ArticleJournal of pediatric surgery2015
Use and accuracy of diagnostic imaging in the evaluation of pediatric appendicitis.
Article in Journal of pediatric surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is ultrasound training sustainable? A systematic review of competency retention in healthcare trainees.Medical education · 2025Pooled it
- Effect of Clinical Decision Support on Diagnostic Imaging for Pediatric Appendicitis: A Cluster Randomized Trial.JAMA network open · 2021Trial
- Diagnosis of acute appendicitis at a pediatric emergency department within a general hospital.Emergency radiology · 2026Article
- Predictors of CT vs ultrasound use in pediatric appendicitis.Emergency radiology · 2026Article
- MRI Adoption in Pediatric Appendicitis: Trends and Outcomes.Hospital pediatrics · 2025Article
- Exploring diagnostic stewardship in the emergency department evaluation of pediatric abdominal pain in a statewide quality collaborative.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Factors contributing to uncertainty in paediatric abdominal ultrasound reports in the paediatric emergency department.BMC emergency medicine · 2023Article
- Comparison of MRI appendix biometrics in children with and without acute appendicitis.European radiology · 2022Article
- Ruling out Appendicitis in Children: Can We Use Clinical Prediction Rules?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Review
- Validation of the Pediatric Appendicitis Risk Calculator (pARC) in a Community Emergency Department Setting.Annals of emergency medicine · 2019Observational
- To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard.Annals of medicine and surgery (2012) · 2019Article
- Usefulness of Ultrasonography in the Diagnosis of Peptic Ulcer Disease in Children.Pediatric gastroenterology, hepatology & nutrition · 2019Article
- Improving diagnostic accuracy in clinically ambiguous paediatric appendicitis: a retrospective review of ultrasound and pathology findings with focus on the non-visualised appendix.The British journal of radiology · 2019Article
- Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC).Pediatrics · 2018Article
- The Use of Metabolomics and Inflammatory Mediator Profiling Provides a Novel Approach to Identifying Pediatric Appendicitis in the Emergency Department.Scientific reports · 2018Article
- Pediatric appendicitis: state of the art review.Pediatric surgery international · 2017Review
- Diagnostic reliability of pediatric appendicitis score, ultrasound and low-dose computed tomography scan in children with suspected acute appendicitis.Therapeutics and clinical risk management · 2017Article
- WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.World journal of emergency surgery : WJES · 2016Review
- Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric Appendicitis.JAMA pediatrics · 2015Article
- Improving ultrasound quality to reduce computed tomography use in pediatric appendicitis: the Safe and Sound campaign.American journal of surgery · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThere are safety concerns about the use of radiation-based imaging (computed tomography [CT]) to diagnose appendicitis in children. Factors associated with CT use remain to be determined.
methodsFor patients ≤18 years old undergoing appendectomy, we evaluated diagnostic imaging performed, patient characteristics, hospital type, and imaging/pathology concordance (2008-2012) using data from Washington State's Surgical Care and Outcomes Assessment Program.
resultsAmong 2538 children, 99.7% underwent pre-operative imaging. 52.7% had a CT scan as their first study. After adjustment, age >10 years (OR 2.9 (95% CI 2.2-4.0), Hispanic ethnicity (OR 1.7, 95% CI 1.5-1.9), and being obese (OR 1.7, 95% CI 1.4-2.1) were associated with CT use first. Evaluation at a non-children's hospital was associated with higher odds of CT use (OR 7.9, 95% CI 7.5-8.4). Ultrasound concordance with pathology was higher for males (72.3 vs. 66.4%, p=.03), in perforated appendicitis (75.9 vs. 67.5%, p=.009), and at children's hospitals compared to general adult hospitals (77.3 vs. 62.2%, p<.001). CT use has decreased yearly statewide.
conclusionsOver 50% of children with appendicitis had radiation-based imaging. Understanding factors associated with CT use should allow for more specific QI interventions to reduce radiation exposure. Site of care remains a significant factor in radiation exposure for children.
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