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. 2020 Nov 19;406(1):141–152. doi: 10.1007/s00423-020-02022-7

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© The Author(s) 2020

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Fig. 1 — Learning circle of the DIALAPP study. Starting with the formation of a learning community in order to minimize the rate of negative appendectomies and CT scans in the diagnosis of acute appendicitis. After the analysis of our institutional retrospective data of Liese et al. (data to knowledge), a diagnostic pathway was implemented and prospectively evaluated as part of the DIALAPP study (knowledge to practice). As a result, we found a reduction in the NAR and CT rate (practice to data) (NAR, negative appendectomy rate)