tetano
Editor, Senior Moderator
Eur J Radiol
. 2021 Mar 1;138:109621.
doi: 10.1016/j.ejrad.2021.109621. Online ahead of print.
Chest CT in COVID-19 patients: Structured vs conventional reporting
Arnaldo Stanzione[SUP] 1 [/SUP], Andrea Ponsiglione[SUP] 1 [/SUP], Renato Cuocolo[SUP] 2 [/SUP], Mariateresa Rumolo[SUP] 1 [/SUP], Marika Santarsiere[SUP] 1 [/SUP], Riccardo Scotto[SUP] 3 [/SUP], Giulio Viceconte[SUP] 3 [/SUP], Massimo Imbriaco[SUP] 1 [/SUP], Simone Maurea[SUP] 1 [/SUP], Luigi Camera[SUP] 1 [/SUP], Ivan Gentile[SUP] 4 [/SUP], Arturo Brunetti[SUP] 1 [/SUP]
Affiliations
Abstract
Purpose: To assess clinician satisfaction with structured (SR) and conventional (CR) radiological reports for chest CT exams in coronavirus disease 2019 (COVID-19) patients, objectively comparing both reporting strategies.
Method: We retrospectively included 68 CTs (61 patients) with COVID-19. CRs were collected from the digital database while corresponding SRs were written by an expert radiologist, including a sign checklist, severity score index and final impressions. New CRs were prepared for a random subset (n = 10) of cases, to allow comparisons in reporting time and word count. CRs were analyzed to record severity score and final impressions inclusion. A random subset of 40 paired CRs and SRs was evaluated by two clinicians to assess, using a Likert scale, readability, comprehensiveness, comprehensibility, conciseness, clinical impact, and overall quality.
Results: Overall, 19/68 (28 %) and 9/68 (13 %) of CRs included final impressions and severity score, respectively. SR writing required significantly (p < 0.001) less time (mean = 308 s; SD ? 60 s) compared to CRs (mean = 458 s; SD ? 72 s). On the other hand, word count was not significantly different (p = 0.059, median = 100 and 106, range = 106-139 and 88-131 for SRs and CRs, respectively). Both clinicians expressed significantly (all p < 0.01) higher scores for SRs compared to CRs in all categories.
Conclusions: Our study supports the use of chest CT SRs in COVID-19 patients to improve referring physician satisfaction, optimizing reporting time and provide a greater amount and quality of information within the report.
Keywords: Conventional report; Radiology report quality; Standardization; Structured report.
. 2021 Mar 1;138:109621.
doi: 10.1016/j.ejrad.2021.109621. Online ahead of print.
Chest CT in COVID-19 patients: Structured vs conventional reporting
Arnaldo Stanzione[SUP] 1 [/SUP], Andrea Ponsiglione[SUP] 1 [/SUP], Renato Cuocolo[SUP] 2 [/SUP], Mariateresa Rumolo[SUP] 1 [/SUP], Marika Santarsiere[SUP] 1 [/SUP], Riccardo Scotto[SUP] 3 [/SUP], Giulio Viceconte[SUP] 3 [/SUP], Massimo Imbriaco[SUP] 1 [/SUP], Simone Maurea[SUP] 1 [/SUP], Luigi Camera[SUP] 1 [/SUP], Ivan Gentile[SUP] 4 [/SUP], Arturo Brunetti[SUP] 1 [/SUP]
Affiliations
- PMID: 33677417
- DOI: 10.1016/j.ejrad.2021.109621
Abstract
Purpose: To assess clinician satisfaction with structured (SR) and conventional (CR) radiological reports for chest CT exams in coronavirus disease 2019 (COVID-19) patients, objectively comparing both reporting strategies.
Method: We retrospectively included 68 CTs (61 patients) with COVID-19. CRs were collected from the digital database while corresponding SRs were written by an expert radiologist, including a sign checklist, severity score index and final impressions. New CRs were prepared for a random subset (n = 10) of cases, to allow comparisons in reporting time and word count. CRs were analyzed to record severity score and final impressions inclusion. A random subset of 40 paired CRs and SRs was evaluated by two clinicians to assess, using a Likert scale, readability, comprehensiveness, comprehensibility, conciseness, clinical impact, and overall quality.
Results: Overall, 19/68 (28 %) and 9/68 (13 %) of CRs included final impressions and severity score, respectively. SR writing required significantly (p < 0.001) less time (mean = 308 s; SD ? 60 s) compared to CRs (mean = 458 s; SD ? 72 s). On the other hand, word count was not significantly different (p = 0.059, median = 100 and 106, range = 106-139 and 88-131 for SRs and CRs, respectively). Both clinicians expressed significantly (all p < 0.01) higher scores for SRs compared to CRs in all categories.
Conclusions: Our study supports the use of chest CT SRs in COVID-19 patients to improve referring physician satisfaction, optimizing reporting time and provide a greater amount and quality of information within the report.
Keywords: Conventional report; Radiology report quality; Standardization; Structured report.