ArticleJournal of the American College of Radiology : JACR2014
ACR appropriateness criteria right upper quadrant pain.
Article in Journal of the American College of Radiology : JACR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Diagnosis of Functional Dyspepsia and Novel Gastrointestinal Functional Assessments.Digestion · 2026Review
- Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report.Clinical practice and cases in emergency medicine · 2025Article
- Biliary Disease in a Tertiary Care Hospital: A Review of Clinical and Radiological Burden.Cureus · 2024Article
- Evidence-based clinical practice guidelines for cholelithiasis 2021.Journal of gastroenterology · 2023Review
- Sonographic Assessment of Acute Versus Chronic Cholecystitis: An Ultrasound Probability Stratification Model.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2023Article
- Emergency room imaging in pediatric patients with cancer: analysis of the spectrum and frequency of imaging modalities and findings in a tertiary cancer center and their relationship with survival.Cancer imaging : the official publication of the International Cancer Imaging Society · 2021Article
- Noninvasive Imaging Prior to Biliary Interventions.Seminars in interventional radiology · 2021Review
- [Upper abdominal pain: a frequent and multifaceted leading symptom in primary care internal medicine].Der Internist · 2021Review
- Retrospective cohort study on clinical predictors for acute abnormalities on CT scan in adult patients with abdominal pain.European journal of radiology open · 2020Article
- The Diagnostic Process for the Evaluation of Acute Abdominal Pain by Resident Trainees in Japan: A Cross-sectional Study.Internal medicine (Tokyo, Japan) · 2020Article
- Accuracy and timeliness of an abbreviated emergency department MRCP protocol for choledocholithiasis.Emergency radiology · 2019Article
- Acute Cholecystitis in Elderly Patients after Hip Fracture: a Nationwide Cohort Study.Journal of Korean medical science · 2019Article
- [Acute abdomen : What the clinician wants to know from the radiologist].Der Radiologe · 2019Article
- Concomitant leukocytosis and lymphopenia predict significant pathology at CT of acute abdomen: a case-control study.BMC emergency medicine · 2019Article
- The Effect of Leucocytosis, Gender Difference, and Ultrasound in the Diagnosis of Acute Cholecystitis in the Elderly Population.Emergency medicine international · 2019Article
- Imaging of abnormal liver function tests.Clinical liver disease · 2018Review
- Added value of point shear-wave elastography in the diagnosis of acute cholecystitis.European radiology · 2017Article
- Nationwide trends of hospital admissions for acute cholecystitis in the United States.Gastroenterology report · 2017Article
- The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections.World journal of emergency surgery : WJES · 2017Review
- Managing acute abdominal pain in pediatric patients: current perspectives.Pediatric health, medicine and therapeutics · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
Acute right upper quadrant pain is a common presenting symptom in patients with acute cholecystitis. When acute cholecystitis is suspected in patients with right upper quadrant pain, in most clinical scenarios, the initial imaging modality of choice is ultrasound. Although cholescintigraphy has been shown to have slightly higher sensitivity and specificity for diagnosis, ultrasound is preferred as the initial study for a variety of reasons, including greater availability, shorter examination time, lack of ionizing radiation, morphologic evaluation, confirmation of the presence or absence of gallstones, evaluation of bile ducts, and identification or exclusion of alternative diagnoses. CT or MRI may be helpful in equivocal cases and may identify complications of acute cholecystitis. When ultrasound findings are inconclusive, MRI is the preferred imaging test in pregnant patients who present with right upper quadrant pain. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 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 those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.