prikaz prve stranice dokumenta Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis
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Scientific paper - Original scientific paper
Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis
World journal of surgery, 41 (2017); 693-700. urn:nbn:hr:184:257279
Giljača, Vanja; Nadarević, Tin; Poropat, Goran; Štefanac Nadarević, Vesna; Štimac, Davor

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Giljača, V., Nadarević, T., Poropat, G., Štefanac Nadarević, V. & Štimac, D. (2017). Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis. World journal of surgery, 41., 693-700. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:257279

Giljača, Vanja, et al. "Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis." World journal of surgery, vol. 41, 2017, pp. 693-700. https://urn.nsk.hr/urn:nbn:hr:184:257279

Giljača, Vanja, Tin Nadarević, Goran Poropat, Vesna Štefanac Nadarević and Davor Štimac. "Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis." World journal of surgery 41 (2017): 693-700. https://urn.nsk.hr/urn:nbn:hr:184:257279

Giljača, V., et al. (2017) 'Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis', World journal of surgery, 41, pp. 693-700. Available at: https://urn.nsk.hr/urn:nbn:hr:184:257279 (Accessed 07 May 2024)

Giljača V, Nadarević T, Poropat G, Štefanac Nadarević V, Štimac D. Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis. World journal of surgery [Internet]. 2017 [cited 2024 May 07];41:693-700. Available at: https://urn.nsk.hr/urn:nbn:hr:184:257279

V. Giljača, T. Nadarević, G. Poropat, V. Štefanac Nadarević and D. Štimac, "Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis", World journal of surgery, vol. 41, pp. 693-700, 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:257279. [Accessed: 07 May 2024]

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Metadata
Title (english)Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis
AuthorVanja Giljača
AuthorTin Nadarević
AuthorGoran Poropat
AuthorVesna Štefanac Nadarević
AuthorDavor Štimac
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Background was to determine the diagnostic accuracy of abdominal ultrasound (US) for the diagnosis of acute appendicitis (AA), in terms of sensitivity, specificity and post-test probabilities for positive and negative result. A systematic search of MEDLINE, Embase, The Cochrane library and Science Citation Index Expanded from January 1994 to October 2014 was performed. Two authors independently evaluated studies for inclusion, extracted data and performed analyses. The reference standard for evaluation of final diagnosis was pathohistological report on tissue obtained at appendectomy. Summary sensitivity, specificity and post-test probability of AA after positive and negative result of US with corresponding 95% confidence intervals (CI) were calculated. Out of 3306 references identified through electronic searches, 17 reports met the inclusion criteria, with 2841 included participants. The summary sensitivity and specificity of US for diagnosis of AA were 69% (95% CI 59-78%) and 81% (95% CI 73-88%), respectively. At the median pretest probability of AA of 76.4%, the post-test probability for a positive and negative result of US was 92% (95% CI 88-95%) and 55% (95% CI 46-63%), respectively. Abdominal ultrasound does not seem to have a role in the diagnostic pathway for diagnosis of AA in suspected patients. The summary sensitivity and specificity of US do not exceed that of physical examination. Patients that require additional diagnostic workup should be referred to more sensitive and specific diagnostic procedures, such as computed tomography.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleWorld journal of surgery
Numberingvol. 41, pp. 693-700
e-ISSN1432-2323
URN:NBNurn:nbn:hr:184:257279
Publication2017
Document URLhttp://bib.irb.hr/855203
Type of resourceText
Access conditionsRestricted access
Terms of useLicence In copyright icon
Created on2022-02-16 15:39:06