Key result
Proactive clinical auditing and monitoring is linked to a ~2% negative appendectomy rate.
Why the study?
Acute appendectomy based on clinical diagnosis is associated with a 10-25% negative appendectomy rate, carrying substantial morbidity and mortality.
Does proactive clinical auditing and continuous surgical practice monitoring reduce the negative appendectomy rate in children with suspected appendicitis?
Population
Children with suspected acute abdominal pain and suspected appendicitis at a tertiary pediatric surgical center
Comparison
Proactive clinical auditing and continuous surgical practice monitoring
Design
Prospective clinical audit
Authors
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May support auditing to lower negative appendectomy rates in children; extends observational data but leaves open need for RCTs.
Does proactive clinical auditing and continuous surgical practice monitoring reduce the negative appendectomy rate in children with suspected appendicitis?
Proactive clinical auditing and continuous surgical monitoring significantly reduced the negative appendectomy rate in children to below 2%, improving diagnostic accuracy and patient safety.
Abdulrahman et al. (2026) studied this question. Proactive clinical auditing and monitoring reduced the negative appendectomy rate to below 2% compared to 10-25% reported in literature.
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