Suspected appendicitis pathway continues to lower CT rates in children two years after implementation

Lori A. Gurien; Samuel D. Smith; Melvin S. Dassinger; Jeffrey M. Burford; Joseph J. Tepas; Marie Crandall

doi:10.1016/j.amjsurg.2019.07.024

Suspected appendicitis pathway continues to lower CT rates in children two years after implementation

Lori A. Gurien
, Samuel D. Smith
, Melvin S. Dassinger
, Jeffrey M. Burford
, Joseph J. Tepas
, Marie Crandall

Univ. of Arkansas Hlth. Sci. Center
University of Florida

Research output: Contribution to journal › Review article › peer-review

6 Scopus citations

Abstract

Adherence to a pathway designed to evaluate pediatric patients with suspected appendicitis using ultrasound as the primary imaging modality has led to a sustained decrease in computed tomography use without compromising diagnostic accuracy. Continued adherence to and effectiveness of a voluntary pathway that relies on safe imaging is reassuring and highlights the importance of ongoing assessment of the long-term impact of an institution's pathways.

Original language	English
Pages (from-to)	716-721
Number of pages	6
Journal	American Journal of Surgery
Volume	218
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2019.07.024
State	Published - Oct 2019
Externally published	Yes

Keywords

Appendicitis
Computed tomography
Negative appendectomy rates
Pathway
Pediatric
Ultrasound

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10.1016/j.amjsurg.2019.07.024

Cite this

@article{809cd3fb4bfb4d4697809c7d9b40cc32,

title = "Suspected appendicitis pathway continues to lower CT rates in children two years after implementation",

abstract = "Adherence to a pathway designed to evaluate pediatric patients with suspected appendicitis using ultrasound as the primary imaging modality has led to a sustained decrease in computed tomography use without compromising diagnostic accuracy. Continued adherence to and effectiveness of a voluntary pathway that relies on safe imaging is reassuring and highlights the importance of ongoing assessment of the long-term impact of an institution's pathways.",

keywords = "Appendicitis, Computed tomography, Negative appendectomy rates, Pathway, Pediatric, Ultrasound",

author = "Gurien, \{Lori A.\} and Smith, \{Samuel D.\} and Dassinger, \{Melvin S.\} and Burford, \{Jeffrey M.\} and Tepas, \{Joseph J.\} and Marie Crandall",

note = "Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",

year = "2019",

month = oct,

doi = "10.1016/j.amjsurg.2019.07.024",

language = "English",

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T1 - Suspected appendicitis pathway continues to lower CT rates in children two years after implementation

AU - Gurien, Lori A.

AU - Smith, Samuel D.

AU - Dassinger, Melvin S.

AU - Burford, Jeffrey M.

AU - Tepas, Joseph J.

AU - Crandall, Marie

PY - 2019/10

Y1 - 2019/10

N2 - Adherence to a pathway designed to evaluate pediatric patients with suspected appendicitis using ultrasound as the primary imaging modality has led to a sustained decrease in computed tomography use without compromising diagnostic accuracy. Continued adherence to and effectiveness of a voluntary pathway that relies on safe imaging is reassuring and highlights the importance of ongoing assessment of the long-term impact of an institution's pathways.

AB - Adherence to a pathway designed to evaluate pediatric patients with suspected appendicitis using ultrasound as the primary imaging modality has led to a sustained decrease in computed tomography use without compromising diagnostic accuracy. Continued adherence to and effectiveness of a voluntary pathway that relies on safe imaging is reassuring and highlights the importance of ongoing assessment of the long-term impact of an institution's pathways.

KW - Appendicitis

KW - Computed tomography

KW - Negative appendectomy rates

KW - Pathway

KW - Pediatric

KW - Ultrasound

UR - https://www.scopus.com/pages/publications/85069680607

U2 - 10.1016/j.amjsurg.2019.07.024

DO - 10.1016/j.amjsurg.2019.07.024

M3 - Review article

C2 - 31350004

AN - SCOPUS:85069680607

SN - 0002-9610

VL - 218

SP - 716

EP - 721

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 4

ER -

Suspected appendicitis pathway continues to lower CT rates in children two years after implementation

Abstract

Keywords

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