The Clinical and Economic Correlates of Nonspecific Abdominal Pain Mismanaged by Appendectomy

In a recent ARCHIVES article by Flum and Koepsell,¹ the authors had rather mixed cards and inappropriately called for the clinical and financial costs incurred by patients undergoing negative appendectomy (NA) to be considered when evaluating system-level interventions to improve the treatment of appendicitis. The implications of NA should be more appropriately considered when the treatment of nonspecific abdominal pain (NSAP) is evaluated.