Is appendiceal computed tomography in a community hospital useful?
The purpose of this study was to determine the usefulness of an appendiceal CT protocol in a community hospital to more accurately diagnose acute appendicitis in order to decrease the negative appendectomy rate. Methods From January 1999 to July 2002, 423 patients with right lower quadrant pain or o...
Gespeichert in:
| Veröffentlicht in: | The American journal of surgery 2003-12, Vol.186 (6), p.682-684 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 684 |
|---|---|
| container_issue | 6 |
| container_start_page | 682 |
| container_title | The American journal of surgery |
| container_volume | 186 |
| creator | Holloway, Jeffrey A Westerbuhr, Lloyd M Chain, John Forney, Glen A White, Thomas W Hughes, Rommie J Blankenship, Joseph D |
| description | The purpose of this study was to determine the usefulness of an appendiceal CT protocol in a community hospital to more accurately diagnose acute appendicitis in order to decrease the negative appendectomy rate. Methods From January 1999 to July 2002, 423 patients with right lower quadrant pain or other symptoms consistent with acute appendicitis were studied with a focused CT of the appendix using a protocol adapted from Rao [8]. There were 6 false positive studies; however, at the time of surgery 1 patient was found to have Crohn's disease, 2 with ruptured ovarian cysts, 1 with torsion of the right ovary, and 1 was found to have fibrous obliteration of the lumen by histopathology. |
| doi_str_mv | 10.1016/j.amjsurg.2003.09.004 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71462084</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002961003004070</els_id><sourcerecordid>2729865861</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-7f194c2661de65f350f28e080ac924005ed6f96ff020a09182c88c3efb64fbd33</originalsourceid><addsrcrecordid>eNqFkU1r3DAQhkVpaLZpf0KLodCb3ZEsy9IptKEfgUAuyVlo5VEiY1uuZBX231fLLhR6aE_DMM98vS8h7yg0FKj4NDZmHlOOTw0DaBtQDQB_QXZU9qqmUrYvyQ4AWK0EhUvyOqWxpJTy9hW5pFz0rO_Vjny5TZVZV1wGb9FMlQ3zmjccqi3M4Sma9flQ-aUyx8KcF78dqueQVr8VNid0ebp-Qy6cmRK-Pccr8vjt68PNj_ru_vvtzee72nLab3XvqOKWCUEHFJ1rO3BMIkgwVjEO0OEgnBLOAQMDikpmpbQtur3gbj-07RX5eJq7xvAzY9r07JPFaTILhpx0X75iIHkBP_wFjiHHpdymKedcFFUU-ycFLWWy67goVHeibAwpRXR6jX428VAgfTRCj_pshD4aoUHpYkTpe3-envczDn-6zsoX4PoEYJHsl8eok_W4WBx8RLvpIfj_rPgNCUKaig</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1031285546</pqid></control><display><type>article</type><title>Is appendiceal computed tomography in a community hospital useful?</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>Holloway, Jeffrey A ; Westerbuhr, Lloyd M ; Chain, John ; Forney, Glen A ; White, Thomas W ; Hughes, Rommie J ; Blankenship, Joseph D</creator><creatorcontrib>Holloway, Jeffrey A ; Westerbuhr, Lloyd M ; Chain, John ; Forney, Glen A ; White, Thomas W ; Hughes, Rommie J ; Blankenship, Joseph D</creatorcontrib><description>The purpose of this study was to determine the usefulness of an appendiceal CT protocol in a community hospital to more accurately diagnose acute appendicitis in order to decrease the negative appendectomy rate. Methods From January 1999 to July 2002, 423 patients with right lower quadrant pain or other symptoms consistent with acute appendicitis were studied with a focused CT of the appendix using a protocol adapted from Rao [8]. There were 6 false positive studies; however, at the time of surgery 1 patient was found to have Crohn's disease, 2 with ruptured ovarian cysts, 1 with torsion of the right ovary, and 1 was found to have fibrous obliteration of the lumen by histopathology.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2003.09.004</identifier><identifier>PMID: 14672779</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accuracy ; Acute Disease ; Appendectomy ; Appendicitis ; Appendicitis - diagnostic imaging ; Appendicitis - surgery ; Appendix ; Appendix - diagnostic imaging ; Computed tomography scan ; Cost analysis ; Cost control ; Diagnostic Errors ; Female ; Hospitals ; Hospitals, Community ; Humans ; Male ; Medical diagnosis ; Negative appendectomy ; Sensitivity and Specificity ; Studies ; Tomography ; Tomography, X-Ray Computed</subject><ispartof>The American journal of surgery, 2003-12, Vol.186 (6), p.682-684</ispartof><rights>2003 Excerpta Medica Inc.</rights><rights>Copyright Elsevier Limited Jan 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-7f194c2661de65f350f28e080ac924005ed6f96ff020a09182c88c3efb64fbd33</citedby><cites>FETCH-LOGICAL-c417t-7f194c2661de65f350f28e080ac924005ed6f96ff020a09182c88c3efb64fbd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1031285546?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14672779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holloway, Jeffrey A</creatorcontrib><creatorcontrib>Westerbuhr, Lloyd M</creatorcontrib><creatorcontrib>Chain, John</creatorcontrib><creatorcontrib>Forney, Glen A</creatorcontrib><creatorcontrib>White, Thomas W</creatorcontrib><creatorcontrib>Hughes, Rommie J</creatorcontrib><creatorcontrib>Blankenship, Joseph D</creatorcontrib><title>Is appendiceal computed tomography in a community hospital useful?</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>The purpose of this study was to determine the usefulness of an appendiceal CT protocol in a community hospital to more accurately diagnose acute appendicitis in order to decrease the negative appendectomy rate. Methods From January 1999 to July 2002, 423 patients with right lower quadrant pain or other symptoms consistent with acute appendicitis were studied with a focused CT of the appendix using a protocol adapted from Rao [8]. There were 6 false positive studies; however, at the time of surgery 1 patient was found to have Crohn's disease, 2 with ruptured ovarian cysts, 1 with torsion of the right ovary, and 1 was found to have fibrous obliteration of the lumen by histopathology.</description><subject>Accuracy</subject><subject>Acute Disease</subject><subject>Appendectomy</subject><subject>Appendicitis</subject><subject>Appendicitis - diagnostic imaging</subject><subject>Appendicitis - surgery</subject><subject>Appendix</subject><subject>Appendix - diagnostic imaging</subject><subject>Computed tomography scan</subject><subject>Cost analysis</subject><subject>Cost control</subject><subject>Diagnostic Errors</subject><subject>Female</subject><subject>Hospitals</subject><subject>Hospitals, Community</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Negative appendectomy</subject><subject>Sensitivity and Specificity</subject><subject>Studies</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1r3DAQhkVpaLZpf0KLodCb3ZEsy9IptKEfgUAuyVlo5VEiY1uuZBX231fLLhR6aE_DMM98vS8h7yg0FKj4NDZmHlOOTw0DaBtQDQB_QXZU9qqmUrYvyQ4AWK0EhUvyOqWxpJTy9hW5pFz0rO_Vjny5TZVZV1wGb9FMlQ3zmjccqi3M4Sma9flQ-aUyx8KcF78dqueQVr8VNid0ebp-Qy6cmRK-Pccr8vjt68PNj_ru_vvtzee72nLab3XvqOKWCUEHFJ1rO3BMIkgwVjEO0OEgnBLOAQMDikpmpbQtur3gbj-07RX5eJq7xvAzY9r07JPFaTILhpx0X75iIHkBP_wFjiHHpdymKedcFFUU-ycFLWWy67goVHeibAwpRXR6jX428VAgfTRCj_pshD4aoUHpYkTpe3-envczDn-6zsoX4PoEYJHsl8eok_W4WBx8RLvpIfj_rPgNCUKaig</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Holloway, Jeffrey A</creator><creator>Westerbuhr, Lloyd M</creator><creator>Chain, John</creator><creator>Forney, Glen A</creator><creator>White, Thomas W</creator><creator>Hughes, Rommie J</creator><creator>Blankenship, Joseph D</creator><general>Elsevier Inc</general><general>Elsevier Limited</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>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Is appendiceal computed tomography in a community hospital useful?</title><author>Holloway, Jeffrey A ; Westerbuhr, Lloyd M ; Chain, John ; Forney, Glen A ; White, Thomas W ; Hughes, Rommie J ; Blankenship, Joseph D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-7f194c2661de65f350f28e080ac924005ed6f96ff020a09182c88c3efb64fbd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Accuracy</topic><topic>Acute Disease</topic><topic>Appendectomy</topic><topic>Appendicitis</topic><topic>Appendicitis - diagnostic imaging</topic><topic>Appendicitis - surgery</topic><topic>Appendix</topic><topic>Appendix - diagnostic imaging</topic><topic>Computed tomography scan</topic><topic>Cost analysis</topic><topic>Cost control</topic><topic>Diagnostic Errors</topic><topic>Female</topic><topic>Hospitals</topic><topic>Hospitals, Community</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Negative appendectomy</topic><topic>Sensitivity and Specificity</topic><topic>Studies</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holloway, Jeffrey A</creatorcontrib><creatorcontrib>Westerbuhr, Lloyd M</creatorcontrib><creatorcontrib>Chain, John</creatorcontrib><creatorcontrib>Forney, Glen A</creatorcontrib><creatorcontrib>White, Thomas W</creatorcontrib><creatorcontrib>Hughes, Rommie J</creatorcontrib><creatorcontrib>Blankenship, Joseph D</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>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</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>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holloway, Jeffrey A</au><au>Westerbuhr, Lloyd M</au><au>Chain, John</au><au>Forney, Glen A</au><au>White, Thomas W</au><au>Hughes, Rommie J</au><au>Blankenship, Joseph D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is appendiceal computed tomography in a community hospital useful?</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>186</volume><issue>6</issue><spage>682</spage><epage>684</epage><pages>682-684</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>The purpose of this study was to determine the usefulness of an appendiceal CT protocol in a community hospital to more accurately diagnose acute appendicitis in order to decrease the negative appendectomy rate. Methods From January 1999 to July 2002, 423 patients with right lower quadrant pain or other symptoms consistent with acute appendicitis were studied with a focused CT of the appendix using a protocol adapted from Rao [8]. There were 6 false positive studies; however, at the time of surgery 1 patient was found to have Crohn's disease, 2 with ruptured ovarian cysts, 1 with torsion of the right ovary, and 1 was found to have fibrous obliteration of the lumen by histopathology.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>14672779</pmid><doi>10.1016/j.amjsurg.2003.09.004</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9610 |
| ispartof | The American journal of surgery, 2003-12, Vol.186 (6), p.682-684 |
| issn | 0002-9610 1879-1883 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71462084 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Accuracy Acute Disease Appendectomy Appendicitis Appendicitis - diagnostic imaging Appendicitis - surgery Appendix Appendix - diagnostic imaging Computed tomography scan Cost analysis Cost control Diagnostic Errors Female Hospitals Hospitals, Community Humans Male Medical diagnosis Negative appendectomy Sensitivity and Specificity Studies Tomography Tomography, X-Ray Computed |
| title | Is appendiceal computed tomography in a community hospital useful? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T22%3A27%3A38IST&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=Is%20appendiceal%20computed%20tomography%20in%20a%20community%20hospital%20useful?&rft.jtitle=The%20American%20journal%20of%20surgery&rft.au=Holloway,%20Jeffrey%20A&rft.date=2003-12-01&rft.volume=186&rft.issue=6&rft.spage=682&rft.epage=684&rft.pages=682-684&rft.issn=0002-9610&rft.eissn=1879-1883&rft_id=info:doi/10.1016/j.amjsurg.2003.09.004&rft_dat=%3Cproquest_cross%3E2729865861%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=1031285546&rft_id=info:pmid/14672779&rft_els_id=S0002961003004070&rfr_iscdi=true |