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Dr D G Bundy, Johns Hopkins University School of Medicine, Baltimore, MD, USA; email@example.com
how accurate are symptoms, signs, and laboratory tests for diagnosing appendicitis in children with abdominal pain?
Medline (to March 2007), Cochrane Library, textbooks, and reference lists.
Study selection and assessment:
fully published studies in English that evaluated the accuracy of medical history, physical examination, or basic laboratory tests for diagnosing appendicitis in children, using independent, blinded comparison with a gold standard—surgical pathological findings, clinical observation, or follow-up (level of evidence 1–3). 25 studies were included: 1 level 1 study (n = 246) of unselected children presenting to the emergency department with undifferentiated …
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