Surgeon-performed ultrasound: accurate, reproducible, and more efficient
Purpose A study previously performed at our institution demonstrated that surgeon-performed ultrasound (SPUS) was accurate compared to radiology department ultrasound (RDUS) when evaluating children with suspected appendicitis. The purpose of this study was to determine if these results were reprodu...
Gespeichert in:
| Veröffentlicht in: | Pediatric surgery international 2015-12, Vol.31 (12), p.1161-1164 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1164 |
|---|---|
| container_issue | 12 |
| container_start_page | 1161 |
| container_title | Pediatric surgery international |
| container_volume | 31 |
| creator | Wyrick, Deidre L. Smith, Samuel D. Burford, Jeffrey M. Dassinger, Melvin S. |
| description | Purpose
A study previously performed at our institution demonstrated that surgeon-performed ultrasound (SPUS) was accurate compared to radiology department ultrasound (RDUS) when evaluating children with suspected appendicitis. The purpose of this study was to determine if these results were reproducible and if SPUS decreased time to definitive diagnosis.
Methods
A surgery resident performed examinations and ultrasounds on children with suspected appendicitis. Final diagnosis was confirmed by pathology. Results were compared to RDUS and combined with the previous study for a final comparison with RDUS. Mean time to diagnosis was recorded. Data were analyzed using Fisher exact and Student’s
t
test.
Results
Fifty-eight patients underwent SPUS, of these 35 had RDUS. The accuracy of SPUS alone was 93 % (54/58) and RDUS accuracy was 94 % (33/35) (
p
= 1). When SPUS was combined with clinical examination accuracy increased to 95 % (55/58). When results were combined with the previous study, overall accuracy of SPUS was 90 % (101/112) compared to overall RDUS accuracy of 89 % (50/56). Mean time to diagnosis for RDUS was 135 min (
n
= 35), whereas mean time to diagnosis for SPUS was 30 min (
n
= 58;
p
= 0.0001).
Conclusion
SPUS is accurate and reproducible in evaluating children with suspected appendicitis. SPUS potentially decreases time to definitive therapy and emergency department wait times. |
| doi_str_mv | 10.1007/s00383-015-3758-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837342332</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1733190857</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-15a3fe8ed55945642cbcac80a474d3ecba77865b6fda565a6c5362ee1854a5873</originalsourceid><addsrcrecordid>eNqFkU1LxDAQhoMoun78AC9S8OLBaNLJV73J4hcIHtRzSNOpVLrtmjQH_71ZVkUE8RRCnnkzMw8hh5ydccb0eWQMDFDGJQUtDWUbZMYFaFoZDptkxriuKANpdshujK-MMQOq2iY7pSoVGC1m5PYxhRccB7rE0I5hgU2R-im4OKahuSic9ym4CU-LgMswNsl3dZ9vbmiKxRiwwLbtfIfDtE-2WtdHPPg898jz9dXT_JbeP9zczS_vqRdaTpRLBy0abKSshFSi9LV33jAntGgAfe20NkrWqm2cVNIpL0GViNxI4aTRsEdO1rm5nbeEcbKLLnrsezfgmKLlBjSIEqD8H9UAvGJGrlKPf6GvYwpDHmRFlRJye1Wm-JryYYwxYGuXoVu48G45sysjdm3EZiN2ZcSyXHP0mZzqvN3vii8FGSjXQMxPwwuGH1__mfoB5beU8g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1732534749</pqid></control><display><type>article</type><title>Surgeon-performed ultrasound: accurate, reproducible, and more efficient</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wyrick, Deidre L. ; Smith, Samuel D. ; Burford, Jeffrey M. ; Dassinger, Melvin S.</creator><creatorcontrib>Wyrick, Deidre L. ; Smith, Samuel D. ; Burford, Jeffrey M. ; Dassinger, Melvin S.</creatorcontrib><description>Purpose
A study previously performed at our institution demonstrated that surgeon-performed ultrasound (SPUS) was accurate compared to radiology department ultrasound (RDUS) when evaluating children with suspected appendicitis. The purpose of this study was to determine if these results were reproducible and if SPUS decreased time to definitive diagnosis.
Methods
A surgery resident performed examinations and ultrasounds on children with suspected appendicitis. Final diagnosis was confirmed by pathology. Results were compared to RDUS and combined with the previous study for a final comparison with RDUS. Mean time to diagnosis was recorded. Data were analyzed using Fisher exact and Student’s
t
test.
Results
Fifty-eight patients underwent SPUS, of these 35 had RDUS. The accuracy of SPUS alone was 93 % (54/58) and RDUS accuracy was 94 % (33/35) (
p
= 1). When SPUS was combined with clinical examination accuracy increased to 95 % (55/58). When results were combined with the previous study, overall accuracy of SPUS was 90 % (101/112) compared to overall RDUS accuracy of 89 % (50/56). Mean time to diagnosis for RDUS was 135 min (
n
= 35), whereas mean time to diagnosis for SPUS was 30 min (
n
= 58;
p
= 0.0001).
Conclusion
SPUS is accurate and reproducible in evaluating children with suspected appendicitis. SPUS potentially decreases time to definitive therapy and emergency department wait times.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-015-3758-0</identifier><identifier>PMID: 26263874</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Appendicitis - diagnostic imaging ; Appendix - diagnostic imaging ; Child ; Child, Preschool ; Diagnosis, Differential ; Female ; Humans ; Infant ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Reproducibility of Results ; Sensitivity and Specificity ; Surgeons ; Surgery ; Ultrasonography ; Young Adult</subject><ispartof>Pediatric surgery international, 2015-12, Vol.31 (12), p.1161-1164</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-15a3fe8ed55945642cbcac80a474d3ecba77865b6fda565a6c5362ee1854a5873</citedby><cites>FETCH-LOGICAL-c475t-15a3fe8ed55945642cbcac80a474d3ecba77865b6fda565a6c5362ee1854a5873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-015-3758-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-015-3758-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26263874$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wyrick, Deidre L.</creatorcontrib><creatorcontrib>Smith, Samuel D.</creatorcontrib><creatorcontrib>Burford, Jeffrey M.</creatorcontrib><creatorcontrib>Dassinger, Melvin S.</creatorcontrib><title>Surgeon-performed ultrasound: accurate, reproducible, and more efficient</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
A study previously performed at our institution demonstrated that surgeon-performed ultrasound (SPUS) was accurate compared to radiology department ultrasound (RDUS) when evaluating children with suspected appendicitis. The purpose of this study was to determine if these results were reproducible and if SPUS decreased time to definitive diagnosis.
Methods
A surgery resident performed examinations and ultrasounds on children with suspected appendicitis. Final diagnosis was confirmed by pathology. Results were compared to RDUS and combined with the previous study for a final comparison with RDUS. Mean time to diagnosis was recorded. Data were analyzed using Fisher exact and Student’s
t
test.
Results
Fifty-eight patients underwent SPUS, of these 35 had RDUS. The accuracy of SPUS alone was 93 % (54/58) and RDUS accuracy was 94 % (33/35) (
p
= 1). When SPUS was combined with clinical examination accuracy increased to 95 % (55/58). When results were combined with the previous study, overall accuracy of SPUS was 90 % (101/112) compared to overall RDUS accuracy of 89 % (50/56). Mean time to diagnosis for RDUS was 135 min (
n
= 35), whereas mean time to diagnosis for SPUS was 30 min (
n
= 58;
p
= 0.0001).
Conclusion
SPUS is accurate and reproducible in evaluating children with suspected appendicitis. SPUS potentially decreases time to definitive therapy and emergency department wait times.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Appendicitis - diagnostic imaging</subject><subject>Appendix - diagnostic imaging</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU1LxDAQhoMoun78AC9S8OLBaNLJV73J4hcIHtRzSNOpVLrtmjQH_71ZVkUE8RRCnnkzMw8hh5ydccb0eWQMDFDGJQUtDWUbZMYFaFoZDptkxriuKANpdshujK-MMQOq2iY7pSoVGC1m5PYxhRccB7rE0I5hgU2R-im4OKahuSic9ym4CU-LgMswNsl3dZ9vbmiKxRiwwLbtfIfDtE-2WtdHPPg898jz9dXT_JbeP9zczS_vqRdaTpRLBy0abKSshFSi9LV33jAntGgAfe20NkrWqm2cVNIpL0GViNxI4aTRsEdO1rm5nbeEcbKLLnrsezfgmKLlBjSIEqD8H9UAvGJGrlKPf6GvYwpDHmRFlRJye1Wm-JryYYwxYGuXoVu48G45sysjdm3EZiN2ZcSyXHP0mZzqvN3vii8FGSjXQMxPwwuGH1__mfoB5beU8g</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Wyrick, Deidre L.</creator><creator>Smith, Samuel D.</creator><creator>Burford, Jeffrey M.</creator><creator>Dassinger, Melvin S.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20151201</creationdate><title>Surgeon-performed ultrasound: accurate, reproducible, and more efficient</title><author>Wyrick, Deidre L. ; Smith, Samuel D. ; Burford, Jeffrey M. ; Dassinger, Melvin S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-15a3fe8ed55945642cbcac80a474d3ecba77865b6fda565a6c5362ee1854a5873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Appendicitis - diagnostic imaging</topic><topic>Appendix - diagnostic imaging</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wyrick, Deidre L.</creatorcontrib><creatorcontrib>Smith, Samuel D.</creatorcontrib><creatorcontrib>Burford, Jeffrey M.</creatorcontrib><creatorcontrib>Dassinger, Melvin S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wyrick, Deidre L.</au><au>Smith, Samuel D.</au><au>Burford, Jeffrey M.</au><au>Dassinger, Melvin S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgeon-performed ultrasound: accurate, reproducible, and more efficient</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>31</volume><issue>12</issue><spage>1161</spage><epage>1164</epage><pages>1161-1164</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
A study previously performed at our institution demonstrated that surgeon-performed ultrasound (SPUS) was accurate compared to radiology department ultrasound (RDUS) when evaluating children with suspected appendicitis. The purpose of this study was to determine if these results were reproducible and if SPUS decreased time to definitive diagnosis.
Methods
A surgery resident performed examinations and ultrasounds on children with suspected appendicitis. Final diagnosis was confirmed by pathology. Results were compared to RDUS and combined with the previous study for a final comparison with RDUS. Mean time to diagnosis was recorded. Data were analyzed using Fisher exact and Student’s
t
test.
Results
Fifty-eight patients underwent SPUS, of these 35 had RDUS. The accuracy of SPUS alone was 93 % (54/58) and RDUS accuracy was 94 % (33/35) (
p
= 1). When SPUS was combined with clinical examination accuracy increased to 95 % (55/58). When results were combined with the previous study, overall accuracy of SPUS was 90 % (101/112) compared to overall RDUS accuracy of 89 % (50/56). Mean time to diagnosis for RDUS was 135 min (
n
= 35), whereas mean time to diagnosis for SPUS was 30 min (
n
= 58;
p
= 0.0001).
Conclusion
SPUS is accurate and reproducible in evaluating children with suspected appendicitis. SPUS potentially decreases time to definitive therapy and emergency department wait times.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26263874</pmid><doi>10.1007/s00383-015-3758-0</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2015-12, Vol.31 (12), p.1161-1164 |
| issn | 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1837342332 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Appendicitis - diagnostic imaging Appendix - diagnostic imaging Child Child, Preschool Diagnosis, Differential Female Humans Infant Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Reproducibility of Results Sensitivity and Specificity Surgeons Surgery Ultrasonography Young Adult |
| title | Surgeon-performed ultrasound: accurate, reproducible, and more efficient |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T22%3A10%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgeon-performed%20ultrasound:%20accurate,%20reproducible,%20and%20more%20efficient&rft.jtitle=Pediatric%20surgery%20international&rft.au=Wyrick,%20Deidre%20L.&rft.date=2015-12-01&rft.volume=31&rft.issue=12&rft.spage=1161&rft.epage=1164&rft.pages=1161-1164&rft.issn=0179-0358&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-015-3758-0&rft_dat=%3Cproquest_cross%3E1733190857%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1732534749&rft_id=info:pmid/26263874&rfr_iscdi=true |