Facilitating Surveillance of Incidental Findings Using a Novel Reporting Template: Proof of Concept in Patients With Pancreatic Abnormalities
| Autor: | Nisa Kubiliun, Veronica L. Coleman, Ivan Pedrosa, Gaurav Khatri, Nadine Zeidan, William C. Smith, Samuel H. Dunn, Rebecca M. Minter, John R. Leyendecker, John C. Mansour, Lan Vu, Travis Browning |
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| Rok vydání: | 2021 |
| Předmět: |
Endoscopic ultrasound
Incidental Findings medicine.medical_specialty Referral medicine.diagnostic_test Intraductal papillary mucinous neoplasm business.industry medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Electronic health record Humans Medicine Radiology Nuclear Medicine and imaging In patient Radiology Tomography X-Ray Computed business Pancreas Standardize patient Organ system Retrospective Studies Ultrasonography |
| Zdroj: | Journal of the American College of Radiology. 18:1246-1257 |
| ISSN: | 1546-1440 |
| Popis: | OBJECTIVE To determine the surveillance impact of utilizing a discrete field in structured radiology reports in patients with incidental pancreatic findings. METHODS We implemented a dictation template containing a discrete structured field element to auto-trigger listing of patients with incidental pancreatic findings on a pancreas clinic registry in the electronic health record. We isolated CT and MRI reports with incidental pancreatic findings over a 24-month period. We stratified patients by presence or absence of the discrete field element in reports (flagged versus unflagged) and evaluated the impact of report flagging on likelihood of clinic follow-up, follow-up imaging, endoscopic ultrasound, surgical intervention, genetics referral, obtaining pathologic diagnosis, and time interval between index imaging to various outcomes. RESULTS Patients with flagged reports were more likely to be seen or discussed in a pancreas clinic compared with those with unflagged reports (189 of 376, 50.3% versus 79 of 474, 16.7%; P |
| Databáze: | OpenAIRE |
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