Evidence map›Paper›PMID 40668424›Full record

Observational studyPediatric surgery international2025

Diagnostic value of the jumping-up test in children with suspected acute appendicitis.

Da Hyun Kim, Jun Sung Park, Min Kyo Chun, Jeong-Yong Lee, Jong Seung Lee, Seung Jun Choi

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Da Hyun KimDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Jun Sung ParkDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Min Kyo ChunDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Jeong-Yong LeeDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Jong Seung LeeDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Seung Jun ChoiDepartment of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea. sjchoi7979@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing acute appendicitis in children is often difficult due to non-specific symptoms and limited cooperation during physical examination. This study aimed to evaluate the diagnostic utility of the Jumping-Up (J-Up) test, and to compare it with traditional physical signs.

methodsWe conducted a prospective observational study from September 2021 to July 2023 in the pediatric emergency department of Asan Medical Center Children's Hospital in Seoul, Korea. Children aged 6-17 years with suspected appendicitis were enrolled. The J-Up test involved instructing patients to jump with both arms raised; the pain response during landing was then assessed. A positive result was defined by visible signs of pain, such as facial grimacing, abdominal guarding, or verbal complaints. Diagnosis was confirmed by contrast-enhanced abdominal CT. The sensitivity of the J-Up test was compared with the sensitivities of rebound tenderness, psoas sign, obturator sign, and Rovsing's sign.

resultsOf the 129 children included, 76 were diagnosed with appendicitis. Mean age was 11.7 ± 3 years and 54.3% (n = 70) were male. The J-Up test was more sensitive (80.3%) than rebound tenderness (69.7%). In complicated cases of appendicitis, the J-Up test had a sensitivity of 92.9%, outperforming the other signs.

conclusionThe Jumping-Up test is a simple and effective tool for diagnosing appendicitis in children, especially in identifying complicated cases. It may serve as a practical adjunct to traditional methods of physical examination in pediatric emergency care.

Indexed as

AppendicitisPhysical ExaminationAcute DiseaseAdolescentChildEmergency Service, HospitalFemaleHumansMaleProspective StudiesSensitivity and SpecificityTomography, X-Ray ComputedAppendicitisDiagnosisJumping-up testPediatricsPhysical examination

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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.