Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies: results of UK national re-audit.

Autor: Howlett DC; Department of Radiology, East Sussex Healthcare NHS Trust, Eastbourne, UK., Drinkwater KJ; Directorate of Education and Professional Practice, Royal College of Radiologists, London, UK. Electronic address: karl_drinkwater@rcr.ac.uk., Mahmood N; Department of Radiology, University Hospitals Sussex NHS Foundation Trust, Brighton, UK., Salman L; Department of Radiology, East Sussex Healthcare NHS Trust, Eastbourne, UK., Griffin J; The Royal Osteoporosis Society, Bath, UK., Javaid MK; The Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK., Retnasingam G; Department of Radiology St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK., Marzoug A; Department of Radiology, Ninewells Hospital, Dundee, UK., Greenhalgh R; Department of Radiology, London North West University Healthcare NHS Trust, Harrow, UK.
Jazyk: angličtina
Zdroj: Clinical radiology [Clin Radiol] 2023 Dec; Vol. 78 (12), pp. e1041-e1047. Date of Electronic Publication: 2023 Sep 29.
DOI: 10.1016/j.crad.2023.09.004
Abstrakt: Aim: To describe a UK-wide re-audit of the 2019 Royal College of Radiologists (RCR) audit evaluating patient-related data and organisational infrastructure in the radiological reporting of vertebral fragility fractures (VFFs) on computed tomography (CT) studies and to assess the impact of a series of RCR interventions, initiated to raise VFF awareness, on reporting practice and outcomes.
Materials and Methods: Patient specific and organisational questionnaires largely replicated those utilised in 2019. The patient questionnaire involved retrospective analysis of between 50 and 100 consecutive, non-traumatic CT studies which included the thoracolumbar spine. All RCR radiology audit leads were invited to participate. Data collection commenced from 1 April 2022.
Results: Data were supplied by 129/194 (67%) departments. One thousand five hundred and eighty-six of 7,316 patients (21.7%) had a VFF on auditor review. Overall improvements were demonstrated in key initial/provisional reporting results; comment on spine/bone (93.2%, 14.4% improvement, p<0.0002); fracture severity assessment (34.7%, 8.5% improvement, p=0.0007); use of recommended terminology (67.8%, 7.5% improvement, p=0.0034); recommendations for further management (11.7%, 9.1% improvement, p<0.0002).
Conclusions: The 2022 national re-audit confirms improvements in diagnostic performance and practice in VFF reporting. Continuing work is required to build on this improvement and to further embed best practice.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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