加拿大放射科医师协会(CAR)胃肠道专家小组由放射科医师组成,胃肠病学家,一个普通外科医生,一位家庭医生,耐心的顾问,和流行病学家/指导方法学家。在制定了20种临床/诊断方案清单后,我们进行了系统的快速范围审查,以确定系统制定的转诊指南,为一种或多种临床/诊断方案提供建议.来自58条准则和建议分级中的背景标准的建议,评估,发展,和评估(GRADE)的指南框架被用来制定85个推荐声明,具体针对20种情景中的成年人口.本指南介绍了吞咽困难/消化不良的发展方法和转诊建议,急性非局部腹痛,慢性腹痛,炎症性肠病,急性消化道出血,慢性消化道出血/贫血,异常肝活检,胰腺炎,肛门直肠疾病,腹泻,大便失禁,和异物摄入。
The Canadian Association of Radiologists (CAR) Gastrointestinal Expert Panel consists of radiologists, a gastroenterologist, a general surgeon, a family physician, a patient advisor, and an epidemiologist/
guideline methodologist. After developing a list of 20 clinical/diagnostic scenarios, a systematic 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 58
guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for
guidelines framework were used to develop 85 recommendation statements specific to the adult population across the 20 scenarios. This
guideline presents the methods of development and the referral recommendations for dysphagia/dyspepsia, acute nonlocalized abdominal pain, chronic abdominal pain, inflammatory bowel disease, acute gastrointestinal bleeding, chronic gastrointestinal bleeding/anemia, abnormal liver biopsy, pancreatitis, anorectal diseases, diarrhea, fecal incontinence, and foreign body ingestion.