ACR Appropriateness Criteria® Anorectal Disease.
J Am Coll Radiol
; 18(11S): S268-S282, 2021 11.
Article
de En
| MEDLINE
| ID: mdl-34794588
ABSTRACT
This review summarizes the relevant literature for the selection of the initial imaging in 4 clinical scenarios in patients with suspected inflammatory disease or postoperative complication of the anorectum. These clinical scenarios include suspected perianal fistula or abscess; rectovesicular or rectovaginal fistula; proctitis or pouchitis; and suspected complication following proctectomy, coloproctectomy, or colectomy with a pouch or other anastomosis. The appropriateness of imaging modalities as they apply to each clinical scenario is rated as usually appropriate, may be appropriate, and usually not appropriate to assist the selection of the most appropriate imaging modality in the corresponding clinical scenarios of anorectal disease. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Maladies du rectum
/
Sociétés médicales
Type d'étude:
Diagnostic_studies
/
Guideline
/
Systematic_reviews
Limites:
Humans
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
J Am Coll Radiol
Sujet du journal:
RADIOLOGIA
Année:
2021
Type de document:
Article