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Details

Autor(en) / Beteiligte
Titel
Low-Dose Abdominal CT for Evaluating Suspected Appendicitis
Ist Teil von
  • The New England journal of medicine, 2012-04, Vol.366 (17), p.1596-1605
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2012
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
  • In this randomized trial involving young adults with suspected appendicitis, low-dose abdominal computed tomography (CT) was noninferior to standard-dose abdominal CT, with similar rates of negative appendectomy and appendiceal perforation in the two study groups. Owing to the many advantages that computed tomography (CT) has over other diagnostic tests, including ultrasonography, 1 – 3 CT has assumed a paramount position in the evaluation of adults with suspected appendicitis. Despite historical debate, 4 the increased use of CT has been consistently found to coincide with a reduction in the rate of negative (unnecessary) appendectomies without an increase in the rate of appendiceal perforations — two important reciprocal measures of quality of care that represent, respectively, a false positive diagnosis and a delayed diagnosis. 5 – 10 The routine use of CT in patients suspected of having appendicitis has also been reported . . .

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