Hamel Candyce, Avard Barb, Belanger Catherine, Chatterjee Avi, Hartery Angus, Lim Howard, Kanagaratnam Sivaruban, Fung Christopher
Canadian Association of Radiologists, Ottawa, ON, Canada.
North York General Hospital, Toronto, ON, Canada.
Can Assoc Radiol J. 2024 Aug;75(3):462-472. doi: 10.1177/08465371231217230. Epub 2024 Jan 6.
The Canadian Association of Radiologists (CAR) Gastrointestinal Expert Panel consists of radiologists, a gastroenterologist, a general surgeon, a family physician, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 20 clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 58 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 85 recommendation statements specific to the adult population across the 20 scenarios. This guideline presents the methods of development and the referral recommendations for dysphagia/dyspepsia, acute nonlocalized abdominal pain, chronic abdominal pain, inflammatory bowel disease, acute gastrointestinal bleeding, chronic gastrointestinal bleeding/anemia, abnormal liver biopsy, pancreatitis, anorectal diseases, diarrhea, fecal incontinence, and foreign body ingestion.
加拿大放射学家协会(CAR)胃肠病专家小组由放射科医生、胃肠病学家、普通外科医生、家庭医生、患者顾问以及流行病学家/指南方法学家组成。在列出20种临床/诊断情况清单后,开展了一项系统的快速范围审查,以确定针对这些临床/诊断情况中的一种或多种提供建议的系统制定的转诊指南。来自58项指南的建议以及指南制定的推荐分级、评估、制定与评价(GRADE)框架中的背景化标准,被用于针对20种情况制定85条针对成人的推荐声明。本指南介绍了制定方法以及针对吞咽困难/消化不良、急性非局限性腹痛、慢性腹痛、炎症性肠病、急性胃肠道出血、慢性胃肠道出血/贫血、肝活检异常、胰腺炎、肛肠疾病、腹泻、大便失禁和异物摄入的转诊建议。