ACR Appropriateness Criteria® Pelvic Floor Dysfunction Journal Article


Authors: Pannu, H. K.; Javitt, M. C.; Glanc, P.; Bhosale, P. R.; Harisinghani, M. G.; Khati, N. J.; Mitchell, D. G.; Nyberg, D. A.; Pandharipande, P. V.; Shipp, T. D.; Siegel, C. L.; Simpson, L.; Wall, D. J.; Wong-You-Cheong, J. J.
Article Title: ACR Appropriateness Criteria® Pelvic Floor Dysfunction
Abstract: Pelvic floor dysfunction is a common and potentially complex condition. Imaging can complement physical examination by revealing clinically occult abnormalities and clarifying the nature of the pelvic floor defects present. Imaging can add value in preoperative management for patients with a complex clinical presentation, and in postoperative management of patients suspected to have recurrent pelvic floor dysfunction or a surgical complication. Imaging findings are only clinically relevant if the patient is symptomatic. Several imaging modalities have a potential role in evaluating patients; the choice of modality depends on the patient's symptoms, the clinical information desired, and the usefulness of the test. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions; they are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals, and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. © 2015 American College of Radiology.
Keywords: disease classification; united states; methodology; evidence based medicine; evidence-based medicine; evidence based practice; practice guideline; diagnostic imaging; ultrasound; postoperative complication; radiology; diagnosis; urology; practice guidelines as topic; recurrent disease; imaging; medical literature; delphi study; pelvic organ prolapse; methods; obstetrics; mri; standards; fluoroscopy; appropriateness criteria; urinary dysfunction; procedures; defecation disorder; acr appropriateness criteria; humans; human; male; female; article; pelvic floor dysfunction; pelvic floor disorder; pelvic floor disorders
Journal Title: Journal of the American College of Radiology
Volume: 12
Issue: 2
ISSN: 1546-1440
Publisher: Elsevier Science, Inc.  
Date Published: 2015-02-01
Start Page: 134
End Page: 142
Language: English
DOI: 10.1016/j.jacr.2014.10.021
PUBMED: 25652300
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 2 June 2016 -- Source: Scopus
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  1. Harpreet Pannu
    22 Pannu