{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:13:14Z","timestamp":1780668794392,"version":"3.54.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s11606-025-10082-y","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T17:10:30Z","timestamp":1765213830000},"page":"2128-2134","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic Performance of Onset Characterization vs. Time-to-Peak Assessment in Acute Abdominal Pain"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8032-6224","authenticated-orcid":false,"given":"Toshihiko","family":"Takada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuji","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Honjo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Miyajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadao","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunichi","family":"Fukuhara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"issue":"4","key":"10082_CR1","first-page":"344","volume":"44","author":"M Abdullah","year":"2012","unstructured":"Abdullah M, Firmansyah MA. Diagnostic approach and management of acute abdominal pain. Acta Med Indones. 2012;44(4):344-50.","journal-title":"Acta Med Indones."},{"key":"10082_CR2","volume-title":"Cope\u2019s early diagnosis of the acute abdomen","author":"W Silen","year":"2010","unstructured":"Silen W. Cope\u2019s early diagnosis of the acute abdomen. 22nd ed. Oxford: Oxford University Press; 2010.","edition":"22"},{"issue":"12","key":"10082_CR3","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.1001\/jama.2013.278018","volume":"310","author":"JJ Perry","year":"2013","unstructured":"Perry JJ, Stiell IG, Sivilotti ML, et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013;310(12):1248-55. https:\/\/doi.org\/10.1001\/jama.2013.278018.","journal-title":"JAMA."},{"key":"10082_CR4","doi-asserted-by":"publisher","first-page":"h5527","DOI":"10.1136\/bmj.h5527","volume":"351","author":"PM Bossuyt","year":"2015","unstructured":"Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. BMJ. 2015;351:h5527. https:\/\/doi.org\/10.1136\/bmj.h5527.","journal-title":"BMJ."},{"key":"10082_CR5","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/j.jbi.2014.02.013","volume":"48","author":"K Hajian-Tilaki","year":"2014","unstructured":"Hajian-Tilaki K. Sample size estimation in diagnostic test studies of biomedical informatics. J Biomed Inform. 2014;48:193-204. https:\/\/doi.org\/10.1016\/j.jbi.2014.02.013.","journal-title":"J Biomed Inform."},{"issue":"2","key":"10082_CR6","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1148\/radiol.2282011860","volume":"228","author":"HL Kundel","year":"2003","unstructured":"Kundel HL, Polansky M. Measurement of observer agreement. Radiology. 2003;228(2):303-8. https:\/\/doi.org\/10.1148\/radiol.2282011860.","journal-title":"Radiology."},{"issue":"6","key":"10082_CR7","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1111\/trf.17803","volume":"64","author":"D Daniel","year":"2024","unstructured":"Daniel D, West-Mitchell K. The Sankey diagram: An exploratory application of a data visualization tool. Transfusion. 2024;64(6):967-968. https:\/\/doi.org\/10.1111\/trf.17803.","journal-title":"Transfusion."},{"issue":"11","key":"10082_CR8","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1016\/s0895-4356(03)00177-x","volume":"56","author":"AS Glas","year":"2003","unstructured":"Glas AS, Lijmer JG, Prins MH, Bonsel GJ, Bossuyt PM. The diagnostic odds ratio: a single indicator of test performance. J Clin Epidemiol. 2003;56(11):1129-35. https:\/\/doi.org\/10.1016\/s0895-4356(03)00177-x.","journal-title":"J Clin Epidemiol."},{"key":"10082_CR9","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1080\/01621459.1927.10502953","volume":"22","author":"EB Wilson","year":"1927","unstructured":"Wilson EB. Probable inference, the law of succession, and statistical inference. J Am Stat Assoc. 1927;22:209-212.","journal-title":"J Am Stat Assoc."},{"key":"10082_CR10","doi-asserted-by":"publisher","first-page":"e8557","DOI":"10.1136\/bmj.e8557","volume":"346","author":"A Ducros","year":"2013","unstructured":"Ducros A, Bousser MG. Thunderclap headache. BMJ. 2013;346:e8557. https:\/\/doi.org\/10.1136\/bmj.e8557.","journal-title":"BMJ."},{"issue":"3","key":"10082_CR11","doi-asserted-by":"publisher","first-page":"295","DOI":"10.4103\/0972-2327.186783","volume":"19","author":"K Ravishankar","year":"2016","unstructured":"Ravishankar K. Looking at \"thunderclap headache\" differently? Circa 2016. Ann Indian Acad Neurol. 2016;19(3):295-301. https:\/\/doi.org\/10.4103\/0972-2327.186783.","journal-title":"Ann Indian Acad Neurol."},{"issue":"3","key":"10082_CR12","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1016\/j.annemergmed.2017.04.044","volume":"71","author":"JA Edlow","year":"2018","unstructured":"Edlow JA. Managing Patients With Nontraumatic, Severe, Rapid-Onset Headache. Ann Emerg Med. 2018;71(3):400-408. https:\/\/doi.org\/10.1016\/j.annemergmed.2017.04.044.","journal-title":"Rapid-Onset Headache. Ann Emerg Med."},{"issue":"1","key":"10082_CR13","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.pop.2012.11.007","volume":"40","author":"JA Silva","year":"2013","unstructured":"Silva JA, White CJ. Ischemic bowel syndromes. Prim Care 2013;40(1):153-67. https:\/\/doi.org\/10.1016\/j.pop.2012.11.007.","journal-title":"Prim Care"},{"issue":"10","key":"10082_CR14","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1056\/NEJMra1503884","volume":"374","author":"DG Clair","year":"2016","unstructured":"Clair DG, Beach JM. Mesenteric Ischemia. N Engl J Med 2016;374(10):959-68. https:\/\/doi.org\/10.1056\/NEJMra1503884.","journal-title":"N Engl J Med"},{"key":"10082_CR15","doi-asserted-by":"publisher","first-page":"d4770","DOI":"10.1136\/bmj.d4770","volume":"343","author":"JA de Groot","year":"2011","unstructured":"de Groot JA, Bossuyt PM, Reitsma JB, et al. Verification problems in diagnostic accuracy studies: consequences and solutions. BMJ. 2011;343:d4770. https:\/\/doi.org\/10.1136\/bmj.d4770.","journal-title":"BMJ."}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-025-10082-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-025-10082-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-025-10082-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T13:33:26Z","timestamp":1780666406000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-025-10082-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10082"],"URL":"https:\/\/doi.org\/10.1007\/s11606-025-10082-y","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]},"assertion":[{"value":"12 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"During the preparation of this work the authors used ChatGPT 4.0 for English editing. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration of Generative AI in Scientific Writing"}},{"value":"The study was approved by the ethics committee of Shirakawa Kosei General Hospital (HAKURIN 22\u2013013). The requirement for obtaining written consent from patients was waived because the study process aligned with routine practices and did not include any additional procedures.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human Ethics and Consent to Participate"}},{"value":"The authors declare that they have no conflict of interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}