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Clinical Prediction Rules for Appendicitis in Adults: Which Is Best? by Malsha Kularatna; Melanie Lauti; Cheyaanthan Haran; Wiremu MacFater; Laila Sheikh; Ying Huang; John McCall; Andrew D. MacCormick is a Medicine article available to read on EtoBox.

What is Clinical Prediction Rules for Appendicitis in Adults: Which Is Best? about?

## Background: Clinical prediction rules (cprs) provide an objective method of assessment in the diagnosis of acute appendicitis. there are a number of available cprs for the diagnosis of appendicitis, but it is unknown which performs best. ## Aim: The aim of this study was to identify what cprs are available and how they perform when diagnosing appendicitis in adults. ## Method: A systematic review was performed in accordance with the prisma guidelines. studies that derived or validated a cpr were included. their performance was assessed on sensitivity, specificity and area under curve (auc) values. ## Results: Thirty-four articles were included in this review. of these 12 derived a cpr and 22 validated these cprs. a narrative analysis was performed as meta-analysis was precluded due to study heterogeneity and quality of included studies. the results from validation studies showed that the overall best performer in terms of sensitivity (92%), specificity (63%) and auc values (0.84-0.97) was the air score but only a limited number of studies investigated at this score. although the alvarado and modified alvarado scores were the most commonly validated, results from these studies we

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Author

Malsha Kularatna; Melanie Lauti; Cheyaanthan Haran; Wiremu MacFater; Laila Sheikh; Ying Huang; John McCall; Andrew D. MacCormick

Publisher

Springer Science and Business Media LLC

Published

2017

Language

EN

Field

Medicine (Health Sciences)