{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:13:32Z","timestamp":1785770012243,"version":"3.56.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Incision and drainage (I&amp;D) is the standard treatment for pediatric abscesses. However, discrepancies between estimated abscess volume, determined clinically or by point-of-care ultrasound (POCUS), and the actual volume expressed may result from poor ultrasound or I&amp;D technique. These discrepancies may lead to inappropriate management decisions and unnecessary procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the prevalence of discrepancies between estimated and expressed abscess volumes during pediatric I&amp;D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional chart review at a tertiary care pediatric emergency department (ED) between 2017 and 2023. Patients younger than or qual to 21 years with an attempted I&amp;D were identified using a natural language processing tool. We focused on 2 groups based off of documented abscess diameter: predicted volumes of \u22641\u00a0mL and \u226510\u00a0mL. Per author discretion, these values correspond with decision-making of \u2018not worth pursuing I&amp;D\u2019 and \u2018definitely worth pursuing I&amp;D\u2019, respectively. We considered a positive discrepancy if for an expected abscess volume of \u22641\u00a0mL, the documented volume expressed was \u226510\u00a0mL (underestimated), and if for an expected volume of \u226510\u00a0mL, the documented volume was \u22643\u00a0mL (overestimated). Prevalence and confidence intervals were calculated using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 653 patients, 13.2% of sonographic and 7.6% of clinical estimates underestimated abscess volume, whereas 2.3% of sonographic and 19.6% of clinical estimates overestimated abscess volume. Combined assessment reduced discrepancies to 5.2% underestimated and 1.2% overestimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Combining clinical with POCUS assessment of pediatric abscesses provides better prediction of volume than reliance on a single method potentially reducing unnecessary procedures and missed I&amp;D opportunities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/pec.0000000000003537","type":"journal-article","created":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T16:00:08Z","timestamp":1766332808000},"page":"255-259","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Discrepancies Between Estimated and Expressed Abscess Volume in Pediatric Incision and Drainage"],"prefix":"10.1097","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7655-3483","authenticated-orcid":false,"given":"Jeffrey T.","family":"Neal","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Boston Children\u2019s Hospital"},{"name":"Harvard Medical School, Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Waltman","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew F.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Boston Children\u2019s Hospital"},{"name":"Harvard Medical School, Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Gravel","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Boston Children\u2019s Hospital"},{"name":"Harvard Medical School, Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine L.","family":"Chiang","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Boston Children\u2019s Hospital"},{"name":"Harvard Medical School, Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman","family":"Ansari","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Boston Children\u2019s Hospital"},{"name":"Harvard Medical School, Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Fleegler","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston"},{"name":"Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Al","family":"Ozonoff","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston"},{"name":"Division of Infectious Diseases, Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assaf","family":"Landschaft","sequence":"additional","affiliation":[{"name":"Information Services Department, Boston Children\u2019s Hospital, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir A.","family":"Kimia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Connecticut Children\u2019s Hospital, Hartford, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"R1-20260401","doi-asserted-by":"crossref","first-page":"2715","DOI":"10.1093\/cid\/ciz977","article-title":"National trends in incidence of purulent skin and soft tissue 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