{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T19:17:42Z","timestamp":1791055062486,"version":"4.1.0"},"reference-count":0,"publisher":"BMJ","issue":"5904","license":[{"start":{"date-parts":[[1974,3,2]],"date-time":"1974-03-02T00:00:00Z","timestamp":131414400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J"],"published-print":{"date-parts":[[1974,3,2]]},"abstract":"<jats:p>This paper reports a controlled trial of human and computer-aided diagnosis in a series of 552 patients with acute abdominal pain. The overall diagnostic accuracy of the computer-aided system was 91\u00b75% and that of the senior clinician to see each case was 81\u00b72%. However, the clinician's diagnostic performance improved markedly during the period of the trial. The proportion of appendices which perforated before operation fell from 36% to 4% during the trial, and the negative laparotomy rate dropped sharply. After the trial closed in August 1972 these figures reverted towards their pretrial levels.<\/jats:p>\n                  <jats:p>It is suggested that while computer-aided diagnosis is a valuable direct adjunct to the clinician dealing with the \u201cacute abdomen,\u201d he may also benefit in the short-term from the constant feedback he receives and from the disciplines and constraints involved in communicating with the computer.<\/jats:p>","DOI":"10.1136\/bmj.1.5904.376","type":"journal-article","created":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T15:21:07Z","timestamp":1239204067000},"page":"376-380","source":"Crossref","is-referenced-by-count":196,"title":["Human and Computer-aided Diagnosis of Abdominal Pain: Further Report with Emphasis on Performance of Clinicians"],"prefix":"10.1136","volume":"1","author":[{"given":"F. T.","family":"de Dombal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J.","family":"Leaper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane C.","family":"Horrocks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Staniland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. P.","family":"McCann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1974,3,2]]},"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.1.5904.376","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.1.5904.376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T20:54:48Z","timestamp":1764190488000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.1.5904.376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1974,3,2]]},"references-count":0,"journal-issue":{"issue":"5904","published-online":{"date-parts":[[1974,3,2]]},"published-print":{"date-parts":[[1974,3,2]]}},"alternative-id":["10.1136\/bmj.1.5904.376"],"URL":"https:\/\/doi.org\/10.1136\/bmj.1.5904.376","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"value":"0007-1447","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1974,3,2]]}}}