{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:34:50Z","timestamp":1771018490849,"version":"3.50.1"},"reference-count":22,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Accurate diagnosis of acute appendicitis (AA) is still a problem and is not always easy, even for experienced surgeons. Studies have shown that 20 to 30% of the appendices removedwere normal. Therefore, various scoring systems have been developed to aid in the diagnosis of doubtful cases and reduce the number of unnecessary appendectomies.<\/jats:p><jats:p>The aim of this study was to assess the diagnostic value of different scoring systems in acute appendicitis.<\/jats:p><jats:p>Material and methods. The study involved 94 patients who underwent laparotomy due to suspected acute appendicitis. Medical examination at hospital admission was performed by a resident and a general surgery specialist. The probability of AA was evaluated using six different scoring systems: Alvarado, Fenyo, Eskelinen, Ohman, Tzankis, and RIPASA. The resident calculated the results in individual systems. The decision to perform the operation was taken by a specialist surgeon who did not know the results.<\/jats:p><jats:p>Results. Normal appendix was removed in 26% of cases. Eskelinen, RIPASA and Alvarado systems showed highest sensitivity (99%, 88% and 85%, respectively). Tzankis and Fenyo systems showed highest specificity (62% and 50%, respectively).<\/jats:p><jats:p>Conclusions. Our study has shown limited value of scoring systems for the diagnosis of acute appendicitis. The systems may improve diagnostic accuracy as they require obtaining a more detailed medical history, and making a more thorough and organized data analysis. However, the scoring systems should be treated only as an aid to diagnosis<\/jats:p>","DOI":"10.1515\/pjs-2015-0021","type":"journal-article","created":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T09:39:23Z","timestamp":1436175563000},"source":"Crossref","is-referenced-by-count":6,"title":["The Value of Scoring Systems for the Diagnosis of Acute Appendicitis"],"prefix":"10.5604","volume":"87","author":[{"given":"Dominik A.","family":"Walczak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dariusz","family":"Pawe\u0142czak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agata","family":"\u017b\u00f3\u0142taszek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajmund","family":"Jagu\u015bcik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wojciech","family":"Fa\u0142ek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Czerwi\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"Ptasi\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr W.","family":"Trzeciak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zbigniew","family":"Pasieka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"ref21","first-page":"75","article-title":"Podejrzenie ostrego zapalenia wyrostka robaczkowego - trudno\u015bci w rozpoznaniu i metody wspomagaj\u0105ce diagnostyk\u0119","author":"Bia\u0142as","year":"2006","journal-title":"Nowiny Lekarskie"},{"key":"ref141","first-page":"133","article-title":"Is there a role for abdominal computed tomographic scans in appendicitis","author":"Schuler","year":"1998","journal-title":"Arch Surg"},{"key":"ref151","first-page":"229","article-title":"Introduction of appendiceal CT : impact on negative appendectomy and appendiceal perforation rates","author":"Rao","year":"1999","journal-title":"Ann Surg"},{"key":"ref11","first-page":"112","article-title":"Acute appendicitis 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diagnosis of acute appendicitis","author":"Thuijls","year":"2011","journal-title":"Am J Emerg Med"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-2\/pjs-2015-0021\/pjs-2015-0021.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T12:08:49Z","timestamp":1517400529000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-2\/pjs-2015-0021\/pjs-2015-0021.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,1]]},"references-count":22,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1515\/pjs-2015-0021","relation":{},"ISSN":["0032-373X"],"issn-type":[{"value":"0032-373X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,1]]}}}