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Assessing the recommendations for the use of diagnostic imaging in clinical practice guidelines
Author(s) -
Reed Martin H.
Publication year - 2012
Publication title -
journal of evidence‐based medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.885
H-Index - 22
ISSN - 1756-5391
DOI - 10.1111/j.1756-5391.2012.01174.x
Subject(s) - clinical practice , appropriate use criteria , medicine , medical physics , medical imaging , diagnostic accuracy , diagnostic test , evidence based medicine , quality of evidence , evidence based practice , radiology , alternative medicine , pediatrics , physical therapy , randomized controlled trial , pathology
Accuracy is the primary evidence assessed when diagnostic imaging is evaluated in clinical practice guidelines. However, recommendations to not use diagnostic imaging are usually based not on its accuracy but on its lack of utility, that is its low Level 4 efficacy. If there is good clinical evidence that diagnostic imaging will not be useful in a clinical situation, the recommendation not to use it should be strong even if the evidence for its accuracy is of poor quality.