{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:44:54Z","timestamp":1782301494623,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,7]],"date-time":"2023-05-07T00:00:00Z","timestamp":1683417600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>The use of ultrasound screening is primarily facilitated by point\u2010of\u2010care ultrasound (POCUS) and its integration into healthcare systems is a result of the versatility of this imaging technique. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at referral hospital (RH) in Portugal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty patients with right upper quadrant (RUQ) pain and suspected cholecystitis or biliary pathology underwent sonography screening using POCUS in the BES. They were then forwarded to the RH where a radiologist performed a conventional ultrasound exam on the same patients. The results of both exams were compared to determine if the findings obtained in the BES were confirmed by the radiologist in the RH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our sample, 60% of cases were related to biliary pathology, 20% were liver\u2010related, 10% had hepatopancreatic biliary etiology, and 10% had unknown etiology. A strong association between the sonographic findings in the BES and the RH was found in the variables \u201cSonographic Murphy sign\u201d (<jats:italic>V<\/jats:italic>\u2009=\u20090.859; <jats:italic>p<\/jats:italic>\u2009=\u20090.001), \u201cCholelithiasis\/Gallbladder sludge\u201d (<jats:italic>V<\/jats:italic>\u2009=\u20090.840; <jats:italic>p<\/jats:italic>\u2009=\u20090.001), and \u201cIntrahepatic biliary tract dilatation\u201d (<jats:italic>V<\/jats:italic>\u2009=\u20090.717; <jats:italic>p<\/jats:italic>\u2009=\u20090.006). Adequate measures of agreement between the findings of the radiographer and radiologist were obtained for the \u201cSonographic Murphy sign\u201d (<jats:italic>k<\/jats:italic>\u2009=\u20090.664; <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and the presence of \u201cCholelithiasis\/Gallbladder sludge\u201d (<jats:italic>k<\/jats:italic>\u2009=\u20090.712; <jats:italic>p<\/jats:italic>\u2009=\u20090.000).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Major biliary abnormalities were detected in patients with RUQ pain in BES using sonography. The correlation between the sonographic findings obtained by the sonographers at BES and those obtained by radiologists at the RH in Portugal was strong, showing that POCUS screening could be extended to other similar settings; however, more studies are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.1251","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T03:19:26Z","timestamp":1683515966000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1345-5747","authenticated-orcid":false,"given":"S\u00e9rgio","family":"Miravent","sequence":"first","affiliation":[{"name":"Algarve Regional Health Administration, Shared Assistance Resources Unit (URAP) \u2010 Basic Emergency Service of Vila Real de Santo Ant\u00f3nio, Higher Health School University of Algarve Faro Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2529-1719","authenticated-orcid":false,"given":"Manuel","family":"Lobo","sequence":"additional","affiliation":[{"name":"Local Health Unit of the Northeast, Polytechnic Institute of Castelo Branco, International Society of Clinical Ultrasound (SIEC) Medical Imaging and Radiotherapy Portuguese Association (APIMR) Bragan\u00e7a Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0569-4764","authenticated-orcid":false,"given":"Teresa","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Algarve Integrated Diagnostic Centre University of Algarve Faro Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"University Hospital Center of Algarve and Basic Emergency Service of Vila Real de Santo Ant\u00f3nio Faro Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7524-9669","authenticated-orcid":false,"given":"Rui","family":"Almeida","sequence":"additional","affiliation":[{"name":"Medical Imaging and Radiotherapy Department, Center for Health Studies (CES\u2010ESSUALG) and CHRC (Comprehensive Health Research Center), APIMR Secretary University of Algarve Faro Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.15761\/NPC.1000208"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-020-0154-3"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-018-0209-y"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-018-0519-9"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S359084"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2019.06.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/app9173512"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-117449"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-020-00919-x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/RUQ.0000000000000280"},{"issue":"3","key":"e_1_2_11_12_1","first-page":"186","article-title":"The accuracy of sonographers carrying out upper abdominal ultrasound examinations","volume":"19","author":"Kari B","year":"2014","journal-title":"Radiography"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.576"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radi.2013.10.010"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-2332-6.50084-1"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2018-000164"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","unstructured":"JonesJ KnipeH.Sonographic murphy sign. 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