Use of a standardized reporting template: can we improve report quality in pancreatic and peri‐ampullary malignancy?
| Autor: | Rashid Ibrahim, Robert Hodnett, Somaiah Aroori, Gemma Miles, Mark Puckett, Andrew D. MacCormick |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Computed tomography Adenocarcinoma Malignancy Pancreatic cancer medicine Periampullary cancer Humans Pancreas Aged Neoplasm Staging Aged 80 and over Retrospective review medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Key features people.cause_of_death Pancreatic Neoplasms Median time Surgery Radiology Ct imaging Tomography X-Ray Computed people business |
| Zdroj: | ANZ Journal of Surgery. 92:109-113 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/ans.17300 |
| Popis: | Accurate pancreatic and periampullary cancer staging with resectability assessment is vital to optimize surgical management and improve patient outcomes. The aim of this study is to assess the usefulness of a standardized reporting template.Retrospective review of all surgically managed patients with pancreatic or periampullary malignancy between January 2018 and June 2019. Pre-operative CT imaging report was anonymised and audited against a modified NCCN reporting template. The same imaging studies were re-reported by two experienced GI radiologists using the same template.Fifty-nine patients (37 male) with median age of 68 years (36-83) underwent surgery for suspected pancreatic/peri-ampullary malignancy. The median time between pre-operative CT scan and surgery was 56.5 days (14-225). The use of reporting template resulted in significant increase in number of reported key features (p 0.005), interobserver agreed features (p 0.005) and overall k-value assessed interobserver agreement (p 0.005). Template reports correlated closely with key intraoperative findings whilst primary free text reports did not (k-value 0.85-0.96 versus 0.20-0.46, p 0.05).The use of a reporting template resulted in a more complete and accurate pancreatic/peri-ampullary tumour evaluation, improved inter-observer relatability and correlation with intraoperative findings. |
| Databáze: | OpenAIRE |
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