Article Text

Download PDFPDF
Review: symptoms, signs, and lab tests have moderate accuracy for detecting appendicitis in children

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.



how accurate are symptoms, signs, and laboratory tests for diagnosing appendicitis in children with abdominal pain?

Search methods:

Medline (to March 2007), Cochrane Library, textbooks, and reference lists.

Study selection and assessment:

fully published studies in English that evaluated the accuracy of medical history, physical examination, or basic laboratory tests for diagnosing appendicitis in children, using independent, blinded comparison with a gold standard—surgical pathological findings, clinical observation, or follow-up (level of evidence 1–3). 25 studies were included: 1 level 1 study (n = 246) of unselected children presenting to the emergency department with undifferentiated abdominal pain (appendicitis prevalence 10%) and 24 level 3 studies (n = 5590) of selected patients with …

View Full Text


  • Funding: no external funding.