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Invited Commentary
September 2013

Evaluating the Role of Computed TomographyHave They Gone Far Enough?

Author Affiliations
  • 1Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon
JAMA Surg. 2013;148(9):816. doi:10.1001/jamasurg.2013.2538

Inaba and colleagues1 performed a prospective evaluation of their algorithm for the management of asymptomatic abdominal stab wounds. They have shown that routine computed tomographic scanning adds nothing to the evaluation and, in fact, physical examination is more accurate than computed tomography in predicting the need for a therapeutic laparotomy. I would like to commend the authors on objectively evaluating the way they manage patients and coming to the conclusion that their algorithm is not supported by their findings. There are other aspects of their data that suggest that further change in management may be indicated.

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