ACR Appropriateness Criteria

New Topic Proposal Form

The purpose of this form is to allow all stakeholders, including AC panels and others external to the AC process to propose new AC content.


PLEASE PROVIDE AS MUCH DETAIL AS POSSIBLE WHEN COMPLETING THE FORM. THIS WILL ASSIST IN EVALUATING AND PRIORITIZING THE SUGGESTED NEW CONTENT.

 
 
 

The name should be general description of the clinical condition to be covered in the new topic.

 
 

Briefly describe why you are suggesting this content be developed.

 
 

Select the imaging guidance to be covered in the new topic. Select all that apply.

 

Briefly list the most common clinical scenarios that should be covered in this topic.

 
 

What is the patient population for the proposed new content?

 

In your informed opinion, is this condition commonly encountered by Primary Care Physicians?

 

In your informed opinion, is there a clinical demand from ordering providers for guidance on this condition?

 

What is the prevalence of the condition? If you don't know exact numbers, it is ok to provide more subjective information such as common, uncommon, rare, etc.

 

In your informed opinion, what are the overall societal costs of the disease or clinical scenario?

 

Are there quality-adjusted life-year (QALY) or morbidity and mortality data for this condition? Please include references, if available.

 

In your informed opinion, are imaging procedures routinely under or over utilized for this condition?

 

Are you aware of any society guidelines that cover this topic?

 

Please provide any additional information you think would be helpful to evaluate the suggested new or revised content.