Imaging of patients with clinically suspected appendicitis in the Netherlands: conclusions of a survey
| Autor: | O J Bakker, L.P.J. Cobben, Johan G. Blickman, L M Kingma, Julien B. C. M. Puylaert |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Sensitivity and Specificity Surveys and Questionnaires Medicine Humans Radiology Nuclear Medicine and imaging In patient Practice Patterns Physicians' Netherlands Analysis of Variance business.industry General surgery General Medicine medicine.disease Appendicitis Magnetic Resonance Imaging Surgery Hospital treatment Health Care Surveys Practice Guidelines as Topic Female Suspected appendicitis business Tomography X-Ray Computed |
| Zdroj: | The British journal of radiology. 82(978) |
| ISSN: | 1748-880X |
| Popis: | The aim of this study was to summarize the extent of variation in imaging strategies in patients clinically suspected of having appendicitis. By means of a written survey, the policies for the imaging management of patients clinically suspected of having appendicitis in the Netherlands were inventoried. A questionnaire was sent to the departments of surgery and radiology of all 105 Dutch hospitals, including the 8 academic medical centres, in March 2006. Questionnaires were returned from 98 hospitals. It was found that, in the work-up of patients suspected of having appendicitis, ultrasound or CT was performed in a minority of hospitals for 50% or more of these patients. In the majority of hospitals, it was carried out for less than 50% of these patients. There is a widespread variability in pre-operative imaging regardless of hospital type. This survey shows that, despite the ubiquitous presence of ultrasound and CT in Dutch hospitals, the pre-operative imaging work-up in patients clinically suspected of having acute appendicitis does not reflect this, being performed in only a minority of patients suspected of having acute appendicitis. Radiologists and surgeons alike should be aware of the positive impact of adjunctive imaging in this group of patients - most importantly lowering the negative appendicectomy rate and also lowering total hospital costs. |
| Databáze: | OpenAIRE |
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