[The use of imaging in the case of suspected acute appendicitis: opinion of Dutch surgeons].
OBJECTIVE
To gauge the opinion of Dutch surgeons concerning the use of ultrasound and CT in the case of a suspected acute appendicitis.


METHODS
Written survey.


METHODS
All 1020 members of the Association of the Surgeons of the Netherlands received a questionnaire with 8 statements concerning the diagnosis of acute appendicitis. The statements could be answered with 'agree', 'disagree', or 'no opinion'.


RESULTS
The questionnaire was returned by 439 members (43%). A majority (64%) of these respondents established the diagnosis acute appendicitis on the basis of clinical symptoms, whereas a minority (22%) routinely performed ultrasound. For a classical presentation, 45% of the respondents thought ultrasound was indicated; for less than 3 classical symptoms, 70% of the respondents thought ultrasound was indicated. For women of fertile age, 74% of the respondents thought ultrasound was indicated. Approximately half (46%) of the surgeons always had access to a radiologist who could reliably perform ultrasound imaging, whereas 34% did not. The combination of ultrasound and CT was considered to be a reliable diagnostic procedure by 74% of the surgeons.


CONCLUSIONS
The majority of the surgeons considered acute appendicitis to be mainly a clinical diagnosis.
Waterlandziekenhuis, afd. Heelkunde, Purmerend, The Netherlands. ppoortman@wlz.nl
Pieter
P
Poortman
Henk J M
HJ
Oostvogel
Elly S M
ES
de Lange-de Klerk
Miguel A
MA
Cuesta
Jaap F
JF
Hamming
D001064:Appendicitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D019538:Health Care Surveys; D006801:Humans; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography