JOURNAL ARTICLE
REVIEW

ACR Appropriateness Criteria ® Chronic Hip Pain

Douglas N Mintz, Catherine C Roberts, Jenny T Bencardino, Steven J Baccei, Michelle S Caird, R Carter Cassidy, Eric Y Chang, Michael G Fox, Soterios Gyftopoulos, Mark J Kransdorf, Darlene F Metter, William B Morrison, Zehava S Rosenberg, Nehal A Shah, Kirstin M Small, Naveen Subhas, Siddharth Tambar, Jeffrey D Towers, Joseph S Yu, Barbara N Weissman
Journal of the American College of Radiology: JACR 2017, 14 (5S): S90-S102
28473098
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.

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