| Results of computed tomography in family practitioners' patients with non-acute abdominal pain. | |
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MedLine Citation:
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PMID: 15964875 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The utility of abdominal computerized tomography (CT) for evaluating abdominal pain in non-emergency, primary care outpatients is unknown. Family practice patients commonly report abdominal pain. METHODS: We reviewed the records of health maintenance organization primary care outpatients <2 years after they had undergone CT for abdominal pain and assessed demographic variables, clinical and laboratory data, CT findings and final diagnoses. RESULTS: We studied 137 patients: age 58.1 +/- 16.1 years (mean +/- SD), 80 (58.4%) females. Fifty (36.5%) patients had > or =1 warning clinical or laboratory feature. Positive (etiologic) and negative CT reports and unrelated and multiple CT findings occurred in 16 (11.7%), 104 (75.9%), 16 (11.7%) and 1 (0.7%) patients, respectively. Positive findings occurred in 16 (32.0%) patients with > or =1 warning feature and 1 (1.2%) patient (including the 1 patient with multiple findings) with no warning feature (P < 0.0001). One (6.3%) unrelated finding led to treatment, ovariectomy for a benign tumor. Fifty-four (39.4%) patients had a final diagnosis. CONCLUSIONS: A majority of outpatients who had CT for abdominal pain received no diagnosis, and CT was rarely diagnostic for patients lacking a warning feature. Positive and unrelated CT findings were equally prevalent, and the latter were not beneficial. |
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Authors:
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Sonali S Master; George F Longstreth; Amy L Liu |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2005-06-17 |
Journal Detail:
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Title: Family practice Volume: 22 ISSN: 0263-2136 ISO Abbreviation: Fam Pract Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-09-12 Completed Date: 2005-12-23 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8500875 Medline TA: Fam Pract Country: England |
Other Details:
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Languages: eng Pagination: 474-7 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Kaiser Permanente Medical Care Plan, San Diego, California 92120, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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etiology,
radiography* Aged Family Practice Female Humans Male Middle Aged Predictive Value of Tests Retrospective Studies Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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