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Harms of CT scanning prior to surgery for suspected appendicitis
  1. William Rogers1,
  2. Jerome Hoffman2,
  3. Naudereh Noori3
  1. 1Department of Emergency Medicine, Georgetown University School of Medicine, Washington DC, USA
  2. 2UCLA School of Medicine, Los Angeles, California, USA
  3. 3Georgetown University School of Medicine, Washington DC, USA
  1. Correspondence to: Dr William Rogers
    , Department of Emergency Medicine, Georgetown University School of Medicine, 3800 Reservoir Rd, NW CCC Building, Room CG146, Washington DC, USA; William.D.Rogers{at}gunet.georgetown.edu

Extract

In this brief analysis we compare the risks and benefits of performing a CT scan to confirm appendicitis prior to surgery instead of operating based on the surgeon's clinical diagnosis. We conclude that the benefit of universal imaging is to avoid 12 unnecessary appendectomies but the cost of those 12 avoided surgeries is one cancer death due to the imaging.

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Extract

In this brief analysis we compare the risks and benefits of performing a CT scan to confirm appendicitis prior to surgery instead of operating based on the surgeon's clinical diagnosis. We conclude that the benefit of universal imaging is to avoid 12 unnecessary appendectomies but the cost of those 12 avoided surgeries is one cancer death due to the imaging.

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