[Quality control--results of the first survey of pediatric surgery in Hungary]

161 patients underwent appendectomy at the Surgical Unit of the Department Paediatrics, Medical School of Pécs, Hungary between 1. January, 1988 and 31. December, 1995. Biochemical results--sedimentation rate, CRP (C-reactive protein) and leucocytosis were compared to the operative findings as far as their predictive diagnostic value was concerned. The patients were grouped according to inflamed (n = 141) or non-inflamed appendix (n = 20). Based on the outcome of statistical analysis the author concluded, that there was no significant difference between the informations given by the above-mentioned biochemical results, regarding the strengthening of the preoperative diagnosis, also the combination of the data of the biochemistry tests did not help in deciding to operate on patients with suspected appendicitis. The changing policy and conditions of the health insurance in Hungary are forcing the medical doctors to analyse more frequently the effectiveness of their activity.