Improving radiologic communication in oncology: a single-centre experience with structured reporting for cancer patients

被引:11
作者
Weber, Tim Frederik [1 ]
Spurny, Manuela [1 ]
Hasse, Felix Christian [1 ]
Sedlaczek, Oliver [1 ]
Haag, Georg Martin [2 ]
Springfeld, Christoph [2 ]
Mokry, Theresa [1 ]
Jaeger, Dirk [2 ]
Kauczor, Hans-Ulrich [1 ]
Berger, Anne Katrin [2 ]
机构
[1] Heidelberg Univ Hosp, Dept Diagnost & Intervent Radiol, Neuenheimer Feld 410, D-69121 Heidelberg, Germany
[2] Heidelberg Univ Hosp, Natl Ctr Tumor Dis NCT, Dept Med Oncol, Heidelberg, Germany
关键词
Neoplasms; Diagnostic imaging; Image interpretation (computer-assisted); Medical oncology; ABDOMINAL RADIOLOGY; REPORT TEMPLATE; MULTIPHASIC CT; MRI REPORTS; AGREEMENT; PREFERENCES; SOCIETY; QUALITY; IMPACT;
D O I
10.1186/s13244-020-00907-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objectives Our aim was to develop a structured reporting concept (structured oncology report, SOR) for general follow-up assessment of cancer patients in clinical routine. Furthermore, we analysed the report quality of SOR compared to conventional reports (CR) as assessed by referring oncologists. Methods SOR was designed to provide standardised layout, tabulated tumour burden documentation and standardised conclusion using uniform terminology. A software application for reporting was programmed to ensure consistency of layout and vocabulary and to facilitate utilisation of SOR. Report quality was analysed for 25 SOR and 25 CR retrospectively by 6 medical oncologists using a 7-point scale (score 1 representing the best score) for 6 questionnaire items addressing different elements of report quality and overall satisfaction. A score of <= 3 was defined as a positive rating. Results In the first year after full implementation, 7471 imaging examinations were reported using SOR. The proportion of SOR in relation to all oncology reports increased from 49 to 95% within a few months. Report quality scores were better for SOR for each questionnaire item (p< 0.001 each). Averaged over all questionnaire item scores were 1.98 +/- 1.22 for SOR and 3.05 +/- 1.93 for CR (p< 0.001). The overall satisfaction score was 2.15 +/- 1.32 for SOR and 3.39 +/- 2.08 for CR (p< 0.001). The proportion of positive ratings was higher for SOR (89% versus 67%;p< 0.001). Conclusions Department-wide structured reporting for follow-up imaging performed for assessment of anticancer treatment efficacy is feasible using a dedicated software application. Satisfaction of referring oncologist with report quality is superior for structured reports.
引用
收藏
页数:11
相关论文
共 37 条
[1]   Pancreatic Ductal Adenocarcinoma Radiology Reporting Template: Consensus Statement of the Society of Abdominal Radiology and the American Pancreatic Association [J].
Al-Hawary, Mahmoud M. ;
Francis, Isaac R. ;
Chari, Suresh T. ;
Fishman, Elliot K. ;
Hough, David M. ;
Lu, David S. ;
Macari, Michael ;
Megibow, Alec J. ;
Miller, Frank H. ;
Mortele, Koenraad J. ;
Merchant, Nipun B. ;
Minter, Rebecca M. ;
Tamm, Eric P. ;
Sahani, Dushyant V. ;
Simeone, Diane M. .
RADIOLOGY, 2014, 270 (01) :248-260
[2]   Magnetic resonance imaging for clinical management of rectal cancer: Updated recommendations from the 2016 European Society of Gastrointestinal and Abdominal Radiology (ESGAR) consensus meeting [J].
Beets-Tan, Regina G. H. ;
Lambregts, Doenja M. J. ;
Maas, Monique ;
Bipat, Shandra ;
Barbaro, Brunella ;
Curvo-Semedo, Luis ;
Fenlon, Helen M. ;
Gollub, Marc J. ;
Gourtsoyianni, Sofia ;
Halligan, Steve ;
Hoeffel, Christine ;
Kim, Seung Ho ;
Laghi, Andrea ;
Maier, Andrea ;
Rafaelsen, Soren R. ;
Stoker, Jaap ;
Taylor, Stuart A. ;
Torkzad, Michael R. ;
Blomqvist, Lennart .
EUROPEAN RADIOLOGY, 2018, 28 (04) :1465-1475
[3]   Structured Reporting of Multiphasic CT for Pancreatic Cancer: Potential Effect on Staging and Surgical Planning [J].
Brook, Olga R. ;
Brook, Alexander ;
Vollmer, Charles M. ;
Kent, Tara S. ;
Sanchez, Norberto ;
Pedrosa, Ivan .
RADIOLOGY, 2015, 274 (02) :464-472
[4]   Standardised reports with a template format are superior to free text reports: the case for rectal cancer reporting in clinical practice [J].
Brown, P. J. ;
Rossington, H. ;
Taylor, J. ;
Lambregts, D. M. J. ;
Morris, E. ;
West, P. ;
Quirke, P. ;
Tolan, D. .
EUROPEAN RADIOLOGY, 2019, 29 (09) :5121-5128
[5]   HIGH AGREEMENT BUT LOW KAPPA .2. RESOLVING THE PARADOXES [J].
CICCHETTI, DV ;
FEINSTEIN, AR .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1990, 43 (06) :551-558
[6]   Structured Reporting in Clinical Routine [J].
dos Santos, Daniel Pinto ;
Hempel, Johann-Martin ;
Mildenberger, Peter ;
Kloeckner, Roman ;
Persigehl, Thorsten .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2019, 191 (01) :33-39
[7]   Development of an IHE MRRT-compliant open-source web-based reporting platform [J].
dos Santos, Daniel Pinto ;
Klos, G. ;
Kloeckner, R. ;
Oberle, R. ;
Dueber, C. ;
Mildenberger, P. .
EUROPEAN RADIOLOGY, 2017, 27 (01) :424-430
[8]  
Dunnick N Reed, 2008, J Am Coll Radiol, V5, P626, DOI 10.1016/j.jacr.2007.12.015
[9]   New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1) [J].
Eisenhauer, E. A. ;
Therasse, P. ;
Bogaerts, J. ;
Schwartz, L. H. ;
Sargent, D. ;
Ford, R. ;
Dancey, J. ;
Arbuck, S. ;
Gwyther, S. ;
Mooney, M. ;
Rubinstein, L. ;
Shankar, L. ;
Dodd, L. ;
Kaplan, R. ;
Lacombe, D. ;
Verweij, J. .
EUROPEAN JOURNAL OF CANCER, 2009, 45 (02) :228-247
[10]   ESR paper on structured reporting in radiology [J].
Neri E. ;
Brady A.P. ;
Gibaud B. ;
Visser J.J. ;
Goldberg S.N. ;
Pyatigorskaya N. .
INSIGHTS INTO IMAGING, 2018, 9 (01) :1-7