Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
CMAJ Open. 2023 Mar 14;11(2):E248-E254. doi: 10.9778/cmajo.20220098. Print 2023 Mar-Apr.
Comprehensive diagnostic imaging referral guidelines are an important tool to assist referring clinicians and radiologists in determining the safest and best-clinical-value diagnostic imaging study for their patients; the Canadian Association of Radiologists (CAR) last produced its diagnostic imaging referral guidelines in 2012. In partnership with several national organizations, referring clinicians, radiologists, and patient and family advisors from across Canada, the association is redoing its referral guidelines using a new methodology for guideline development, and these guideline recommendations will be suited for integration into clinical decision support systems.
Expert panels of radiologists, referring clinicians and a patient advisor will work with epidemiologists at the CAR to create guidelines across 13 clinical sections. The expert panel for each section will first create a comprehensive list of clinical and diagnostic scenarios to include in the guidelines. Canadian Association of Radiologists epidemiologists will then conduct a systematic rapid scoping review to identify systematically produced guidelines from other guideline groups. The corresponding expert panel will develop diagnostic imaging recommendations for each clinical and diagnostic scenario using the recommendations identified from the scoping review and contextualize them to the Canadian health care systems. The expert panels will accomplish this using an adapted Grading of Recommendations Assessment, Development and Evaluation framework, which reflects the benefits and harms, values and preferences, equity, accessibility, resources and cost.
Freely available, up-to-date, comprehensive Canadian-specific diagnostic imaging referral guidelines are needed. A transparent and structured guideline-development approach will aid the CAR and its partners in producing guidelines across its 13 sections.
综合诊断成像转诊指南是协助转诊临床医生和放射科医生为患者确定最安全和最具临床价值的诊断成像研究的重要工具；加拿大放射学家协会 (CAR) 最后一次制定诊断成像转诊指南是在 2012 年。该协会与加拿大各地的几家国家组织、转诊临床医生、放射科医生以及患者和家庭顾问合作，正在使用新的指南制定方法来重新制定其转诊指南，这些指南建议将适合整合到临床决策支持系统中。
放射科医生、转诊临床医生和患者顾问的专家小组将与 CAR 的流行病学家合作，为 13 个临床科室制定指南。每个科室的专家小组将首先创建一份包含在指南中的全面临床和诊断情况清单。然后，加拿大放射学家协会的流行病学家将对其他指南小组系统生成的指南进行系统快速范围审查。相应的专家小组将使用从范围审查中确定的建议，并将其置于加拿大医疗保健系统的背景下，为每个临床和诊断情况制定诊断成像建议。专家小组将使用改编的评估、制定和评价建议的分级框架来完成此操作，该框架反映了收益和危害、价值观和偏好、公平性、可及性、资源和成本。
需要免费、最新、全面的加拿大特定诊断成像转诊指南。透明和结构化的指南制定方法将帮助 CAR 及其合作伙伴在其 13 个科室制定指南。
