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      "@value" : "Background: Studies during the 1990s showed that it was\npossible to reduce the rate of negative appendectomies by using\nvarious diagnostic methods. The present study aims to evaluate\nthe effect on diagnostic accuracy of implementation of repeated\nclinical examination and blood tests in a small county hospital\nwithout possibilities of radiological assistance on a 24-hour\nbasis.\nMethodology: Prospective study of all appendectomies performed\nat Ystad General Hospital, Sweden. Leukocyte count\nand C-reactive protein levels were analysed in all patients.\nPatients with suspicion of acute appendicitis were admitted\nfor active observation, repeated clinical examination and\nanalyses of leukocyte counts and CRP levels.\nResults: 533 appendectomies were performed during 1996-\n2000 and compared with the index year 1995. Diagnostic\naccuracy increased from 73% to 90% (p"
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