Exploring the evidence-practice gap in the use of plain radiography for acute abdominal pain and intestinal obstruction: a systematic review and meta-analysis

International Journal of Evidence-based Healthcare
Gary DenhamTiffany-Jane Evans

Abstract

Previous studies, some dating back several decades, have recommended that the use of plain abdominal radiography should be curbed, particularly with the growth of more accurate imaging modalities. However, evidence from referral data suggests that plain abdominal radiography continues to be a commonly requested examination. The aim of this review was to explore the gap between evidence and practice by re-examining the evidence using a robust methodology, investigating the diagnostic accuracy of plain abdominal radiography. Studies were identified from electronic databases and reference lists. Eligible studies provided data as to the sensitivity and specificity of plain abdominal radiography for either acute abdominal pain (Group A) or suspected intestinal obstruction (Group B). Version 2 of the Quality Assessment of Diagnostic Accuracy Studies was used to assess the quality of studies and hierarchical summary receiver operator characteristic curves and coupled forest plots were generated. Four studies evaluated plain abdominal radiography for acute abdominal pain (Group A) and 10 for suspected intestinal obstruction (Group B). Two studies investigated both presentations and were included in both groups. Methodological quality o...Continue Reading

References

Feb 1, 1976·American Journal of Surgery·B J BrewerS L Wangensteen
Apr 1, 1989·Radiology·J B MarkusG W Stevenson
Jan 1, 1982·Annals of Emergency Medicine·T A McCookR P Rice
Jul 1, 1980·Clinical Radiology·G J de LaceyB Cramer
Dec 1, 1996·AJR. American Journal of Roentgenology·D D MaglinteS N Gage
Dec 22, 1999·The American Journal of Emergency Medicine·J T NagurneyR H Fischer
Sep 25, 2001·Statistics in Medicine·C M Rutter, C A Gatsonis
May 16, 2006·Biostatistics·Roger M HarbordJonathan A C Sterne
Feb 22, 2007·AJR. American Journal of Roentgenology·William M ThompsonErik K Paulson
Feb 6, 2008·Emergency Radiology·Monica ManginiCarlo Fugazzola
Feb 24, 2009·Emergency Medicine Journal : EMJ·J E Smith, E J Hall
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Nov 3, 2009·Upsala Journal of Medical Sciences·Olle HallerRickard Nyman
Apr 16, 2010·The Cochrane Database of Systematic Reviews·Chibuzo C OdigweMichael B Krawinkel
Jul 9, 2010·The Cochrane Database of Systematic Reviews·Sarah E HetrickRuth Parslow
Aug 18, 2010·Emergency Medicine Journal : EMJ·Kirsty JacksonSimon Judkins
Sep 10, 2010·The American Journal of Emergency Medicine·Adrienne van RandenUNKNOWN OPTIMA study group
Oct 19, 2011·Annals of Internal Medicine·Penny F WhitingUNKNOWN QUADAS-2 Group
Dec 20, 2011·Journal of the Royal Society of Medicine·Zoë Slote MorrisJonathan Grant
Jul 19, 2012·International Journal of General Medicine·Sarah L GansMarja A Boermeester
May 23, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R Carpenter, Jesse M Pines
Jun 14, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mark R Taylor, Nadim Lalani
Aug 28, 2013·American Journal of Obstetrics and Gynecology·Suneet P ChauhanSean C Blackwell
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael A KohnThomas B Newman
Dec 10, 2013·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Patrick D McLaughlinSavvas Nicolaou
Jun 15, 2014·BMJ : British Medical Journal·Trisha GreenhalghUNKNOWN Evidence Based Medicine Renaissance Group
Apr 1, 2010·Research Synthesis Methods·Michael BorensteinHannah R Rothstein
Feb 11, 2016·BMC Health Services Research·Nanna KristensenHanne Konradsen
Apr 26, 2017·Current Gastroenterology Reports·Srinivas R Rami Reddy, Mitchell S Cappell
Apr 19, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kirsten J de BurletElizabeth R Dennett
Jun 12, 2018·Frontiers in Psychiatry·Alisson VenazziHugo Cogo-Moreira
Jan 30, 2019·European Journal of Radiology·Toru HigakiKazuo Awai

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