加拿大放射科医师协会(CAR)胸科专家小组由放射科医师组成,呼吸科医生,急诊和家庭医生,耐心的顾问,和流行病学家/指导方法学家。在制定了24种临床/诊断方案清单后,我们进行了一项快速范围审查,以确定系统制定的转诊指南,为这些临床/诊断方案中的一种或多种提供建议.《建议分级》中的30条准则和背景标准提出的建议,评估,发展,准则框架的评价(GRADE)用于在24种情况下制定48项建议声明。本指南介绍了筛查/无症状个体的发展方法和转诊建议,非特异性胸痛,非胸腔疾病住院,长期护理入院,常规术前成像,介入后的胸部手术,上呼吸道感染,哮喘急性加重,慢性阻塞性肺疾病急性加重,疑似肺炎,肺炎随访,有呼吸道症状/发热性中性粒细胞减少症的免疫抑制患者,慢性咳嗽,疑似气胸(非创伤性),临床怀疑胸腔积液,咯血,非心血管原因的慢性呼吸困难,疑似间质性肺病,偶发肺结节,疑似纵隔病变,疑似纵隔淋巴结肿大,胸片上的隔膜升高。
The Canadian Association of Radiologists (CAR) Thoracic Expert Panel consists of radiologists, respirologists, emergency and family physicians, a patient advisor, and an epidemiologist/
guideline methodologist. After developing a list of 24 clinical/diagnostic scenarios, a 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 30
guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 48 recommendation statements across the 24 scenarios. This
guideline presents the methods of development and the referral recommendations for screening/asymptomatic individuals, non-specific chest pain, hospital admission for non-thoracic conditions, long-term care admission, routine pre-operative imaging, post-interventional chest procedure, upper respiratory tract infection, acute exacerbation of asthma, acute exacerbation of chronic obstructive pulmonary disease, suspect pneumonia, pneumonia follow-up, immunosuppressed patient with respiratory symptoms/febrile neutropenia, chronic cough, suspected pneumothorax (non-traumatic), clinically suspected pleural effusion, hemoptysis, chronic dyspnea of non-cardiovascular origin, suspected interstitial
lung disease, incidental
lung nodule, suspected mediastinal lesion, suspected mediastinal lymphadenopathy, and elevated diaphragm on chest radiograph.