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Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric Appendicitis

Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric... Opinion EDITORIAL Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric Appendicitis Morgan K. Richards, MD, MPH; Meera Kotagal, MD, MPH; Adam B. Goldin, MD, MPH Physicians strive to provide the best care for their patients, but proportion of complications related to the potentially de- defining the best care can be challenging. The diagnosis of pe- creased sensitivity of US relative to CT. The primary limita- diatric appendicitis requires reconciling many factors often in tion of the data set is that 50% of children do not receive any conflict with one another. In this setting, imaging has taken imaging at the PHIS hospital of record. We cannot assume that on a prominent role. Com- these children underwent no imaging because observational puted tomography (CT) has studies that are designed to capture imaging use have found Related article page 755 higher sensitivity and speci- that more than 93% of children had preoperative imaging be- 5,6 ficity and is less operator de- fore appendectomy. Instead, patients without imaging re- pendent compared with ultrasonography (US). Computed to- corded at the PHIS institution more likely underwent imaging mography is not without risk, however, because it uses ionizing at the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric Appendicitis

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2015.0912
pmid
26099029
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Campaigns Against Ionizing Radiation and Changed Practice Patterns for Imaging Use in Pediatric Appendicitis Morgan K. Richards, MD, MPH; Meera Kotagal, MD, MPH; Adam B. Goldin, MD, MPH Physicians strive to provide the best care for their patients, but proportion of complications related to the potentially de- defining the best care can be challenging. The diagnosis of pe- creased sensitivity of US relative to CT. The primary limita- diatric appendicitis requires reconciling many factors often in tion of the data set is that 50% of children do not receive any conflict with one another. In this setting, imaging has taken imaging at the PHIS hospital of record. We cannot assume that on a prominent role. Com- these children underwent no imaging because observational puted tomography (CT) has studies that are designed to capture imaging use have found Related article page 755 higher sensitivity and speci- that more than 93% of children had preoperative imaging be- 5,6 ficity and is less operator de- fore appendectomy. Instead, patients without imaging re- pendent compared with ultrasonography (US). Computed to- corded at the PHIS institution more likely underwent imaging mography is not without risk, however, because it uses ionizing at the

Journal

JAMA PediatricsAmerican Medical Association

Published: Aug 1, 2015

References

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