根据ACR的适当性标准®,急性肘部和前臂疼痛
, Karen C Chen1, Alice S Ha2
1VA San Diego Healthcare System, San Diego, California.
Journal of the American College of Radiology : JACR
|November 2, 2024
概括
急性肘部疼痛源于创伤或其他原因,影响骨,带或肌. 美国放射学学院的适当性标准指导基于证据和专家共识的成像和治疗决策.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 基于证据的医学 基于证据的医学
背景情况:
- 急性肘部疼痛具有多种创伤和非创伤的起源.
- 病理过程涉及骨,带和肌结构.
- 临床决策需要可靠的诊断和治疗指南.
研究的目的:
- 概述美国放射学学院适当性标准背后的方法.
- 解释如何评估临床指南的证据.
- 详细说明确定适合肘部疼痛的成像和治疗的过程.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 调整已建立的方法原则,如对建议的评价,开发和评估 (GRADE) 的评级.
- 使用RAND/UCLA适当性方法进行基于场景的评估.
主要成果:
- 准则是通过多学科专家小组的年度审查来制定的.
- 证据评估包括文献分析和专家意见,当文献有限时.
- 兰德/UCLA方法有助于确定程序的适当性.
结论:
- 美国放射学学院的适当性标准为急性肘部疼痛提供了基于证据的指导.
- 方法确保对证据的严格评估,包括专家的共识.
- 这些标准有助于优化对肘部疾病的成像和治疗策略.
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