{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T23:08:25Z","timestamp":1769123305457,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,1,9]],"date-time":"2014-01-09T00:00:00Z","timestamp":1389225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Accurate diagnosis of appendicitis is challenging, particularly in children. Moreover, opinion is divided over the role of ultrasonography (<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>) in its diagnosis and how <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> may influence management. This study compares the use of <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> in two tertiary paediatric hospitals and how it influenced the management of suspected appendicitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from acute admissions, radiology, histopathology and theatre were cross\u2010referenced to review all children who underwent an appendicectomy (with or without preoperative <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>) for suspected appendicitis in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hristchurch (<jats:styled-content style=\"fixed-case\">CH<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>ealand and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>berdeen (<jats:styled-content style=\"fixed-case\">AB<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cotland in 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred and ninety\u2010nine patients (442 <jats:styled-content style=\"fixed-case\">CH<\/jats:styled-content>; 157 <jats:styled-content style=\"fixed-case\">AB<\/jats:styled-content>) were included, with similar age and gender distributions. <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> was performed in 23% of patients with an overall appendix visualization rate of 29%. The overall positive and negative predictive values were 67% and 100%, respectively. Females were more likely to have <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> than males (<jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content> &lt; 0.001, \u03c7<jats:sup>2<\/jats:sup>). In females with no appendix seen on <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>, in the presence or absence of other pathology, a normal appendix was confirmed in 50% and 58%, respectively. Visualizing the appendix resulted in a lower rate of normal appendix at operation (20%, 4\/20) compared with when the appendix was not visualized (56%, 14\/25).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Identification of a normal appendix on <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> seems sufficiently accurate to exclude appendicitis with confidence, while positive <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> should be interpreted in conjunction with the clinical features in influencing the decision to operate. The incidence of a non\u2010inflamed appendix at operation could be reduced with an increased rate of appendiceal visualization by sonographers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12415","type":"journal-article","created":{"date-parts":[[2014,1,10]],"date-time":"2014-01-10T01:24:28Z","timestamp":1389317068000},"page":"331-334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["When does ultrasonography influence management in suspected appendicitis?"],"prefix":"10.1111","volume":"84","author":[{"given":"Duncan S. G.","family":"Scrimgeour","sequence":"first","affiliation":[{"name":"Department of Surgical Paediatrics Royal Aberdeen Children's Hospital  Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher P.","family":"Driver","sequence":"additional","affiliation":[{"name":"Department of Surgical Paediatrics Royal Aberdeen Children's Hospital  Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca S.","family":"Stoner","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry University of Aberdeen  Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian K.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Christchurch Hospital  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spencer W.","family":"Beasley","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Christchurch Hospital  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,1,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7266.907"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2353040086"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.5.1751387"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20702"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.08.004"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0739"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.05.034"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20394"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1273702"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588411X582672"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.2900"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.12415","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.12415","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T03:57:55Z","timestamp":1696478275000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.12415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1,9]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/ans.12415"],"URL":"https:\/\/doi.org\/10.1111\/ans.12415","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1,9]]},"assertion":[{"value":"2013-09-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-01-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}