Algorithm reduces use of CT scans when diagnosing children with appendicitis

Implementation of an algorithm aimed to diagnose pediatric patients with suspected appendicitis reduces the utilization of computed tomography (CT) scans, without affecting diagnostic accuracy, Mayo Clinic Children's Center researchers have found. The study was recently published in the journal Surgery.

Acute is the most common cause of acute abdominal pain in children. Appendicitis occurs when the appendix becomes inflamed and filled with pus. CT scans are often used to diagnose because they are accurate, widely available and have the ability to provide clinicians with advanced information in appendicitis cases suspected of complications.

However, CT scans are expensive and expose patients to ionizing radiation. "This algorithm was developed by a multidisciplinary group of pediatric emergency room physicians, and radiologists to eliminate unnecessary exposure to radiation," explains Michael B. Ishitani, M.D., lead author of the study.

The study compared , under the age of 18, who underwent an appendectomy for acute appendicitis pre-algorithm implementation and post-implementation. Researchers studied 331 pediatric cases over the course of five years, and found that CT utilization decreased from 39 percent to 18 percent after the algorithm was in place.

Researchers found that when the algorithm was implemented, use of CT scans in patients dropped by over 50 percent, without affecting , proving that reducing the use of CT scans when evaluating patients for appendicitis is safe and cost-effective.

"Implementation of this algorithm across multiple centers is the ideal outcome of this study, followed by further evaluations over time to ensure that the low rate of CT scan use continues," says Dr. Ishitani.

Related Stories

Ultrasound diagnoses appendicitis without X-rays

date Dec 27, 2012

Children suspected of having appendicitis are more likely to receive CT scans, which involve radiation, if they are evaluated at a general hospital, a new study by Washington University School of Medicine in St. Louis has ...

Recommended for you

DNA blood test detects lung cancer mutations

date Apr 17, 2015

Cancer DNA circulating in the bloodstream of lung cancer patients can provide doctors with vital mutation information that can help optimise treatment when tumour tissue is not available, an international group of researchers ...

Tumors prefer the easy way out

date Apr 17, 2015

Tumor cells become lethal when they spread. Blocking this process can be a powerful way to stop cancer. Historically, scientists thought that tumor cells migrated by brute force, actively pushing through whatever ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.