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Article: Response to diagnosis of appendicitis.(Letters to the Editor)(Letter to the editor)
- Article from:
- Southern Medical Journal
- Article date:
- July 1, 2006
- Author:
CopyrightCOPYRIGHT 2006 Southern Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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To the Editor: The article by Mathis et al (1) in SMJ in December 2005 reports 150 cases seen by emergency department physicians with a "discharge diagnosis of appendicitis." Flaws in their study serve to negate the conclusions drawn. They acknowledge that the retrospective study had a bias associated with a higher complication rate occurring when the NCT (no CT) patients were taken to surgery sooner than those having a CT that were less ill. The study also failed to specify if a surgeon was involved in the decision to order a CT scan. Furthermore, they commented upon the "inherent limitations" of their study when relying on chart documentation. The ordering of in-house ...
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