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Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus.

Publication ,  Journal Article
Moore, CL; Carpenter, CR; Heilbrun, ME; Klauer, K; Krambeck, AC; Moreno, C; Remer, EM; Scales, C; Shaw, MM; Sternberg, KM
Published in: J Am Coll Radiol
September 2019

BACKGROUND: Renal colic is common, and CT is frequently utilized when the diagnosis of kidney stones is suspected. CT is accurate but exposes patients to ionizing radiation and has not been shown to alter either interventional approaches or hospital admission rates. This multi-organizational transdisciplinary collaboration sought evidence-based, multispecialty consensus on optimal imaging across different clinical scenarios in patients with suspected renal colic in the acute setting. METHODS: In conjunction with the American College of Emergency Physicians (ACEP) eQual network, we formed a nine-member panel with three physician representatives each from ACEP, the ACR, and the American Urology Association. A systematic literature review was used as the basis for a three-step modified Delphi process to seek consensus on optimal imaging in 29 specific clinical scenarios. RESULTS: From an initial search yielding 6,337 records, there were 232 relevant articles of acceptable evidence quality to guide the literature summary. At the completion of the Delphi process consensus, agreement was rated as perfect in 15 (52%), excellent in 8 (28%), good in 3 (10%), and moderate in 3 (10%) of the 29 scenarios. There were no scenarios where at least moderate consensus was not reached. CT was recommended in 7 scenarios (24%), with ultrasound in 9 (31%) and no further imaging needed in 12 (45%). SUMMARY: Evidence and multispecialty consensus support ultrasound or no further imaging in specific clinical scenarios, with reduced-radiation dose CT to be employed when CT is needed in patients with suspected renal colic.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

September 2019

Volume

16

Issue

9 Pt A

Start / End Page

1132 / 1143

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Renal Colic
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Delphi Technique
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
 

Citation

APA
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ICMJE
MLA
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Moore, C. L., Carpenter, C. R., Heilbrun, M. E., Klauer, K., Krambeck, A. C., Moreno, C., … Sternberg, K. M. (2019). Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus. J Am Coll Radiol, 16(9 Pt A), 1132–1143. https://doi.org/10.1016/j.jacr.2019.04.004
Moore, Christopher L., Christopher R. Carpenter, Marta E. Heilbrun, Kevin Klauer, Amy C. Krambeck, Courtney Moreno, Erick M. Remer, Charles Scales, Melissa M. Shaw, and Kevan M. Sternberg. “Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus.J Am Coll Radiol 16, no. 9 Pt A (September 2019): 1132–43. https://doi.org/10.1016/j.jacr.2019.04.004.
Moore CL, Carpenter CR, Heilbrun ME, Klauer K, Krambeck AC, Moreno C, et al. Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus. J Am Coll Radiol. 2019 Sep;16(9 Pt A):1132–43.
Moore, Christopher L., et al. “Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus.J Am Coll Radiol, vol. 16, no. 9 Pt A, Sept. 2019, pp. 1132–43. Pubmed, doi:10.1016/j.jacr.2019.04.004.
Moore CL, Carpenter CR, Heilbrun ME, Klauer K, Krambeck AC, Moreno C, Remer EM, Scales C, Shaw MM, Sternberg KM. Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus. J Am Coll Radiol. 2019 Sep;16(9 Pt A):1132–1143.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

September 2019

Volume

16

Issue

9 Pt A

Start / End Page

1132 / 1143

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Renal Colic
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Delphi Technique
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences