0
Correspondence |

The Clinical and Economic Correlates of Nonspecific Abdominal Pain Mismanaged by Appendectomy—Reply

David R. Flum, MD, MPH
Arch Surg. 2003;138(1):111. doi:10.1001/archsurg.138.1.111.
Text Size: A A A
Published online

Extract

In reply

Thank you for the opportunity to respond to Dr Ammori's letter regarding our study. I agree with Dr Ammori that our article describes the economic and clinical implications of conditions that are treated with (among other things) appendectomy rather than the cost of the procedure itself. He suggests that patients who undergo NA might better be described as having NSAP. The problem with this distinction is that NSAP is a post hoc assessment most often made after patients have had their normal appendix removed. In the current medical lexicon, a 25-year-old man with right lower quadrant abdominal pain is usually diagnosed as having presumed appendicitis rather than NSAP. The clinical and financial costs we carefully detailed not only represent the cost of the appendectomy but also include the further diagnostic and therapeutic costs of the condition (specific or nonspecific) that was masquerading as appendicitis.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Make the Diagnosis: Appendicitis, Child

The Rational Clinical Examination
Original Article: Does This Child Have Appendicitis?

brightcove.createExperiences();