Mandatory imaging in the work-up of children suspected of having appendicitis reduces the rate of unnecessary surgeries

Study evaluates impact of 2010 Dutch appendicitis guideline requiring mandatory preoperative imaging (ultrasound first, CT/MRI if inconclusive) in pediatric patients. Cohort comparison of 748 children shows ultrasound use increased from 46% to 95% post-implementation, examining whether guideline reduced unnecessary appendectomies.