{
  "abstract": "We commend Mori et al’s prospective cohort study in Emergency Medicine Journal on the diagnostic accuracy of the Tongue Coating Index (TCI) for acute appendicitis. This work addresses a key gap in non-invasive abdominal emergency diagnostics—especially valuable in resource-limited settings—and its rigorous comparison with the Alvarado Score offers important clinical insights. We appreciate their validation of a simple, low-burden assessment tool. While the study is methodologically sound, we have several observations to contribute to its clinical translation and future refinement.1",
  "authors": [
    {
      "affiliations": [
        "First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China"
      ],
      "name": "Ningbo Luo"
    },
    {
      "affiliations": [
        "Emergency surgery, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China"
      ],
      "name": "Haoxin Zhou"
    }
  ],
  "title": "Correspondence on “Diagnostic accuracy of tongue coating in identifying acute appendicitis: A prospective cohort study” by Mori et al",
  "uid": "6729dd8b-07a4-5b37-8643-4ae394637211"
}