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Improving Accuracy in Reporting CT Scans of Oncology Patients
- Source :
- Academic Radiology. 20:351-357
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- Rationale and Objectives In February 2010, our radiology department adopted the use of the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria for newly diagnosed oncology patients. Prior to staff used RECIST 1.1, we hypothesized that education and feedback interventions could help clarify differences between RECIST 1.0 and the newly adopted RECIST 1.1 guidelines and result in appropriate and accurate utilization of both reporting systems. This study evaluates the effect of education and feedback interventions on the accuracy of computed tomography (CT) reporting using RECIST criteria. Materials and Methods Consecutive CT scan reports and images were retrospectively reviewed during three different periods to assess for compliance and adherence to RECIST guidelines. Data collected included interpreting faculty, resident, type, and total number of errors per report. Significance testing of differences between cohorts was performed using an unequal variance t -test. Group 1 (baseline): RECIST 1.0 used; prior to adoption of RECIST 1.1 criteria. Group 2 (post distributed educational materials): Following adoption of RECIST 1.1 criteria and distribution of educational materials. Group 3 (post audit and feedback): Following the audit and feedback intervention. Results The percentage of reports with errors decreased from 30% (baseline) to 28% (group 2) to 22% (group 3). Only the difference in error rate between the baseline and group 3 was significant ( P = .03). Conclusion The combination of distributed educational materials and audit and feedback interventions improved the quality of radiology reports requiring RECIST criteria by reducing the number of studies with errors.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Psychological intervention
Computed tomography
Newly diagnosed
Audit and feedback
Unequal variance
Response Evaluation Criteria in Solid Tumors
Significance testing
medicine
Radiology, Nuclear Medicine and imaging
Medical physics
Oncology patients
business
Subjects
Details
- ISSN :
- 10766332
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Academic Radiology
- Accession number :
- edsair.doi...........9298e4b541afcfa135c0ce6da3e09035
- Full Text :
- https://doi.org/10.1016/j.acra.2012.12.002