关键词: Bone Diagnosis Fracture Sonography Ultrasound

来  源:   DOI:10.1007/s00402-024-05396-1

Abstract:
Over a span of more than two years, a collaborative expert group consisting of 9 professional societies has meticulously crafted the S2e guideline on fracture sonography. This publication encapsulates the essential insights pertaining to specific indications. A thorough and systematic literature search, covering the period from 2000 to March 2021, was conducted across PubMed, Google Scholar, and the Cochrane Database of Systematic Reviews, complemented by an evaluation of bibliographies. Inclusion criteria encompassed randomized controlled clinical trials, observational clinical trials, meta-analyses, and systematic reviews, while guidelines, conferences, reviews, case reports, and expert opinions were excluded. The SIGN grading system (1999-2012) was applied to assess evidence, and resultant SIGN tables were presented to the expert group. Specific recommendations for the application of fracture sonography were then derived through unanimous consensus after detailed discussions. Out of the initial pool of 520 literature sources, a meticulous screening and content assessment process yielded 182 sources (146 clinical studies and 36 meta-analyses and systematic reviews) for evaluation. The comprehensive analysis identified twenty-one indications that substantiate the judicious use of fracture sonography. Ultrasound emerges as a pragmatic and user-friendly diagnostic method, showcasing feasibility across a diverse range of indications.
摘要:
在两年多的时间里,由9个专业学会组成的合作专家组精心制定了关于骨折超声检查的S2e指南。本出版物囊括了与特定适应症有关的基本见解。全面系统的文献检索,涵盖2000年至2021年3月期间,在PubMed进行,谷歌学者,和Cochrane系统评价数据库,辅之以对参考书目的评估。纳入标准包括随机对照临床试验,观察性临床试验,荟萃分析,和系统审查,而指导方针,会议,reviews,病例报告,专家意见被排除在外。SIGN评分系统(1999-2012)用于评估证据,并将结果SIGN表提交给专家组。经过详细讨论后,通过一致的共识得出了骨折超声检查应用的具体建议。在最初的520个文献来源中,细致的筛选和内容评估过程产生了182个来源(146项临床研究和36项荟萃分析和系统综述)用于评估.综合分析确定了21种适应症,这些适应症证实了骨折超声检查的明智使用。超声作为一种实用且用户友好的诊断方法,展示各种适应症的可行性。
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