Reducing repeat imaging in hepato-pancreatico-biliary surgical cancer care through shared diagnostic imaging repositories
| Autor: | Calvin Law, Laurent Milot, Sukirtha Tharmalingam, Amanda Alberga, Julie Hallet, Natalie G. Coburn, Kaitlyn Beyfuss, Longdi Fu |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Hepato pancreatico biliary Unnecessary Procedures Digestive System Neoplasms Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Regional cancer Medical imaging Humans Medicine Referral and Consultation Aged Retrospective Studies Hepatology business.industry Surgical care General surgery Gastroenterology Cancer Middle Aged Process of care medicine.disease Magnetic Resonance Imaging Wait time Radiology Information Systems Treatment Outcome 030220 oncology & carcinogenesis Centralized Hospital Services Female 030211 gastroenterology & hepatology Medical Record Linkage Tomography X-Ray Computed business Cancer surgery |
| Zdroj: | HPB. 21:96-106 |
| ISSN: | 1365-182X |
| Popis: | With regionalization of care, patients often undergo treatment in institutions other than where the initial investigation is conducted. This study assessed the impact of a shared diagnostic imaging repository (SDIR) on processes of care and outcomes in hepato-pancreatico-biliary (HPB) cancer surgery.Provincial administrative datasets were linked to study HPB cancer patients operated at a regional cancer centre (2003-2014). SDIR and non-SDIR groups were based on where initial imaging (CT or MRI) was conducted. Outcomes were repeat imaging before surgery and wait times for surgery from initial imaging and surgical consultation.Of 839 patients, 474 were from SDIR institutions. Fewer SDIR patients underwent any repeat imaging (55.9% vs. 75.3%; p 0.01) and repeat imaging with same modality and protocol (24.7% vs. 43.0%; p 0.01). Median wait time to surgery from initial imaging (64 Vs. 79 days; p 0.01) and surgical consultation (39 Vs. 45 days; p = 0.046) was shorter with SDIR. SDIR patients had lower adjusted odds of any repeat imaging (OR 0.20 [0.14-0.30]), and repeat imaging with same modality and protocol (OR 0.58 [0.41-0.80]).Radiology sharing with SDIR reduced repeat imaging for HPB cancer surgery, including potentially redundant repeat imaging with same protocol, and shortened wait time to surgical care. |
| Databáze: | OpenAIRE |
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