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ACR Appropriateness Criteria® Chronic Hip Pain.

  • Mintz, Douglas N1
  • Roberts, Catherine C2
  • Bencardino, Jenny T3
  • Baccei, Steven J4
  • Caird, Michelle S5
  • Cassidy, R Carter6
  • Chang, Eric Y7
  • Fox, Michael G8
  • Gyftopoulos, Soterios9
  • Kransdorf, Mark J8
  • Metter, Darlene F10
  • Morrison, William B11
  • Rosenberg, Zehava S12
  • Shah, Nehal A13
  • Small, Kirstin M13
  • Subhas, Naveen14
  • Tambar, Siddharth15
  • Towers, Jeffrey D16
  • Yu, Joseph S17
  • Weissman, Barbara N18
  • 1 Principal Author, Hospital for Special Surgery, New York, New York. Electronic address: [email protected]
  • 2 Panel Chair, Mayo Clinic, Phoenix, Arizona.
  • 3 Panel Vice-Chair, New York University School of Medicine, New York, New York.
  • 4 UMass Memorial Medical Center, Worcester, Massachusetts.
  • 5 University of Michigan Medical Center, Ann Arbor, Michigan; American Academy of Orthopaedic Surgeons.
  • 6 UK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons.
  • 7 VA San Diego Healthcare System, San Diego, California.
  • 8 Mayo Clinic Arizona, Phoenix, Arizona.
  • 9 New York University Medical Center, New York, New York.
  • 10 University of Texas Health Science Center at San Antonio, San Antonio, Texas.
  • 11 Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • 12 Hospital for Joint Diseases, New York, New York.
  • 13 Brigham & Women's Hospital, Boston, Massachusetts.
  • 14 Cleveland Clinic, Cleveland, Ohio.
  • 15 Chicago Arthritis, Chicago, Illinois, American College of Rheumatology.
  • 16 University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
  • 17 The Ohio State University Wexner Medical Center, Columbus, Ohio.
  • 18 Specialty Chair, Brigham & Women's Hospital, Boston, Massachusetts.
Published Article
Journal of the American College of Radiology : JACR
Publication Date
May 01, 2017
DOI: 10.1016/j.jacr.2017.01.035
PMID: 28473098


Chronic hip pain is a common clinical problem whose cause is often elucidated by imaging. The ACR Appropriateness Criteria for chronic hip pain define best practices of image ordering. Clinical scenarios are followed by the imaging choices and their appropriateness. The information is in ordered tables with an accompanying narrative explanation to guide physicians to order the right test. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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