PMID: 2532048Oct 1, 1989

Clinical decision making and laparoscopy versus computer prediction in the management of the acute abdomen

The British Journal of Surgery
S Paterson-BrownH A Dudley


A prospective study has been undertaken of 321 patients with acute abdominal pain admitted to hospital under one surgical firm over a period of 21 months. During the first 10 months patients were classified on admission according to the perceived need for operation, with laparoscopy being performed on all those in whom the need for operation was uncertain. In addition, all women with suspected appendicitis underwent laparoscopy because previous studies by us and others have demonstrated a high error rate in this group. During the second 11 months of the study a similar system of classification and procedure was used but the patient's initial assessment was entered on a structured data sheet. After the patient had been discharged home this information was entered into a computer-aided diagnosis program. Hypothetical retrospective computer-aided decisions were then made about patient management. The final management error rate (correct decision to operate or not) was compared with the actual error rate using the clinical system. The final overall error rate in the first 10 months was 11 out of 163 patients and this was improved to 3 out of 158 in the second 11 months of the study by the addition of the structured data sheet to se...Continue Reading


Apr 1, 1977·The British Journal of Surgery·D H WilsonF T de Dombal
Feb 1, 1975·The British Journal of Surgery·C EvansA V Pollock
Apr 1, 1989·The British Journal of Surgery·A A Gunn
Jan 1, 1989·The British Journal of Surgery·G C Sutton
May 1, 1989·World Journal of Surgery·H A DudleyJ R Eckersley
Dec 1, 1986·The British Journal of Surgery·S Paterson-BrownH A Dudley
May 14, 1988·British Medical Journal·S Paterson-BrownH A Dudley
Jun 18, 1988·British Medical Journal·A WoodwardC Murphy
Sep 27, 1986·British Medical Journal·I D AdamsN McIntyre
Sep 10, 1987·The New England Journal of Medicine·J B PuylaertR A Blok
Apr 1, 1972·British Medical Journal·F T de DombalJ C Horrocks
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Sep 1, 1991·Baillière's Clinical Gastroenterology·A A Gunn
Sep 1, 1991·Baillière's Clinical Gastroenterology·S Paterson-Brown
Apr 8, 1998·The British Journal of Surgery·H KörnerT H Lende
Nov 2, 1991·BMJ : British Medical Journal·S Paterson-Brown
May 1, 1995·World Journal of Surgery·B NavezP Guiot
Apr 1, 1990·The British Journal of Surgery·P F Jones
Jan 1, 1990·The British Journal of Surgery·S Paterson-Brown, M N Vipond
Feb 1, 1991·The British Journal of Surgery·R J BaigrieJ N Thompson
Jun 1, 1993·The British Journal of Surgery·J J TateA K Li
Jul 1, 1993·The British Journal of Surgery·J B OlsenP E Haahr
Feb 1, 1991·The British Journal of Surgery·S Paterson-BrownD C Carter
Jan 13, 2018·Journal of Perioperative Practice·Jeremy BattJames Oliver

Related Concepts

Abdomen, Acute
Decision Making, Shared
Computer Assisted Diagnosis
Surgical Procedures, Laparoscopic
Therapy, Computer-Assisted

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