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Peer review report 1 on “Management of alternative pathology detected using CT KUB in suspected ureteric colic”
International Journal of Surgery 25 Supplement 1 (2016) S331
Contents lists available at ScienceDirect
International Journal of Surgery journal homepage: www.journal-surgery.net
Peer review report
Peer review report 1 on “Management of alternative pathology detected using CT KUB in suspected ureteric colic” 1. Original submission 1.1. Recommendation Minor Revision.
* Especially in female population, did urine detailed report or ultrasound was performed before going for CT scan? * As a matter of fact I think one should perform noninvasive tests like urine DR and ultrasound if a patient presented with abdominal pain, before CT scan with such high radiation exposure.
1.2. Comments to the author Conclusion: Material and Methods: * Authors did not mention who reviewed the CT scans. Did you look for inter observer variability among radiologists to confirm the findings? * Did radiologists especially look for secondary signs of ureteral stones such as fat stranding or proximal ureteral dilatation to rule out stone in the ureter completely? * Kindly mention who were the referring doctors for CT scans; Urologists, ED physicians, surgeons/gynecologists or general physicians? * Once in emergency department, did ED physicians perform urine for dipstick to look for RBC's before embarking on CT scan?
DOI of published article: http://dx.doi.org/10.1016/j.ijsu.2016.06.047. http://dx.doi.org/10.1016/j.ijsu.2016.09.032 1743-9191
* Based on your findings would you like to suggest in your conclusion an algorithm based process to be envisaged in your department to further reduce “indication creep”. Naveed Haroon, MBBS Aga Khan University Hospital, Department of Surgery, Section of Urology, Aga Khan University Hospital, Stadium Road, Karachi, Sindh 3500, Pakistan E-mail addresses: [email protected], [email protected].
Contents lists available at ScienceDirect
International Journal of Surgery journal homepage: www.journal-surgery.net
Peer review report
Peer review report 1 on “Management of alternative pathology detected using CT KUB in suspected ureteric colic” 1. Original submission 1.1. Recommendation Minor Revision.
* Especially in female population, did urine detailed report or ultrasound was performed before going for CT scan? * As a matter of fact I think one should perform noninvasive tests like urine DR and ultrasound if a patient presented with abdominal pain, before CT scan with such high radiation exposure.
1.2. Comments to the author Conclusion: Material and Methods: * Authors did not mention who reviewed the CT scans. Did you look for inter observer variability among radiologists to confirm the findings? * Did radiologists especially look for secondary signs of ureteral stones such as fat stranding or proximal ureteral dilatation to rule out stone in the ureter completely? * Kindly mention who were the referring doctors for CT scans; Urologists, ED physicians, surgeons/gynecologists or general physicians? * Once in emergency department, did ED physicians perform urine for dipstick to look for RBC's before embarking on CT scan?
DOI of published article: http://dx.doi.org/10.1016/j.ijsu.2016.06.047. http://dx.doi.org/10.1016/j.ijsu.2016.09.032 1743-9191
* Based on your findings would you like to suggest in your conclusion an algorithm based process to be envisaged in your department to further reduce “indication creep”. Naveed Haroon, MBBS Aga Khan University Hospital, Department of Surgery, Section of Urology, Aga Khan University Hospital, Stadium Road, Karachi, Sindh 3500, Pakistan E-mail addresses: [email protected], [email protected].