 34 2004 447
30. Collaborative S J. Cuschieri, M. Florence, D.R. Flum, and et al. Negative appendectomy and imaging accuracy in the Washington State Surgical Care and Outcomes Assessment Program Ann Surg 248 2008 557
31. A.M. Kosloske, C.L. Love, J.E. Rohrer, J.F. Goldthorn, and S.R. Lacey The diagnosis of appendicitis in children: outcomes of a strategy based on pediatric surgical evaluation Pediatrics 113 1 Pt 1 2004 29
32. D.S. Smink, J.A. Finkelstein, B.M. Garcia Pena, M.W. Shannon, G.A. Taylor, and S.J. Fishman Diagnosis of acute appendicitis in children using a clinical practice guideline J Pediatr Surg 39 2004 458 discussion 458-463
33. B.M. Pena, G.A. Taylor, S.J. Fishman, and K.D. Mandl Effect of an imaging protocol on clinical outcomes among pediatric patients with appendicitis Pediatrics 110 2002 1088
34. E.J. Balthazar, N.M. Rofsky, and R. Zucker Appendicitis: the impact of computed tomography imaging on negative appendectomy and perforation rates Am J Gastroenterol 93 1998 768
35. H.C. Holscher, and H.A. Heij Imaging of acute appendicitis in children: EU versus U.S. or US versus CT? A European perspective Pediatr Radiol 39 2009 497
36. P.M. Rao, J.T. Rhea, D.W. Rattner, L.G. Venus, and R.A. Novelline Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates Ann Surg 229 1999 344
37. P.L. Wagner, S.R. Eachempati, K. Soe, F.M. Pieracci, J. Shou, and P.S. Barie Defining the current negative appendectomy rate: for whom is preoperative computed tomography making an impact? Surgery 144 2008 276
38. C.A. Coursey, R.C. Nelson, M.B. Patel, and et al. Making the diagnosis of acute appendicitis: do more preoperative CT scans mean fewer negative appendectomies? A 10-year study Radiology 254 2010 460
39. D.A. Partrick, J.E. Janik, J.S. Janik, D.D. Bensard, and F.M. Karrer Increased CT scan utilization does not improve the diagnostic accuracy of appendicitis in children J Pediatr Surg 38 2003 659
40. A.E. Martin, D. Vollman, B. Adler, and D.A. Caniano CT scans may not reduce the negative appendectomy rate in children J Pediatr Surg 39 2004 886 discussion 90
41. D. York, A. Smith, J.D. Phillips, and D. von Allmen The influence of advanced radiographic imaging on the treatment of pediatric appendicitis J Pediatr Surg 40 2005 1908
42. M.J. Wan, M. Krahn, W.J. Ungar, and et al. Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model Radiology 250 2009 378
43. A. Deutsch, and G.R. Leopold Ultrasonic demonstration of the inflamed appendix: case report Radiology 140 1981 163
44. N. Ramarajan, R. Krishnamoorthi, R. Barth, and 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 16 2009 1258
45. B. Kutasy, M. Hunziker, G. Laxamanadass, and P. Puri Increased incidence of negative appendectomy in childhood obesity Pediatr Surg Int 26 2010 959
46. C. Sulowski, A.S. Doria, J.C. Langer, C. Man, D. Stephens, and S. Schuh Clinical outcomes in obese and normal-weight children undergoing ultrasound for suspected appendicitis Acad Emerg Med 18 2011 167
47. J.A. Friedland, and M.J. Siegel CT appearance of acute appendicitis in childhood AJR Am J Roentgenol 168 1997 439
48. S. Tulin-Silver, J. Babb, L. Pinkney, N. Strubel, S. Lala, S.S. Milla, and et al. The challenging ultrasound diagnosis of perforated appendicitis in children: constellations of sonographic findings improve specificity Pediatr Radiol 45 2015 820
49. O.O. Adibe, S.R. Amin, E.N. Hansen, A.J. Chong, L. Perger, R. Keijzer, and et al. An evidence-based clinical protocol for diagnosis of acute appendicitis decreased the use of computed tomography in children J Pediatr Surg 46 2011 192