Diagnostic performance of surgical criteria incorporating MDCT for suspected acute appendicitis

Objective: To evaluate the effectiveness of a new set of surgical criteria incorporating multidetector computed tomography (MDCT) for suspected acute appendicitis in reducing the percentage of negative appendectomies and surgical complications. Methods: The patients were divided into two groups: Group A, comprising patients who were admitted between 2008 and 2013 and treated based on the new criteria; and Group B, comprising patients who were admitted between 2003 and 2007 and treated based on the standard criteria. Sensitivity, specificity, and positive and negative predictive values were calculated. Results: Out of 1021　patients, 533 (274 males, 259 females) belonged to Group A and 488 (263 males, 225 females) to Group B. Surgical procedures were performed in 46.0% (245 cases) of patients in Group A and 64.3% (314 cases) in Group B (Pu003e0.001). The rate of conservative treatment was significantly higher in Group A. The overall rate of catarrhal appendicitis based on histopathological findings was 6.9% (17...