Psychosocial consequences and severity of disclosed incidental findings from whole-body MRI in a general population study.
Eur Radiol
; 23(5): 1343-51, 2013 May.
Article
em En
| MEDLINE
| ID: mdl-23239059
ABSTRACT
OBJECTIVES:
Little is known about the psychosocial impact and subjective interpretation of communicated incide ntal findings from whole-body magnetic resonance imaging (wb-MRI). This was addressed with this general population study.METHODS:
Data was based on the Study of Health in Pomerania (SHIP), Germany. SHIP comprised a 1.5-T wb-MRI examination. A postal survey was conducted among the first 471 participants, aged 23-84 years, who received a notification about incidental findings (response 86.0 %, n = 405). The severity of incidental findings was assessed from the participants' and radiologists' perspective.RESULTS:
In total, 394 participants (97.3 %) wanted to learn about their health by undergoing wb-MRI. Strong distress while waiting for a potential notification of an incidental finding was reported by 40 participants (9.9 %), whereas 116 (28.6 %) reported moderate to severe psychological distress thereafter. Strong disagreement was noted between the subjective and radiological evaluation of the findings' severity (kappa = 0.02). Almost all participants (n = 389, 96.0 %) were very satisfied with their examination.CONCLUSIONS:
Despite the high satisfaction of most participants, there were numerous adverse consequences concerning the communication of incidental findings and false expectations about the likely potential benefits of whole-body-MRI. KEY POINTS ⢠Disclosed incidental findings from MRI may lead to substantial psychosocial distress. ⢠Subjective and radiological evaluations of incidental findings' severity differ strongly. ⢠Disclosing incidental findings is strongly endorsed by study volunteers. ⢠Study volunteers tend to have false expectations about potential benefits from MRI. ⢠Minimizing stress in study volunteers should be a key aim in MRI research.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
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Imageamento por Ressonância Magnética
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Satisfação do Paciente
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Achados Incidentais
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Imagem Corporal Total
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Prevalence_studies
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Qualitative_research
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Risk_factors_studies
Limite:
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
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article