1. Best evidence topic: Can acute appendicitis manifest with normal inflammatory markers?
- Author
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Pushpa Veeralakshmanan, Rashid Ibrahim, Pedram Panahi, and James Ackah
- Subjects
White cell counts (WCC) ,medicine.medical_specialty ,business.industry ,Acute appendicitis (AA) ,General Medicine ,03 medical and health sciences ,Best Evidence Topic ,0302 clinical medicine ,Inflammatory markers (IM) ,030220 oncology & carcinogenesis ,Internal medicine ,Acute appendicitis ,Medicine ,030211 gastroenterology & hepatology ,Surgery ,Best evidence ,business ,C-reactive protein (CRP) - Abstract
A best evidence topic has been constructed using a described protocol. The three-part question addressed was: for patients with suspected acute appendicitis can normal inflammatory markers rule out the diagnosis? Altogether 151 papers were found using the search strategy reported below. Seven were identified to provide the best evidence to answer the question. The author, journal, date, and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses were tabulated. In conclusion, six out of seven papers are more in favour with the concept that normal inflammatory markers cannot effectively rule out the diagnosis of acute appendicitis., Highlights • The aim is to asses the incidence of normal inflammatory markers among patients with acute appendicitis. • Seven articles were included in this best evidence topic. • Six articles agreed that normal inflammatory markers cannot exclude a diagnosis of acute appendicitis.
- Published
- 2020