SciELO - Scientific Electronic Library Online

 
vol.45 número1Costo/beneficio de la profilaxis antibiótica en la hernioplastia inguinal electivaCaracterísticas clínicas y complicaciones en pacientes que reciben asistencia respiratoria mecánica en la unidad de cuidados intensivos de adultos del Hospital de Clínicas índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Anales de la Facultad de Ciencias Médicas (Asunción)

versión impresa ISSN 1816-8949

Resumen

SEGOVIA LOHSE, HA. Surgical - pathologic concordance in the diagnosis of the acute apendicitis. An. Fac. Cienc. Méd. (Asunción) [online]. 2012, vol.45, n.1, pp.35-44. ISSN 1816-8949.

Background: It is necessary to make a correct classification of acute appendicitis due to the different treatment according to the stage of the disease. Several studies have analyzed the surgical and pathologic concordance with varying results. The objective of this study is to determine the correlation between the surgical diagnosis made by the surgeon and the pathological report made by the pathologist. Methods: Observational analytic, inter-observer agreement study, of 266 of patients older than 15 years with a diagnosis of acute appendicitis operated in 2008-2009. Descriptive statistics were used for demographics, and nonparametric statistics (kappa index) to analyze the correlation between the surgical diagnosis and pathology report. Results: 266 patients with an average age of 31 (± 13, 15-86) and male/female ratio of approximately 3:2. The diagnosis of acute appendicitis was performed in 98% and 94% by surgeons and pathologists respectively, with a kappa index of 0.3466 (SE 0.1705, 0.0104-0.6788, 95%). Surgeons diagnosed as such only 24% of the appendix without inflammation confirmed by pathology. Categorizing acute appendicitis as congestive, phlegmonous and gangrenous/perforated a kappa index was obtained of 0.2235 (SE 0.0487, 0.1281-0.3189, 95%). Negative appendectomy was 6%. Conclusions: The surgical-pathologic concordance was poor. Surgeons have an inadequate ability to exactly classify non inflamed appendix. The negative appendectomy rate was low.

Palabras clave : Appendicitis; Appendectomy; Concordance; Diagnostic errors.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons