Models | Variables required | Points scored | Cutoff/total points | Sensitivity (95% CI) | Specificity (95% CI) | ROC c statistics (95% CI) |
---|---|---|---|---|---|---|
1. Bröker et al. [32] | CRP | ≥ 3.0 (1) | 2/2 | 64.1% (52.3–75.8%) | 83.1% (79.1–87.1%) | 0.778 (0.719–0.837) |
 | Duration of symptoms | ≥ 2 days (1) |  |  |  |  |
2. Imaoka et al. [28] | Temp | ≥ 37.4 °C (1) | 1/3 | 84.9% (77.4–94.5%) | 68.6% (63.7–73.6%) | 0.800 (0.745–0.854) |
 | CRP | ≥ 4.7 (1) |  |  |  |  |
 | Periappendiceal fluid | Yes (1) |  |  |  |  |
3. Khan et al. [16] | Age | 40–59 years (1) | 2/4 | 73.4% (62.6–84.3%) | 58.8% (53.6–61.1%) | 0.694 (0.630–0.759) |
 |  | ≥ 60 years (2) |  |  |  |  |
 | Duration of symptoms | ≥ 2 days (1) |  |  |  |  |
 | Appendicolith | Yes (1) |  |  |  |  |
4. TH Kim et al. [33] | Appendiceal diameter | > 10 mm (1) | 3/4 | 56.3% (44.1–68.4%) | 86.1% (82.4–89.8%) | 0.777 (0.718–0.835) |
 | Ascites | Yes (1) |  |  |  |  |
 | Fat stranding | Yes (1) |  |  |  |  |
 | CRP | > 5.0 mg/dL (1) |  |  |  |  |
5. Kang et al. [34] | Temp | ≥ 37.9 °C (1) | 4/8 | 60.9% (49.0–72.9%) | 85.2% (81.4–89.0%) | 0.772 (0.706–0.839) |
 | Abdominal pain score | 4–6 (1), ≥ 7 (2) |  |  |  |  |
 | WBC count | > 13,660/μL (1) |  |  |  |  |
 | NLR | ≥ 10.9 (1) |  |  |  |  |
 | CRP | ≥ 6.6 (3) |  |  |  |  |
6. Atema et al. [31] | Age | ≥ 45 years (2) | 7/22 | 76.6% (66.2–86.9%) | 74.8% (70.2–79.5%) | 0.826 (0.774–0.878) |
 | Temp | ≤ 37.0 °C (0) |  |  |  |  |
 |  | 37.1–37.9 °C (2) |  |  |  |  |
 |  | ≥ 38.0 °C (4) |  |  |  |  |
 | Duration of symptoms | ≥ 48 h (2) |  |  |  |  |
 | WBC count | > 13,000/μL (2) |  |  |  |  |
 | CRP (mg/dL) | ≤ 5.0 (0) |  |  |  |  |
 |  | 5.0–10.0 (1) |  |  |  |  |
 |  | > 10.0 (2) |  |  |  |  |
 | Extraluminal free air | Present (5) |  |  |  |  |
 | Periappendiceal fluid | Present (2) |  |  |  |  |
 | Appendicolith | Present (2) |  |  |  |  |
7. Avanesov et al. [36] | Age | ≥ 52 years (1) | 2/10 | 81.3% (71.7–90.8%) | 69.2% (64.3–74.2%) | 0.806 (0.749–0.862) |
 | Temp | ≥ 37.5 °C (1) |  |  |  |  |
 | Duration of symptoms | ≥ 48 h (1) |  |  |  |  |
 | Appendix diameter | ≥ 14 mm (1) |  |  |  |  |
 | Periappendiceal fluid | Present (2) |  |  |  |  |
 | Extraluminal air present | Present (1) |  |  |  |  |
 | Abscess | Present (3) |  |  |  |  |
8. HY Kim et al. [37] | Segmented neutrophils | ≥ 81% (1) | 3/6 | 64.1% (52.3–75.8%) | 87.6% (84.1–91.0%) | 0.838 (0.788–0.889) |
 | Contrast-enhancement of the appendiceal wall | Defect (1) |  |  |  |  |
 | Abscess | Present (1) |  |  |  |  |
 | Fat stranding | Moderate or severe (1) |  |  |  |  |
 | Appendiceal diameter | ≥ 10 mm (1) |  |  |  |  |
 | Extraluminal air | Present (1) |  |  |  |  |
9. Model 1 (our model) | CRP (mg/dL) | 3.0–5.9 (2) | 6/10 | 82.8% (73.6–92.1%) | 82.8% (78.5–86.6%) | 0.878 (0.829–0.928) |
 |  | ≥ 6.0 mg/dL (3) |  |  |  |  |
 | Fat stranding | Grade 1 (3) |  |  |  |  |
 |  | Grade 2 (4) |  |  |  |  |
 |  | Grade 3 (5) |  |  |  |  |
 | Appendicolith | Present (1) |  |  |  |  |
 | Ascites | Present (1) |  |  |  |  |
10. Model 2 (our model) | CRP (mg/dL) | 3.0–5.9 (2) | 6/10 | 81.3% (71.7–90.8%) | 82.3% (78.2–86.3%) | 0.879 (0.830–0.927) |
 |  | ≥ 6.0 mg/dL (3) |  |  |  |  |
 | Fat stranding | Grade 1 (3) |  |  |  |  |
 |  | Grade 2 (4) |  |  |  |  |
 |  | Grade 3 (5) |  |  |  |  |
 | NLR | > 10 (1) |  |  |  |  |
 | Ascites | Present (1) |  |  |  |  |