eprintid: 10160415
rev_number: 8
eprint_status: archive
userid: 699
dir: disk0/10/16/04/15
datestamp: 2022-11-24 10:29:50
lastmod: 2022-11-24 10:29:50
status_changed: 2022-11-24 10:29:50
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Radford, Shellie Jean
creators_name: Clarke, Chris
creators_name: Shinkins, Bethany
creators_name: Leighton, Paul
creators_name: Taylor, Stuart
creators_name: Moran, Gordon
title: Clinical utility of small bowel ultrasound assessment of Crohn's disease in adults: a systematic scoping review
ispublished: pub
divisions: UCL
divisions: B02
divisions: C10
divisions: D17
divisions: FI6
keywords: Crohn's disease, IBD clinical, clinical decision making, inflammatory bowel disease, ultrasonography
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
abstract: BACKGROUND: Ultrasound (US) is an alternative to magnetic resonance enterography, and has the potential to significantly reduce waiting times, expedite clinical decision-making and improve patient experience. Point of care US is an advantage of the US imaging modality, where same day scanning, interpretation and treatment decisions can be made. AIM: To systematically scope the literature on point of care US use in small bowel Crohn’s disease, generating a comprehensive list of factors relating to the current understanding of clinical utility of this imaging modality. METHODS: Searches included MEDLINE, EMBASE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, clinicaltrial.gov,‘TRIP’ and Epistemonikos. Reference lists of included studies were hand searched. Search terms were searched for as both keywords and subject headings (MeSH) as appropriate. Searches were performed with the ‘suggested search terms’ and ‘explode’ selection, and restricted to ‘human’, ‘adult’ and ‘English language’ publications. No date limits were applied to be as inclusive as possible. Two investigators conducted abstract and full-text review. No formal quality appraisal process was undertaken; however, quality of sources was considered when reporting findings. A narrative synthesis was conducted. RESULTS: The review included 42 sources from the UK, Europe, Japan, Canada and the USA. Small bowel ultrasound (SBUS) has been shown to be as accurate in detecting the presence of small bowel Crohn’s disease, is quicker, safer and more acceptable to patients, compared with magnetic resonance enterography. SBUS is used widely in central Europe and Canada but has not been embraced in the UK. Further research considering economic evaluation, clinical decision-making and exploration of perceived barriers to future implementation of SBUSs is required.
date: 2021-07
date_type: published
publisher: BMJ
official_url: http://dx.doi.org/10.1136/flgastro-2021-101897
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1963032
doi: 10.1136/flgastro-2021-101897
medium: Electronic-eCollection
pii: flgastro-2021-101897
lyricists_name: Taylor, Stuart
lyricists_id: STAYL70
actors_name: Taylor, Stuart
actors_name: Kalinowski, Damian
actors_id: STAYL70
actors_id: DKALI47
actors_role: owner
actors_role: impersonator
full_text_status: public
publication: Frontline Gastroenterology
volume: 13
number: 4
pagerange: 280-286
event_location: England
citation:        Radford, Shellie Jean;    Clarke, Chris;    Shinkins, Bethany;    Leighton, Paul;    Taylor, Stuart;    Moran, Gordon;      (2021)    Clinical utility of small bowel ultrasound assessment of Crohn's disease in adults: a systematic scoping review.                   Frontline Gastroenterology , 13  (4)   pp. 280-286.    10.1136/flgastro-2021-101897 <https://doi.org/10.1136/flgastro-2021-101897>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10160415/1/Taylor_Clinical%20utility%20of%20small%20bowel%20ultrasound%20assessment%20of%20Crohns%20disease%20in%20adults_AAM.pdf
document_url: https://discovery.ucl.ac.uk/id/eprint/10160415/2/Taylor_Clinical%20utility%20of%20small%20bowel%20ultrasound%20assessment%20of%20Crohns%20disease%20in%20adults_Supplements_AAM.pdf