ACR Appropriateness Criteria® Chronic Extremity Joint Pain-Suspected Inflammatory Arthritis, Crystalline Arthritis, or Erosive Osteoarthritis: 2022 Update

Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity because there is significant overlap of imaging findings among...

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Bibliographic Details
Published in:	Journal of the American College of Radiology Vol. 20; no. 5; pp. S20 - S32
Main Authors:	Subhas, Naveen, Wu, Fangbai, Fox, Michael G., Nacey, Nicholas, Aslam, Fawad, Blankenbaker, Donna G., Caracciolo, Jamie T., DeJoseph, Debra Anne, Frick, Matthew A., Jawetz, Shari T., Said, Nicholas, Sandstrom, Claire K., Sharma, Akash, Stensby, J. Derek, Walker, Eric A., Chang, Eric Y.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-05-2023
Subjects:	Appropriate Use Criteria Appropriateness Criteria Arthralgia - etiology AUC Chronic Pain - etiology Crystal Arthropathies - complications crystalline arthritis erosive osteoarthritis Evidence-Based Medicine Extremities extremity Humans inflammatory arthritis MRI Osteoarthritis - diagnostic imaging Societies, Medical ultrasound United States United States erosive osteoarthritis MRI crystalline arthritis Appropriate Use Criteria Appropriateness Criteria ultrasound AUC extremity inflammatory arthritis
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Summary:	Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity because there is significant overlap of imaging findings among the various types of arthritis. This document provides recommendations for imaging evaluation of specific types of inflammatory arthritis, including rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease (or pseudogout), and erosive osteoarthritis. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Instructional Material/Guideline-3 content type line 23
ISSN:	1546-1440 1558-349X
DOI:	10.1016/j.jacr.2023.02.020