Pediatric abdominal radiograph use, constipation, and significant misdiagnoses

The Journal of Pediatrics
Stephen B FreedmanSuzanne Schuh


To determine the proportion of children diagnosed with constipation assigned a significant alternative diagnosis within 7 days (misdiagnosis), if there is an association between abdominal radiograph (AXR) performance and misdiagnosis, and features that might identify children with misdiagnoses. We conducted a retrospective cohort study of consecutive children <18 years who presented to a pediatric emergency department in Toronto, between 2008 and 2010. Children assigned an International Statistical Classification of Diseases and Related Health Problems 10th Revision code consistent with constipation were eligible. Misdiagnosis was defined as an alternative diagnosis during the subsequent 7 days that resulted in hospitalization or an outpatient procedure that included a surgical or radiologic intervention. Constipation severity was classified employing text word categorization and the Leech score. 3685 eligible visits were identified. Mean age was 6.6 ± 4.4 years. AXR was performed in 46% (1693/3685). Twenty misdiagnoses (0.5%; 95% CI 0.4, 0.8) were identified (appendicitis [7%], intussusception [2%, bowel obstruction [2%], other [9%]). AXR was performed more frequently in misdiagnosed children (75% vs 46%; P = .01). These child...Continue Reading


Nov 1, 1976·Pediatric Annals·D R Fleisher
Dec 1, 1992·Annals of Emergency Medicine·S G RothrockC B Hummel
Jun 1, 1988·The British Journal of Surgery·J P Campbell, A A Gunn
Apr 1, 1995·European Journal of Pediatrics·M A BenningaJ A Taminiau
Dec 1, 1996·Journal of Clinical Epidemiology·P PeduzziA R Feinstein
May 23, 1998·Clinical Pediatrics·S J ScholerR S Dittus
Mar 1, 2005·Journal of Pediatric Gastroenterology and Nutrition·Marc BenningaAnnamaria Staiano
Jul 6, 2005·Archives of Pediatrics & Adolescent Medicine·Lieke M Reuchlin-VroklageMarjolein Y Berger
Jul 13, 2005·Archives of Internal Medicine·Mark L GraberRuthanna Gordon
Nov 12, 2005·Pediatric Radiology·Fleur de LorijnMarc A Benninga
Jan 19, 2006·Pediatric Radiology·Maurice van den BoschErik Beek
Feb 8, 2006·Annals of the Royal College of Surgeons of England·C Beverly B LimRichard A Harrison
Jan 18, 2007·Pediatric Emergency Care·Melissa K MillerMegan Fraker
Nov 24, 2007·The Journal of Pediatrics·Vera Loening-Baucke, Alexander Swidsinski
Sep 24, 2008·Pediatric Radiology·Martin H Reed
Nov 26, 2010·Pediatrics·David SchnadowerUNKNOWN American Academy of Pediatrics Pediatric Emergency Medicine Collaborative Research Committee
Apr 14, 2011·European Journal of Pediatrics·Jozette J C StienenMariëlle M T J Ouwens
Dec 15, 2011·Journal of Pediatric Gastroenterology and Nutrition·Stephen B FreedmanKevin J Chan
Aug 1, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Anne G MatlowCheri Nijssen-Jordan

❮ Previous
Next ❯


Jul 15, 2015·The Journal of Pediatrics·Jacob KurowskiLee M Bass
Apr 4, 2015·Journal of Pediatric Urology·Matthew D MasonStacy T Tanaka
Apr 14, 2016·Journal of Pediatric Gastroenterology and Nutrition·John R StephensJay G Berry
Oct 9, 2018·Journal of Paediatrics and Child Health·Misel TrajanovskaSharon Goldfeld
Apr 27, 2019·Current Gastroenterology Reports·M J van MillM A Benninga
Aug 14, 2019·Hospital Pediatrics·Akshata Hopkins, Stephanie J Doniger
Jul 26, 2018·Pediatric Emergency Care·Ryan KearneyEileen Klein
Jun 15, 2016·Pediatric Emergency Care·Stephanie J DonigerCornelia Latronica
Jan 11, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Katherine Clark, David C Currow
Mar 19, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Thakoon Wiriyachai, Pornthep Tanpowpong
Jun 8, 2017·AJR. American Journal of Roentgenology·Sarah J MenasheA Luana Stanescu
Jun 21, 2017·Pediatric Emergency Care·Stefania NorbedoEgidio Barbi
Feb 27, 2018·Paediatrics & Child Health·Alison NutterQuynh Doan
Mar 16, 2021·Pediatric Quality & Safety·Matthew J LipshawEileen Murtagh Kurowski
Sep 30, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Monika K GoyalUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
May 2, 2017·The Journal of Pediatrics·Stephen B FreedmanMark I Neuman
Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Jasmin England, Natasha Li
Sep 1, 2021·JAMA Network Open·Kenneth A MichelsonRichard G Bachur

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society
Lutz NaehrlichGerman CF quality assurance group
Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
Xin Hu, Guangwen Lu
© 2021 Meta ULC. All rights reserved