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
JAMA Pediatrics – American Medical Association
Published: Aug 1, 2015
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