Improvement of radiology reporting in a clinical cancer network: impact of an optimised multidisciplinary workflow

Olthof, A; Borstlap, J; Roeloffzen, Wilfried; Callenbach, Petra M. C.; Ooijen, Peter M. A. van

doi:10.1007/s00330-018-5427-x

Cited by 13 publications

(8 citation statements)

References 26 publications

(28 reference statements)

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“…The benefits of the structured report are well-known in the literature and already demonstrated by some clinical implementation trials [21][22][23][24].…”

Section: Discussionmentioning

confidence: 84%

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

et al. 2020

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Objectives: The need of a standardized reporting scheme and language, in imaging of COVID-19 pneumonia, has been welcomed by major scientific societies. The aim of the study was to build the reporting scheme of chest CT in COVID-19 pneumonia. Methods: A team of experts, of the Italian Society of Medical and Interventional Radiology (SIRM), has been recruited to compose a consensus panel. They used a modified Delphi process to build a reporting scheme and expressed a level of agreement for each section of the report. To measure the internal consistency of the panelist ratings for each section of the report, a quality analysis based on the average inter-item correlation was performed with Cronbach's alpha (Cα) correlation coefficient. Results: The overall mean score of the experts and the sum of score were 3.1 (std.dev. ± 0.11) and 122 in the second round, and improved to 3.75 (std.dev. ± 0.40) and 154 in the third round. The Cronbach's alpha (Cα) correlation coefficient was 0.741 (acceptable) in the second round and improved to 0.789 in the third round. The final report was built in the management of radiology report template (MRRT) and includes n = 4 items in the procedure information, n = 5 items in the clinical information, n = 16 in the findings, and n = 3 in the impression, with overall 28 items. Conclusions: The proposed structured report could be of help both for expert radiologists and for the less experienced who are faced with the management of these patients. The structured report is conceived as a guideline, to recommend the key items/findings of chest CT in COVID-19 pneumonia.

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“…The benefits of the structured report are well-known in the literature and already demonstrated by some clinical implementation trials [21][22][23][24].…”

Section: Discussionmentioning

confidence: 84%

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

et al. 2020

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“…In terms of practical implementation, the successful integration of department-wide structured reporting programmes using a step-wise approach and an interdisciplinary agreement has been described before [29,30]. Olthof et al have demonstrated that interdisciplinary workflow optimisation including clarification of imaging request forms, subspecialisation of radiologists and structured reporting improves the quality of radiology reports in oncological patients [31]. Gormly reported on experiences with an oncological reporting concept that includes reporting templates with a layout comparable to SOR [32].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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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.

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“…31 Organizations such as the ACR and the RSNA have established standardized templates for reporting imaging findings, 32,33 and accordingly, 6 countries in our survey reported using templates established by the RSNA or some other organization. Several studies [34][35][36] have examined the utility of structured reporting, particularly in its benefit to referring physicians. While structured reporting may lose some of the nuances of free-form reporting, it is less likely to use ambiguous terminology, relative to free-form reports, 36 and may avoid misinterpretation by referring physicians.…”

Section: Discussionmentioning

confidence: 99%

An International Survey of Quality and Safety Programs in Radiology

et al. 2020

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Purpose: The aim of this study was to determine the status of radiology quality improvement programs in a variety of selected nations worldwide. Methods: A survey was developed by select members of the International Economics Committee of the American College of Radiology on quality programs and was distributed to committee members. Members responded on behalf of their country. The 51-question survey asked about 12 different quality initiatives which were grouped into 4 themes: departments, users, equipment, and outcomes. Respondents reported whether a designated type of quality initiative was used in their country and answered subsequent questions further characterizing it. Results: The response rate was 100% and represented Australia, Canada, China, England, France, Germany, India, Israel, Japan, the Netherlands, Russia, and the United States. The most frequently reported quality initiatives were imaging appropriateness (91.7%) and disease registries (91.7%), followed by key performance indicators (83.3%) and morbidity and mortality rounds (83.3%). Peer review, equipment accreditation, radiation dose monitoring, and structured reporting were reported by 75.0% of respondents, followed by 58.3% of respondents for quality audits and critical incident reporting. The least frequently reported initiatives included Lean/Kaizen exercises and physician performance assessments, implemented by 25.0% of respondents. Conclusion: There is considerable diversity in the quality programs used throughout the world, despite some influence by national and international organizations, from whom further guidance could increase uniformity and optimize patient care in radiology.

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Improvement of radiology reporting in a clinical cancer network: impact of an optimised multidisciplinary workflow

Cited by 13 publications

References 26 publications

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

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

An International Survey of Quality and Safety Programs in Radiology

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