Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis
Objective: To assess the accuracy of ultrasound in diagnosing acute appendicitis in pregnant women. Mechanism: The National Library of Medicine (MEDLINE, 1990–2020), Excerpta Medica Database (EMBASE,1946–2020) and the Cochrane Controlled Trials Register (CENTRAL) were used to extract articles that w...
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| Format: | Article |
| Language: | English |
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IMR Press
2022-01-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901015 |
| _version_ | 1828215088548413440 |
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| author | Yunlong Li Shikuan Li |
| author_facet | Yunlong Li Shikuan Li |
| author_sort | Yunlong Li |
| collection | DOAJ |
| description | Objective: To assess the accuracy of ultrasound in diagnosing acute appendicitis in pregnant women. Mechanism: The National Library of Medicine (MEDLINE, 1990–2020), Excerpta Medica Database (EMBASE,1946–2020) and the Cochrane Controlled Trials Register (CENTRAL) were used to extract articles that were published in English. A total of five studies involving 521 patients were selected. The DerSimonian and Laird random-effects model and Quality Assessment Tool for Diagnostic Accuracy (QUADAS-2) were used to analyze the data. Findings in brief: We identified 140 related articles and included 5 articles enrolling 521 patients. The values obtained using ultrasound for appendicitis during pregnancy were sensitivity of 0.62 (95% Confidence interval (CI): 0.43–0.78), the specificity of 0.91 (95% CI: 0.74–0.97), and the Positive Likelihood Ratio of 7.0 (95% CI: 2.5–19.7), the Negative Likelihood Ratio of 0.41 (95% CI: 0.27–0.63) and the Diagnostic Odds Ratio of 17 (95% CI : 6–49). Conclusion: Ultrasound had medium-level sensitivity and high specificity for the diagnosis of appendicitis in pregnant women. |
| first_indexed | 2024-04-12T15:15:31Z |
| format | Article |
| id | doaj.art-bbd0ade26b5943ae82b04628036696b7 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-04-12T15:15:31Z |
| publishDate | 2022-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-bbd0ade26b5943ae82b04628036696b72022-12-22T03:27:38ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-01-014911510.31083/j.ceog4901015S0390-6663(22)01665-7Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysisYunlong Li0Shikuan Li1Department of Emergency General Surgery, the Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, ChinaDepartment of Emergency General Surgery, the Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, ChinaObjective: To assess the accuracy of ultrasound in diagnosing acute appendicitis in pregnant women. Mechanism: The National Library of Medicine (MEDLINE, 1990–2020), Excerpta Medica Database (EMBASE,1946–2020) and the Cochrane Controlled Trials Register (CENTRAL) were used to extract articles that were published in English. A total of five studies involving 521 patients were selected. The DerSimonian and Laird random-effects model and Quality Assessment Tool for Diagnostic Accuracy (QUADAS-2) were used to analyze the data. Findings in brief: We identified 140 related articles and included 5 articles enrolling 521 patients. The values obtained using ultrasound for appendicitis during pregnancy were sensitivity of 0.62 (95% Confidence interval (CI): 0.43–0.78), the specificity of 0.91 (95% CI: 0.74–0.97), and the Positive Likelihood Ratio of 7.0 (95% CI: 2.5–19.7), the Negative Likelihood Ratio of 0.41 (95% CI: 0.27–0.63) and the Diagnostic Odds Ratio of 17 (95% CI : 6–49). Conclusion: Ultrasound had medium-level sensitivity and high specificity for the diagnosis of appendicitis in pregnant women.https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901015acute appendicitisultrasounddiagnostic studypregnancymeta-analysis |
| spellingShingle | Yunlong Li Shikuan Li Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis Clinical and Experimental Obstetrics & Gynecology acute appendicitis ultrasound diagnostic study pregnancy meta-analysis |
| title | Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis |
| title_full | Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis |
| title_fullStr | Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis |
| title_full_unstemmed | Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis |
| title_short | Potential of ultrasound in the evaluation of acute appendicitis during pregnancy: a systematic review and meta-analysis |
| title_sort | potential of ultrasound in the evaluation of acute appendicitis during pregnancy a systematic review and meta analysis |
| topic | acute appendicitis ultrasound diagnostic study pregnancy meta-analysis |
| url | https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901015 |
| work_keys_str_mv | AT yunlongli potentialofultrasoundintheevaluationofacuteappendicitisduringpregnancyasystematicreviewandmetaanalysis AT shikuanli potentialofultrasoundintheevaluationofacuteappendicitisduringpregnancyasystematicreviewandmetaanalysis |