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Review: symptoms, signs, and lab tests have moderate accuracy for detecting appendicitis in children

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G Bundy

Dr D G Bundy, Johns Hopkins University School of Medicine, Baltimore, MD, USA; dbundy3@jhmi.edu

REVIEW PROCESS

Aim:

how accurate are symptoms, signs, and laboratory tests for diagnosing appendicitis in children with abdominal pain?

Search methods:

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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