ACR Appropriateness Criteria® Chronic Hip Pain

• Published in: Journal of the American College of Radiology Vol. 14; no. 5; pp. S90 - S102
• Main Authors: Mintz, Douglas N., MD, Roberts, Catherine C., MD, Bencardino, Jenny T., MD, Baccei, Steven J., MD, Caird, Michelle S., MD, Cassidy, R. Carter, MD, Chang, Eric Y., MD, Fox, Michael G., MD, Gyftopoulos, Soterios, MD, Kransdorf, Mark J., MD, Metter, Darlene F., MD, Morrison, William B., MD, Rosenberg, Zehava S., MD, Shah, Nehal A., MD, Small, Kirstin M., MD, Subhas, Naveen, MB, Tambar, Siddharth, MD, Towers, Jeffrey D., MD, Yu, Joseph S., MD, Weissman, Barbara N., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2017
• Subjects: Appropriate Use Criteria; Appropriateness Criteria; Arthralgia - diagnostic imaging; Arthralgia - etiology; AUC; chronic pain; Chronic Pain - diagnostic imaging; Chronic Pain - etiology; diagnostic imaging; Diagnostic Imaging - methods; hip; hip joint; Hip Joint - diagnostic imaging; Humans; imaging; Radiology; Societies, Medical; United States; chronic pain; Appropriate Use Criteria; imaging; Appropriateness Criteria; diagnostic imaging; hip; hip joint; AUC
• ISSN: 1546-1440; 1558-349X
• DOI: 10.1016/j.jacr.2017.01.035

Abstract Chronic hip pain is a common clinical problem whose cause is often elucidated by imaging. The ACR Appropriateness Criteria for chronic hip pain define best practices of image ordering. Clinical scenarios are followed by the imaging choices and their appropriateness. The information is in ordered tables with an accompanying narrative explanation to guide physicians to order the right test. 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.