TY - JOUR T1 - Review: symptoms, signs, and lab tests have moderate accuracy for detecting appendicitis in children JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 95 LP - 95 VL - 94 IS - 3 A2 - , Y1 - 2009/06/01 UR - http://ep.bmj.com/content/94/3/95.abstract N2 - Aim: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 … ER -