Effect of an Automated Tracking Registry on the Rate of Tracking Failure in Incidental Pulmonary Nodules

Shelver, Jonathan; Wendt, Christine; McClure, Melissa; Bell, Brian; Fabbrini, Angela E.; Rector, Thomas S.; Rice, Kathryn

doi:10.1016/j.jacr.2017.02.001

Cited by 21 publications

(17 citation statements)

References 21 publications

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“…Such insight into department workflows could prove to be of high value and while some uncertainties remain as to which factors influence waiting times, recognising patterns in the data may allow identifying potential causes which then could be further investigated. Other studies showed that an automated lung nodule registry tracking system was able to significantly reduce the tracking failure rate for incidental pulmonary nodules [34].…”

Section: Digitised Workflows Big Data and Artificial Intelligencementioning

confidence: 99%

Big data, artificial intelligence, and structured reporting

Santos

Baeßler

2018

Eur Radiol Exp

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The past few years have seen a considerable rise in interest towards artificial intelligence and machine learning applications in radiology. However, in order for such systems to perform adequately, large amounts of training data are required. These data should ideally be standardised and of adequate quality to allow for further usage in training of artificial intelligence algorithms. Unfortunately, in many current clinical and radiological information technology ecosystems, access to relevant pieces of information is difficult. This is mostly because a significant portion of information is handled as a collection of narrative texts and interoperability is still lacking. This review aims at giving a brief overview on how structured reporting can help to facilitate research in artificial intelligence and the context of big data.

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Section: Digitised Workflows Big Data and Artificial Intelligencementioning

confidence: 99%

Big data, artificial intelligence, and structured reporting

Santos

Baeßler

2018

Eur Radiol Exp

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“…Prospective studies are needed to validate the impact of these updated guidelines on patient outcomes. Second, while the 2017 Fleischner guidelines are likely to significantly reduce the burden of recommended surveillance CT scans for patients and clinicians, adherence to new guidelines is still likely to be poor in usual care settings unless effective tracking and notification systems are established [21,22]. These systems will be increasingly important to monitor guideline concordance as the United States Preventive Services Task Force recommendation for lung cancer screening [23] and the newer Fleischner guidelines, which allow clinicians greater freedom and discretion in determining the need for surveillance, are integrated into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Follow-up of incidental pulmonary nodules and association with mortality in a safety-net cohort

et al. 2019

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Background Though incidental pulmonary nodules are common, rates of guideline-recommended surveillance and associations between surveillance and mortality are unclear. In this study, we describe adherence (categorized as complete, partial, late and none) to guideline-recommended surveillance among patients with incidental 5–8 mm pulmonary nodules and assess associations between adherence and mortality. Methods This was a retrospective cohort study of 551 patients (≥35 years) with incidental pulmonary nodules conducted from September 1, 2008 to December 31, 2016, in an integrated safety-net health network. Results Of the 551 patients, 156 (28%) had complete, 87 (16%) had partial, 93 (17%) had late and 215 (39%) had no documented surveillance. Patients were followed for a median of 5.2 years [interquartile range (IQR), 3.6–6.7 years] and 82 (15%) died during follow-up. Adjusted all-cause mortality rates ranged from 2.24 [95% confidence interval (CI), 1.24–3.25] deaths per 100 person-years for complete follow-up to 3.30 (95% CI, 2.36–4.23) for no follow-up. In multivariable models, there were no statistically significant associations between the levels of surveillance and mortality (p > 0.16 for each comparison with complete surveillance). Compared with complete surveillance, adjusted mortality rates were non-significantly increased by 0.45 deaths per 100 person-years (95% CI, −1.10 to 2.01) for partial, 0.55 (95% CI, −1.08 to 2.17) for late and 1.05 (95% CI, −0.35 to 2.45) for no surveillance. Conclusions Although guideline-recommended surveillance of small incidental pulmonary nodules was incomplete or absent in most patients, gaps in surveillance were not associated with statistically significant increases in mortality in a safety-net population.

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“…Restructured Clinical and Communication Pathways. Five studies described management strategies that restructured clinical workflow and communication pathways [27][28][29][30][31]. Restructuring strategies altered care delivery in phases 2 through 6 of the clinical pathway.…”

Section: Qualitative Synthesis Of If Management Strategiesmentioning

confidence: 99%

Management Strategies to Promote Follow-Up Care for Incidental Findings: A Scoping Review

Crable

Feeney

Harvey

et al. 2021

Journal of the American College of Radiology

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Effect of an Automated Tracking Registry on the Rate of Tracking Failure in Incidental Pulmonary Nodules

Abstract: The automated lung nodule registry tracking system can be exported to other health care facilities and significantly reduces the rate of tracking failure.

Cited by 21 publications

References 21 publications

Big data, artificial intelligence, and structured reporting

Big data, artificial intelligence, and structured reporting

Follow-up of incidental pulmonary nodules and association with mortality in a safety-net cohort

Management Strategies to Promote Follow-Up Care for Incidental Findings: A Scoping Review

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