Calc Function

  • Diagnosis
  • Rule Out
  • Prognosis
  • Formula
  • Treatment
  • Algorithm
  • Disease
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    Specialty
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    Chief Complaint
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    Organ System
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    Primary Sclerosing Cholangitis

    Official guideline from the American College of Gastroenterology.

    summary by Gaurav Ghosh, MD Shawn Shah, MD

    Diagnosis

    Imaging

    Strong recommendation
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    Moderate quality evidence

    Biopsy

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Labs

    Conditional recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Management

    ERCP

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    General

    Conditional recommendation
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    Very low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Special Situations

    Liver Transplant

    Strong recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Medical Treatment

    Strong recommendation
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    High quality evidence

    Special Situations

    Conditional recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Moderate quality evidence

    HPB Malignancies and Gallbladder Disease

    Conditional recommendation
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    Very low quality evidence

    Conditional recommendation
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    Very low quality evidence

    PSC and IBD

    Conditional recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Moderate quality evidence

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    Low quality evidence

    How strong is the ACG's recommendation?

    Strong recommendation
    Intervention's desirable effects clearly outweigh undesirable effects.
    Moderate recommendation
    Further research likely to impact confidence in estimate of effect.
    Conditional recommendation
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    High quality evidence
    Further research unlikely to change guideline authors' confidence in estimate of effect.
    Between high and moderate levels of evidence.
    Moderate quality evidence
    Further research likely to impact confidence in estimate of effect.
    Low quality evidence
    Further research expected to have important impact in confidence in estimate of effect.
    Very low quality evidence
    Effect is very uncertain.