Structured report for chest high-resolution computed tomography in patients with connective tissue disease: Impact on the report quality as perceived by referring clinicians.
Eur J Radiol
; 131: 109269, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-32949860
ABSTRACT
RATIONALE AND OBJECTIVES:
To evaluate the impact on perceived report quality of referring rheumatologists for a chest high-resolution computed tomography (HRCT) structured report (SR) template for patients with connective tissue disease (CTD), compared to the traditional narrative report (NR). MATERIALS ANDMETHODS:
We retrospectively considered 123 HRCTs in patients with CTD. Three radiologists, blinded to the original NRs they wrote during clinical routine, re-reported each HRCT using an SR dedicated template. We then divided all NR-SR couples into three groups (41 HRCT each). Each group was evaluated by one of three rheumatologists (R1, R2, R3), who expressed their perceived report quality for the respective pools of NRs and SRs in terms of completeness, clarity (both on a 10-points scale), and clinical relevance (on a 5-points scale). The Wilcoxon test and the McNemar test were used for statistical analysis.RESULTS:
For each rheumatologist, SR received higher ratings compared to NR for completeness (median ratings R1, 10 vs. 7; R2, 10 vs. 8; R3, 10 vs. 6, all pâ¯<â¯0.0001), clarity (median ratings R1, 10 vs. 7; R2, 10 vs. 8; R3, 10 vs. 7, all pâ¯<â¯0.0001), and clinical relevance (median ratings R1, 5 vs. 4; R2, 5 vs. 4; R3, 5 vs. 1, all pâ¯<â¯0.0001). After rating dichotomization, the use of SR led to a significant increase (pâ¯<â¯0.01) in completeness, clarity, and clinical relevance as compared to NR, except for clarity as perceived by R2 (pâ¯=â¯1).CONCLUSION:
Referring rheumatologists' perceived report quality for structured reporting of HRCT in patients with CTD was superior to narrative reporting.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tórax
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Tomografía Computarizada por Rayos X
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Registros Médicos
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Enfermedades del Tejido Conjuntivo
Tipo de estudio:
Observational_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur J Radiol
Año:
2020
Tipo del documento:
Article