{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T23:09:31Z","timestamp":1776380971631,"version":"3.51.2"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Avicenna J Med"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Renal colic is a common urological emergency that requires a noncontrast computed tomography of the kidneys, ureters, and bladder (CT KUB) as the investigation of choice. This two-cycle audit was conducted at Manchester Royal Infirmary; a tertiary hospital in the United Kingdom. It evaluates the appropriateness of CT KUB imaging for acute renal colic, focusing on scan timing, diagnostic yield, and request adequacy in line with national guidelines.<\/jats:p>\n                  <jats:p>We performed a retrospective review of patients referred from the accident and emergency department for suspected renal colic. The first cycle was conducted in September to October 2022 and the second in August 2023. The intervention included disseminating the findings and designing an educational program. Statistical analysis was performed using SPSS version 30.0. Continuous variables were compared using independent t-tests, and categorical variables using chi-square tests. A p-value of\u2009&lt;\u20090.05 was considered statistically significant.<\/jats:p>\n                  <jats:p>A total of 153 patients were included (first cycle: 77; second cycle: 76). Following the intervention, the mean time from presentation to CT KUB report decreased significantly from 14.7\u2009\u00b1\u20099.5 to 8.2\u2009\u00b1\u20095.1\u2009hours (p\u2009&lt;\u20090.001). The proportion of scans reported within 24\u2009hours also increased from 92.2 to 100% (p\u2009=\u20090.007). Documentation of a sufficient history improved from 76.6 to 89.5% (p\u2009=\u20090.034). Additionally, reports of nonspecific abdominal pain decreased from 9.1 to 0% (p\u2009=\u20090.007).<\/jats:p>\n                  <jats:p>Targeted educational interventions improved CT KUB timeliness, request quality, and adherence to national guidelines. These results confirm the value of structured clinical pathways and cross-departmental collaboration in optimizing the investigation of suspected renal colic.<\/jats:p>","DOI":"10.1055\/s-0045-1814737","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:16:47Z","timestamp":1767226607000},"page":"027-032","source":"Crossref","is-referenced-by-count":0,"title":["Radiological Investigation of Acute Renal Colic: A Two-Cycle Clinical Audit"],"prefix":"10.1055","volume":"16","author":[{"given":"Ibrahim","family":"Abuelbeh","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Nawaiseh","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jordanian Royal Medical Services, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1060-8796","authenticated-orcid":false,"given":"Hussam","family":"Nawaiseh","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jordanian Royal Medical Services, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahia","family":"Metwally","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Mid Cheshire NHS Foundation Trust, Crewe, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qais","family":"Nawaiseh","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sa'id","family":"Dabah Aljamal","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anas","family":"Hattab","sequence":"additional","affiliation":[{"name":"Department of Radiology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousef","family":"Alwan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Brophy","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Pearce","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaibhav","family":"Modgil","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.emc.2004.04.014","article-title":"Renal ultrasound","volume":"22","author":"V E Noble","year":"2004","journal-title":"Emerg Med Clin North Am"},{"key":"ref2","volume-title":"Acute renal colic","author":"L Patti","year":"2024"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.ucl.2007.04.003","article-title":"Epidemiology of stone disease","volume":"34","author":"G C Curhan","year":"2007","journal-title":"Urol Clin North Am"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1056\/NEJMcp030813","article-title":"Clinical practice. Acute renal colic from ureteral calculus","volume":"350","author":"J M Teichman","year":"2004","journal-title":"N Engl J Med"},{"key":"ref5","volume-title":"Harrison's Principles of Internal Medicine, 19e","author":"D Kasper","year":"2015"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1097\/JU.0000000000001182","article-title":"Delayed decompression of obstructing stones with urinary tract infection is associated with increased odds of death","volume":"204","author":"C R Haas","year":"2020","journal-title":"J Urol"},{"key":"ref7","volume-title":"BAUS Essential In-House Audit Frameworks Diagnostic Pathways in Suspected Renal Colic","author":"R Singh","year":"2019"},{"key":"ref8","volume-title":"Renal and Ureteric Stones: Assessment and Management","year":"2019"},{"key":"ref9","volume-title":"Radiological Investigation in Acute Renal Colic","author":"I Al-Bakir","year":"2023"},{"key":"ref10","volume-title":"Radiation Risks and Pediatric Computed Tomography (CT): A Guide for Health Care Providers","year":"2018"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1007\/s13244-014-0352-2","article-title":"Stone disease in pregnancy: imaging-guided therapy","volume":"5","author":"G Masselli","year":"2014","journal-title":"Insights Imaging"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"509","DOI":"10.2214\/ajr.165.3.7645461","article-title":"Detection of ureteral calculi in patients with suspected renal colic: value of reformatted noncontrast helical CT","volume":"165","author":"F G Sommer","year":"1995","journal-title":"AJR Am J Roentgenol"},{"issue":"1016","key":"ref13","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1259\/bjr\/62994625","article-title":"Emergency department imaging protocol for suspected acute renal colic: re-evaluating our service","volume":"85","author":"K Patatas","year":"2012","journal-title":"Br J Radiol"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2310\/8000.2013.131314","article-title":"Prevalence of alternative diagnoses in patients with suspected uncomplicated renal colic undergoing computed tomography: a prospective study","volume":"17","author":"J Pernet","year":"2015","journal-title":"CJEM"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12245-017-0160-9","article-title":"A comparative, epidemiological study of acute renal colic presentations to emergency departments in Doha, Qatar, and Melbourne, Australia","volume":"11","author":"S A Pathan","year":"2018","journal-title":"Int J Emerg Med"},{"issue":"09","key":"ref16","first-page":"e69825","article-title":"Audit of the acute management of renal colic in district hospitals within a national health service trust","volume":"16","author":"H Abdulrasheed","year":"2024","journal-title":"Cureus"},{"issue":"11","key":"ref17","first-page":"e73472","article-title":"Improving guideline adherence for the radiological investigation of acute renal colic: a two-cycle quality improvement project","volume":"16","author":"M H Ali","year":"2024","journal-title":"Cureus"}],"container-title":["Avicenna Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1814737.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T22:30:32Z","timestamp":1776378632000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1814737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,31]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,4,16]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1814737","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2231-0770","2249-4464"],"issn-type":[{"value":"2231-0770","type":"print"},{"value":"2249-4464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,31]]}}}