Evidence map›Paper›PMID 42110366›Full record

ArticleMDM policy & practice

Current Diagnostic Approaches and Challenges in the General Emergency Department Evaluation of Suspected Pediatric Appendicitis: A Qualitative Study.

Courtney W Mangus, Sarah J Parker, Brian J Zikmund-Fisher, Anupam Kharbanda, Melissa Brooks, Helene M Epstein, Timothy C Guetterman, Emma Griffin, Aparna Joshi, Bryan Judge and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in MDM policy & practice. 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
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Courtney W MangusDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0001-7957-1049
Sarah J ParkerDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Brian J Zikmund-FisherDepartment of Health Behavior and Health Equity, University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0002-1637-4176
Anupam KharbandaDepartment of Pediatric Emergency Medicine, Children's Minnesota Hospital, Minneapolis, MN, USA.
Melissa BrooksDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Helene M EpsteinPatient No More, Stamford, CT, USA.
Timothy C GuettermanDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Emma GriffinUniversity of Michigan, Ann Arbor, MI, USA.
Aparna JoshiDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Bryan JudgeEmergency Medicine, Aspirus Keweenaw Hospital, Laurium, MI, USA.
Heather Orman-LubellTrue North Pediatrics, Willow Grove, PA, USA.
Milisa ManojlovichSchool of Nursing, University of Michigan, Ann Arbor, MI, USA.
Brigid RiceJohns Hopkins Howard County Medical Center, Columbia, MD, USA.
Gul R Sachwani-DaswaniHurley Medical Center, Flint, MI, USA.
Suz SchrandtIndependent Researcher.
Karen Elizabeth SpeckDepartment of Surgery, Division of Pediatric Surgery. University of Michigan, Ann Arbor, MI, USA.
Prashant MahajanDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Elizabeth M SchoenfeldDepartment of Emergency, University of Massachusetts Chan - Baystate.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Highlights: Diagnosing pediatric appendicitis is challenging, especially in general EDs where pediatric resources are often limited.Physicians in general EDs reported that current imaging techniques and clinical decision support tools often fail to meet the needs of their setting.Physicians often rely on their own experience and often incorporate family preferences (via shared decision making) into their diagnostic planning.Physicians in general EDs reported that better guidelines and community-specific diagnostic algorithms and clinical decision support tools would improve patient care.

Indexed as

appendicitisemergency medicineshared decision making

Identifiers

PMID42110366
PMCPMC13153542

What OpenQuestion holds

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Registered trials

None linked

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.