Download PDFPDF
Diagnostic outcomes following childhood non-specific abdominal pain: a record-linkage study
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Re: Non-specific abdominal pain and appendicitis, an unespected correlation
    • Lucy Howarth, Dr
    • Other Contributors:
      • G C D Thornton, M J Goldacre and R Goldacre

    Dear Editor,

    We thank Dr Di Mascio and his colleagues for their interest in our study. In response we would like to point out that only a very small proportion (5.8%) of the children admitted with NSAP were subsequently hospitalised with bowel pathology (1). The increased relative risk of being diagnosed with appendicitis in the first year following a diagnosis of NSAP is clearly notable.

    Further anal...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Non-specific abdominal pain and appendicitis, an unespected correlation
    • Alberto Di Mascio, Resident
    • Other Contributors:
      • Sergio Ghirardo and Alessandro Ventura

    Dear editor, In their study G C D Thornton and al (1) found a diagnosis of appendicitis in 6065 children out of 268623, previously diagnosed as non specific abdominal pain (NSAP) at the first access, who returned within one year. According to their data, the RR to develop appendicitis in the first year after discharge with a diagnosis of NSAP is 15.04 times higher than the risk in the control cohort. Appendicitis is an a...

    Show More
    Conflict of Interest:
    None declared.