TY - JOUR
T1 - Clinical decision rules for diagnostic imaging in the emergency department
T2 - A research agenda
AU - Finnerty, Nathan M.
AU - Rodriguez, Robert M.
AU - Carpenter, Christopher R.
AU - Sun, Benjamin C.
AU - Theyyunni, Nik
AU - Ohle, Robert
AU - Dodd, Kenneth W.
AU - Schoenfeld, Elizabeth M.
AU - Elm, Kendra D.
AU - Kline, Jeffrey A.
AU - Holmes, James F.
AU - Kuppermann, Nathan
N1 - Funding Information:
The authors acknowledge the 2015 Academic Emergency Medicine consensus conference leadership and participants. Funding for this conference was made possible (in part) by grant number 1R13HS023498-01 from the Agency for Healthcare Research and Quality (AHRQ) and grant number 1 R13 EB 019813-01 from the National Institute of Biomedical Imaging and Bioengineering. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Publisher Copyright:
© 2015 by the Society for Academic Emergency Medicine.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background Major gaps persist in the development, validation, and implementation of clinical decision rules (CDRs) for diagnostic imaging. Objectives The objective of this working group and article was to generate a consensus-based research agenda for the development and implementation of CDRs for diagnostic imaging in the emergency department (ED). Methods The authors followed consensus methodology, as outlined by the journal Academic Emergency Medicine (AEM), combining literature review, electronic surveys, telephonic communications, and a modified nominal group technique. Final discussions occurred in person at the 2015 AEM consensus conference. Results A research agenda was developed, prioritizing the following questions: 1) what are the optimal methods to justify the derivation and validation of diagnostic imaging CDRs, 2) what level of evidence is required before disseminating CDRs for widespread implementation, 3) what defines a successful CDR, 4) how should investigators best compare CDRs to clinical judgment, and 5) what disease states are amenable (and highest priority) to development of CDRs for diagnostic imaging in the ED? Conclusions The concepts discussed herein demonstrate the need for further research on CDR development and implementation regarding diagnostic imaging in the ED. Addressing this research agenda should have direct applicability to patients, clinicians, and health care systems.
AB - Background Major gaps persist in the development, validation, and implementation of clinical decision rules (CDRs) for diagnostic imaging. Objectives The objective of this working group and article was to generate a consensus-based research agenda for the development and implementation of CDRs for diagnostic imaging in the emergency department (ED). Methods The authors followed consensus methodology, as outlined by the journal Academic Emergency Medicine (AEM), combining literature review, electronic surveys, telephonic communications, and a modified nominal group technique. Final discussions occurred in person at the 2015 AEM consensus conference. Results A research agenda was developed, prioritizing the following questions: 1) what are the optimal methods to justify the derivation and validation of diagnostic imaging CDRs, 2) what level of evidence is required before disseminating CDRs for widespread implementation, 3) what defines a successful CDR, 4) how should investigators best compare CDRs to clinical judgment, and 5) what disease states are amenable (and highest priority) to development of CDRs for diagnostic imaging in the ED? Conclusions The concepts discussed herein demonstrate the need for further research on CDR development and implementation regarding diagnostic imaging in the ED. Addressing this research agenda should have direct applicability to patients, clinicians, and health care systems.
UR - http://www.scopus.com/inward/record.url?scp=84956616431&partnerID=8YFLogxK
U2 - 10.1111/acem.12828
DO - 10.1111/acem.12828
M3 - Article
C2 - 26567885
AN - SCOPUS:84956616431
SN - 1069-6563
VL - 22
SP - 1406
EP - 1416
JO - Academic Emergency Medicine
JF - Academic Emergency Medicine
IS - 12
ER -