Ultrasonographic diagnosis does not improve outcomes in appendicitis
Although ultrasonography has been used in the diagnosis of appendicitis
for more than 20 years, there have been no adequately controlled
studies performed to assess the influence of ultrasonography on
clinical outcomes. On page 919 Douglas et al report on a randomised trial of 302 adults and children with suspected appendicitis. They
found no reduction in adverse outcomes (non-therapeutic operation or
delayed treatment in association with perforation) or in duration of
hospital stay. Safe management of appendicitis still requires good
clinical diagnosis.
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- Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score
- Charles D Douglas, Neil E Macpherson, Patricia M Davidson, and Jonathon S Gani
BMJ 2000 321: 919.[Abstract] [Full Text] [PDF]
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