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April 17, 2017

The Threat of Diagnostic Uncertainty in the Medical Management of Uncomplicated Appendicitis

Author Affiliations
  • 1Division of Emergency Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts
  • 2Department of Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts
JAMA Pediatr. Published online April 17, 2017. doi:10.1001/jamapediatrics.2017.0053

Appendicitis is the most common acute surgical condition, with a lifetime risk of 8%. Over the last 2 decades, there have been significant improvements in the diagnosis and surgical management, which has led to fewer negative appendectomies, shorter hospitalizations, and faster recoveries.1 The prospect of nonoperative management has been proposed as the next major advance in appendicitis care, which shows promise but also brings challenges.

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