Evidence map›Paper›PMID 39435222›Full record

ArticleCureus2024

Evaluating the Diagnostic Efficacy of Computed Tomography in Appendicitis Cases With Negative Ultrasound Findings.

Vishal Vijayakumar, Prabakaran T, Sendhil Sudarsan S, Lokesh Kumar T

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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.

Vishal VijayakumarDepartment of Radiodiagnosis, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, IND.
Prabakaran TDepartment of Radiodiagnosis, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, IND.
Sendhil Sudarsan SDepartment of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, IND.
Lokesh Kumar TDepartment of Radiodiagnosis, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute appendicitis (AA) is a prevalent cause of abdominal pain, and accurate diagnosis is critical to prevent complications such as perforation. While ultrasound (USG) is often the first imaging modality, its limitations necessitate alternative approaches, particularly in cases where USG results are negative. OBJECTIVES AND

aimsThis study aims to evaluate the diagnostic accuracy of computed tomography (CT) in identifying appendicitis in patients presenting with negative USG findings. MATERIALS AND

methodsA prospective observational study was conducted at a tertiary care hospital in Pondicherry, India, involving 70 patients with clinically suspected appendicitis and negative USG results. All patients underwent CT imaging, and findings were analyzed to determine sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy.

resultsOf the 70 patients, 35 were diagnosed with appendicitis based on CT findings, yielding a sensitivity of 100%, a specificity of 65.71%, a PPV of 74.47%, an NPV of 100%, and an overall accuracy of 82.86%. The study also identified other conditions, such as mesenteric lymphadenitis and ureteric calculus, in patients with negative appendicitis diagnoses.

conclusionsCT is a highly effective imaging modality for diagnosing appendicitis in patients with negative USG results. The use of CT significantly aids in clinical decision-making, reducing the rates of unnecessary surgeries and complications.

Indexed as

appendicitiscomputed tomographydiagnostic accuracynegative findingsultrasound

Identifiers

PMID39435222
PMCPMC11492978

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