Evidence map›Paper›PMID 25931886›Full record

ArticleUlusal cerrahi dergisi2014

Effect of surgeon's judgement on the diagnosis of acute appendicitis.

Mustafa Hasbahçeci, Cengiz Erol, Mustafa Törü, Mehmet Şeker

Abstract read
In one paragraph

Article in Ulusal cerrahi dergisi, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mustafa HasbahçeciDepartment of General Surgery, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, Turkey.
Cengiz ErolDepartment of Radiology, Faculty of Medicine, İstanbul Medipol University, İstanbul, Turkey.
Mustafa TörüDepartment of Radiology,29 May Hospital, Ankara, Turkey.
Mehmet ŞekerDepartment of Radiology, 29 May Hospital, İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe accuracy of a surgeon's judgement still remains to be controversial in the diagnosis of acute appendicitis, which is a diagnosis usually based on laboratory data and imaging tests. MATERIAL AND

methodsPatients with a possible diagnosis of acute appendicitis were reviewed retrospectively with regard to demographic variables, laboratory and imaging results, and treatment modalities.

resultsThere were 128 patients with a mean age of 31.2±14 years. The mean white blood cell count and the proportion of polymorphonuclear leukocytes were 11403±4669/mm(3) and 75±11%, respectively. Appendectomy was performed on 66 (51.6%) patients. Conservative management was applied to 62 (48.4%) patients. Statistical analysis showed that patients with appendicitis have a higher white blood cell count (p=0.015) and a higher proportion of polymorphonuclear leukocytes (p=0.023). Sensitivity, specificity and accuracy rates were 84.6%, 63.7% and 74.3% for ultrasound and 100%, 86.7% and 92.2% for computed tomography, respectively.

conclusionDiagnosis based on patients' laboratory and imaging data, in combination with, the surgeon's judgement appears to yield the best outcomes in patients with suspicion of acute appendicitis.

Indexed as

Acute appendicitisappendectomydiagnosistomographyultrasound

Identifiers

PMID25931886
PMCPMC4379790

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.