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

dc.contributor.authorMoore, Christopher L.
dc.contributor.authorCarpenter, Christopher R.
dc.contributor.authorHeilbrun, Marta E.
dc.contributor.authorKlauer, Kevin
dc.contributor.authorKrambeck, Amy C.
dc.contributor.authorMoreno, Courtney
dc.contributor.authorRemer, Erick M.
dc.contributor.authorScales, Charles
dc.contributor.authorShaw, Melissa M.
dc.contributor.authorSternberg, Kevan M.
dc.contributor.departmentUrology, School of Medicineen_US
dc.date.accessioned2019-11-13T19:40:12Z
dc.date.available2019-11-13T19:40:12Z
dc.date.issued2019-09-01
dc.description.abstractBackground 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.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationMoore, 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. Journal of the American College of Radiology, 16(9, Part A), 1132–1143. https://doi.org/10.1016/j.jacr.2019.04.004en_US
dc.identifier.issn1546-1440en_US
dc.identifier.urihttps://hdl.handle.net/1805/21330
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.jacr.2019.04.004en_US
dc.relation.journalJournal of the American College of Radiologyen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.sourcePublisheren_US
dc.subjectreduced radiation CTen_US
dc.subjectrenal colicen_US
dc.subjectultrasounden_US
dc.titleImaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensusen_US
dc.typeArticleen_US
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