Reviewer's report
Title:A new Adult Appendicitis Score improves diagnostic accuracy of acute
appendicitis - A prospective study
Version:2Date:29 March 2014
Reviewer: Neil Merrett
Reviewer's report:
Well written paper developing a new scoring system for acute appendicitis based
on proprestively developed data.
No major compulsory issues
No minor essential revisions
discretionary revisions. Paper could be improved by addressing the following
issues
1. Ct had high sensitivity and specificity but was only performed in a small
number of patients. what were the indications for CT scanning used in the study
2. There is much discussion of the risks associated with ionising radiation
particulalry in the young. Rather than simply give a citation to EJ Hall 2008, could
this actual risk be quatified in the discussion
3. Ultrasound is not discussed as a "low risk" diagnostic imaging tool. Could the
role of ultrasound in diagnosis of appendicits be discussed and would ultrasound
have improved diagnosis in those determined as having medium risk by this
scoring method
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that i have no competing interests .
Reviewer's report
Title:A new Adult Appendicitis Score improves diagnostic accuracy of acute
appendicitis - A prospective study
Version:2Date:29 March 2014
Reviewer: Neil Merrett
Reviewer's report:
Well written paper developing a new scoring system for acute appendicitis based
on proprestively developed data.
No major compulsory issues
No minor essential revisions
discretionary revisions. Paper could be improved by addressing the following
issues
1. Ct had high sensitivity and specificity but was only performed in a small
number of patients. what were the indications for CT scanning used in the study
2. There is much discussion of the risks associated with ionising radiation
particulalry in the young. Rather than simply give a citation to EJ Hall 2008, could
this actual risk be quatified in the discussion
3. Ultrasound is not discussed as a "low risk" diagnostic imaging tool. Could the
role of ultrasound in diagnosis of appendicits be discussed and would ultrasound
have improved diagnosis in those determined as having medium risk by this
scoring method
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that i have no competing interests .
Please review this paper.
user
Reviewer's report
Title:A new Adult Appendicitis Score improves diagnostic accuracy of acute
appendicitis - A prospective study
Version:2Date:29 March 2014
Reviewer: Neil Merrett
Reviewer's report:
Well written paper developing a new scoring system for acute appendicitis based
on proprestively developed data.
No major compulsory issues
No minor essential revisions
discretionary revisions. Paper could be improved by addressing the following
issues
1. Ct had high sensitivity and specificity but was only performed in a small
number of patients. what were the indications for CT scanning used in the study
2. There is much discussion of the risks associated with ionising radiation
particulalry in the young. Rather than simply give a citation to EJ Hall 2008, could
this actual risk be quatified in the discussion
3. Ultrasound is not discussed as a "low risk" diagnostic imaging tool. Could the
role of ultrasound in diagnosis of appendicits be discussed and would ultrasound
have improved diagnosis in those determined as having medium risk by this
scoring method
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that i have no competing interests .
assistant