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January 2, 2002

Misdiagnosis of Appendicitis

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2002;287(1):43-44. doi:10.1001/jama.287.1.40

To the Editor: Dr Flum and colleagues1 reported that the rate of misdiagnosis of appendicitis has remained unchanged during the last decade, although the use of ultrasound, computed tomography, and laparoscopy has increased. They found a significant increase of unnecessary laparoscopic appendectomies (LAs), especially in the high-risk group of women aged 15 to 45 years. This result cannot be used as an argument against laparoscopic appendectomy, because the potential for selection bias in observational studies is high.

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