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Rutinmässig rektalpalpation vid akut buk har inget visat värde. En genomgång av litteraturen.

Khoshnood, Ardavan LU orcid and Ekelund, Ulf LU orcid (2014) In Läkartidningen 111(3-4). p.89-90
Abstract
A digital rectal examination (DRE) is standard practice in cases of acute abdomen in adult patients. We analyzed the evidence for this by a systematic literature search, and identified 16 relevant original studies. These studies showed that there is no evidence for a diagnostic value of DRE in adult patients with acute abdomen. We should stop doing routine DRE in adult cases of acute abdomen.
Abstract (Swedish)
I klinisk praxis görs palpation per rektum rutinmässigt på vuxna patienter vid akut buk.

Vi utvärderade evidensen för detta genom en systematisk litteratursökning och identifierade 16 relevanta originalstudier.

Dessa visade att det saknas evidens för diagnostisk nytta av rektalpalpation vid akut buk, inklusive misstänkt appendicit.

Rutinmässig rektalpalpation bör inte göras vid akut buk hos vuxna
Please use this url to cite or link to this publication:
author
and
alternative title
Routine rectal palpation in acute abdomen has no proven value. A review of the literature
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Akut Buk, Buksmärta, Appendicit, Per Rektum, Rektalpalpation, Digital rectal examination, Appendicitis
in
Läkartidningen
volume
111
issue
3-4
pages
2 pages
publisher
Swedish Medical Association
external identifiers
  • pmid:24552011
  • scopus:84892767341
ISSN
0023-7205
language
Swedish
LU publication?
no
id
e23e9be9-7545-4935-a27e-8e2be6c6517a (old id 4334453)
alternative location
http://www.lakartidningen.se/Klinik-och-vetenskap/Rapport/2014/01/Rutinmassig-rektalpalpation-vid-akut-buk-har-inget-varde/
date added to LUP
2016-04-01 13:11:01
date last changed
2024-11-07 01:50:35
@article{e23e9be9-7545-4935-a27e-8e2be6c6517a,
  abstract     = {{A digital rectal examination (DRE) is standard practice in cases of acute abdomen in adult patients. We analyzed the evidence for this by a systematic literature search, and identified 16 relevant original studies. These studies showed that there is no evidence for a diagnostic value of DRE in adult patients with acute abdomen. We should stop doing routine DRE in adult cases of acute abdomen.}},
  author       = {{Khoshnood, Ardavan and Ekelund, Ulf}},
  issn         = {{0023-7205}},
  keywords     = {{Akut Buk; Buksmärta; Appendicit; Per Rektum; Rektalpalpation; Digital rectal examination; Appendicitis}},
  language     = {{swe}},
  number       = {{3-4}},
  pages        = {{89--90}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Rutinmässig rektalpalpation vid akut buk har inget visat värde. En genomgång av litteraturen.}},
  url          = {{https://lup.lub.lu.se/search/files/3208278/4616527.pdf}},
  volume       = {{111}},
  year         = {{2014}},
}