Are they reimbursed for it on a fee per service basis? This is a very common surgical emergency, the radiation risk will be high long term
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I’m not a pediatric surgeon but in adult population CT almost entirely eliminated unnecessary appendectomies. Which run as high as 20% in pre-CT era
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Sure. I think that is very clinician dependent. In the UK we would not expect that high a rate.
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That’s average historical high. Off course individual rates were dependent on many things. One of them was your motivation to not miss appendicitis.
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https://www.ijsurgery.com/index.php/isj/article/download/516/514 … Very British perspective
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I thought you said you wouldn’t expect high, 20%, rate of negative appendectomies in UK. The rate in this study was 25.7%. 3 out of 172 normal appendixes removed had legitimate reason: carcinoid. NIH finds this cost effective?
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The rate varies, macroscopically normal appendices are still removed.
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Precision of your arguments is fading
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Just to remind you--the negative appendix rate in the study I cited was 3.3%. Only 2.9% of 9,507 appendectomies had no preop imaging. Preop imaging leads to more accurate diagnoses.
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Absolutely. Restricting CT in UK resulted in 25.7% rate of negative appendectomies. For ungodly reason 82% were open surgeries, sure there is British logic to it. Finding 3 carcinoids in 172 otherwise nonthreatening specimens is then used to justify this approach
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That's atypical. Most for females are done lap. Males lap or open, surgeon preference. Plenty are done open.
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