JOURNAL CLUB: Structured Feedback From Patients on Actual Radiology Reports: A Novel Approach to Improve Reporting Practices

Gunn, Andrew J.; Gilcrease-Garcia, Brian; Mangano, M; Sahani, Dushyant V.; Boland, Giles W.; Choy, Garry

doi:10.2214/ajr.16.17584

Cited by 37 publications

(14 citation statements)

References 13 publications

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“…Patient portals also lead to decreased health care costs by reducing medical errors and improving the patient's cooperation [56]. An increased understanding of the treatment process could lead to patients making fewer mistakes in their care that could lead to a repeat condition or illness and require the same type of medical treatment [8,11,14,16,19,20,57]. Through increased patient engagement, a health care provider can save time and money.…”

Section: Benefits Of a Patient Portal For Patient Engagementmentioning

confidence: 99%

Full Radiology Report through Patient Web Portal: A Literature Review

Alarifi

Patrick

Jabour³

et al. 2020

IJERPH

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The aim of this study discusses the gap between the patient web portal and providing a full radiology report. A literature review was conducted to examine radiologists, physicians, and patients’ opinions and preferences of providing patients with online access radiology reports. The databases searched were Pubmed and Google Scholar and the initial search included 927 studies. After review, 47 studies were included in the study. We identified several themes, including patients’ understanding of radiology reports and radiological images, as well as the need for decreasing the turnaround time for reports availability. The existing radiology reports written for physicians are not suited for patients. Further studies are needed to guide and inform the design of patient friendly radiology reports. One of the ways that can be used to fill the gap between patients and radiology reports is using social media sites.

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Section: Benefits Of a Patient Portal For Patient Engagementmentioning

confidence: 99%

Full Radiology Report through Patient Web Portal: A Literature Review

Alarifi

Patrick

Jabour³

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Although patients desire access to their report [37], and are increasingly receiving it through their electronic medical records, only two guidelines consider the patient, and only to state that the reporting radiologist should consider that the patient may read the report. Methods to reduce patient distress and anxiety that have been explored include rewording imaging reports to use simpler and more neutral language [38], including patient-oriented explanations of complex medical terms along with diagrams [39,40], and lay language summaries [41]. Insertion of benchmark epidemiological data providing information similar to normal ranges for laboratory tests has also been proposed and investigated [42,43].…”

Section: Discussionmentioning

confidence: 99%

Enhancing clinician and patient understanding of radiology reports: a scoping review of international guidelines

et al. 2020

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Imaging reports are the primary method of communicating diagnostic imaging findings between the radiologist and the referring clinician. Guidelines produced by professional bodies provide guidance on content and format of imaging reports, but the extent to which they consider comprehensibility for referring clinicians and their patients is unclear. The objective of this review was to determine the extent to which radiology reporting guidelines consider comprehensibility of imaging reports for referring clinicians and patients. We performed a scoping review of English-language diagnostic imaging reporting guidelines. We searched electronic databases (OVID MEDLINE, Embase) and websites of radiological professional organisations to identify guidelines. The extent to which the guidelines recommended essential report features such as technical information, content, format and language, as well as features to enhance comprehensibility, such as lay language summaries, was recorded. Six guidelines from professional bodies representing radiologists from the USA, Canada, Australia and New Zealand, Hong Kong, the UK and Europe were identified from the search. Inconsistencies exist between guidelines in their recommendations, and they rarely consider that patients may read the report. No guideline made recommendations about the reporting of results considering the clinical context, and none recommended features preferred by patients such as lay language summaries. This review identifies an opportunity for future radiology reporting guidelines to give greater consideration to referring clinician and patient preferences.

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“…Radiology reports frequently include long sentences, complex polysyllabic technical terms, and unfamiliar vocabulary; they may be nearly impenetrable to the average patient. Patients frequently request an explanation of the report in lay terms and have expressed a preference for reports in lay language [18,19]. Investigators have explored systems to translate clinical text into lay language using an open-access, collaborative consumer health vocabulary [20].…”

Section: Discussionmentioning

confidence: 99%

PORTER: a Prototype System for Patient-Oriented Radiology Reporting

Cook

Kahn

2016

J Digit Imaging

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To empower patients to participate in their medical care and decision-making, effective communication is critical. In radiology, the clinical report is the primary medium of communication. Although radiologists historically have authored reports with the referring provider as the intended reader, patients increasingly access the reports through portals to electronic health record systems. We developed a system named PORTER (Patient-Oriented Radiology Reporter) to augment radiology reports with lay-language definitions. Our IRB-approved, HIPAA-compliant study protocol analyzed 100 knee MRI reports from an academic medical center to identify the most commonly utilized terms. A glossary of 313 terms was constructed to include definitions of the terms and, where available, links to reference sources and public-domain images. Flesch-Kincaid readability scores were computed to assure that definitions were readable at or below 10th-grade reading level. The system provided an interactive web site to view outpatient knee MRI exams. After logging in with their exam ID number and date of birth, patients viewed their report annotated with definitions from the glossary. Applicable images were displayed when the user's mouse hovered over a glossary term. This patient-oriented system can help empower patients to better understand their radiology results.

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JOURNAL CLUB: Structured Feedback From Patients on Actual Radiology Reports: A Novel Approach to Improve Reporting Practices

Abstract: Radiology reports are not well understood by patients, who identify technical language and the long length of reports as the most common problems affecting their comprehension. Longer reports tend to be less well understood.

Cited by 37 publications

References 13 publications

Full Radiology Report through Patient Web Portal: A Literature Review

Full Radiology Report through Patient Web Portal: A Literature Review

Enhancing clinician and patient understanding of radiology reports: a scoping review of international guidelines

PORTER: a Prototype System for Patient-Oriented Radiology Reporting

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