ArticleSaudi medical journal2026
Evaluating the Diagnostic Accuracy of Ultrasound and Clinical Predictors in Pediatric Acute Tip Appendicitis:
Article in Saudi medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To examines the diagnostic accuracy of ultrasound (US) and the clinical characteristics of pediatric ATA. Acute tip appendicitis (ATA), a rare form of appendiceal inflammation confined to the distal tip, presents with atypical symptoms and is difficult to diagnose. The Confirmation often relies on imaging and surgical pathology. Methods: A Retrospective cross-sectional study conducted at a tertiary hospital in Riyadh, Saudi Arabia, from 2020 to 2024. Among 4,224 pediatric patients with acute appendicitis under 14 years, and our sample size of 59 patients were diagnosed with ATA by US. Firth logistic regression was used to reduce bias in the small-sample analysis. Results: Among 59 children diagnosed with acute tip appendicitis (ATA) by US, 32 were confirmed by pathology. Ultrasound demonstrated a sensitivity of 65.6%, specificity of 81.5%, and an area under the receiver operating characteristic curve (AUC) of 0.804. Firth logistic regression identified abdominal pain (adjusted odds ratio [Adj OR] = 12.7; 95% confidence interval [CI]: 0.918-183.2) as a positive predictor, while higher fever (Adj OR = 0.37; 95% CI: 0.151-0.765) was inversely associated with confirmed ATA. US accuracy was not significantly associated with a return to the emergency department within 30 days ( Conclusion: The ATA in children often lacks classic signs like high fever. US has high specificity but moderate sensitivity. Firth logistic regression was effective for analyzing small samples. Greater clinical awareness and optimized imaging use are needed for early detection and improved outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.