Hamel Candyce, Avard Barb, Brahm Gary, Fung Daisy, Martens Benjamin, Michaud Alan, Miller Lisa, Sala Eric, Wallis Christopher J D, Fung Christopher
Canadian Association of Radiologists, Ottawa, ON, Canada.
North York General Hospital, Toronto, ON, Canada.
Can Assoc Radiol J. 2025 Feb;76(1):25-32. doi: 10.1177/08465371241261317. Epub 2024 Jul 25.
The Canadian Association of Radiologists (CAR) Genitourinary Expert Panel is made up of physicians from the disciplines of radiology, emergency medicine, family medicine, nephrology, and urology, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 22 clinical/diagnostic scenarios, a 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 30 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 65 recommendation statements across the 22 scenarios (2 scenarios point to the CAR Obstetrics and Gynecology Diagnostic Imaging Referral Guideline). This guideline presents the methods of development and the referral recommendations for haematuria, hypertension, renal disease (or failure), renal colic, renal calculi in the absence of acute colic, renal lesion, urinary tract obstruction, urinary tract infection, scrotal mass, or pain, including testicular torsion, adrenal mass, incontinence, urgency, and frequency, chronic pelvic pain, elevated PSA, infertility, and pelvic floor.
加拿大放射学会(CAR)泌尿生殖专家小组由放射学、急诊医学、家庭医学、肾脏病学和泌尿外科学等领域的医生、一名患者顾问以及一名流行病学家/指南方法学家组成。在列出22种临床/诊断情况清单后,进行了快速范围审查,以系统地确定针对这些临床/诊断情况中的一种或多种提供建议的转诊指南。来自30项指南的建议以及指南框架《推荐分级、评估、制定与评价》(GRADE)中的背景化标准被用于制定涵盖22种情况的65条推荐声明(其中2种情况指向CAR妇产科诊断影像转诊指南)。本指南介绍了血尿、高血压、肾病(或肾衰竭)、肾绞痛、无急性绞痛的肾结石、肾病变、尿路梗阻、尿路感染、阴囊肿块或疼痛(包括睾丸扭转)、肾上腺肿块、尿失禁、尿急和尿频、慢性盆腔疼痛、前列腺特异性抗原(PSA)升高、不孕以及盆底等情况的制定方法和转诊建议。