Key result
Clinical assessment reliably established the diagnosis of acute appendicitis with a 75.9% accuracy, suggesting that radiological confirmation may not be strictly necessary in resource-poor settings.
Why the study?
Preoperative diagnosis of acute appendicitis can be challenging when radiological tools are unreliable or unavailable, prompting evaluation of the reliability of clinical assessment against histopathology.
How reliable is clinical assessment compared to histopathological diagnosis for acute appendicitis in a resource-limited setting?
Population
112 patients aged 16 years and above with clinically diagnosed acute appendicitis in Nigeria
Comparison
Clinical diagnosis vs histopathological examination
Design
Prospective cross-sectional study
Authors
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Clinical diagnosis alone may yield unnecessary surgery in resource-limited settings; leaves open the need for adjunctive diagnostics in prospective studies.
Cross-Sectional (n=112)
No
How reliable is clinical assessment compared to histopathological diagnosis for acute appendicitis in a resource-limited setting?
Clinical assessment alone yields a 75.9% accuracy for diagnosing acute appendicitis in a setting with limited radiological resources, resulting in a 14.3% negative appendicectomy rate.
Ningi et al. (2021) conducted a cross-sectional in Acute Appendicitis (n=112). Clinical assessment vs. Histopathological diagnosis was evaluated on Accuracy of clinical diagnosis confirmed by histopathological examination. Clinical assessment reliably established the diagnosis of acute appendicitis with a 75.9% accuracy, suggesting that radiological confirmation may not be strictly necessary in resource-poor settings.
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