Evidence map›Paper›PMID 27006891›Full record

ArticleDiagnosis (Berlin, Germany)2014

Breakdowns in communication of radiological findings: an ethical and medico-legal conundrum.

Leonard Berlin, Daniel R Murphy, Hardeep Singh

Abstract read
In one paragraph

Article in Diagnosis (Berlin, Germany), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Leonard BerlinDepartment of Radiology, Skokie Hospital, 9600 Gross Point Rd., Skokie, IL 60076, USA, Lberlin@live.com ; and Rush University and University of Illinois, Chicago, IL, USA.
Daniel R MurphyHouston VA Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Hardeep SinghHouston VA Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

Funding

Decision Making and Clinical Work of Test Result Follow-up in Health IT SettingsR01HS022087 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2013 to 2016
$2.0M
Reducing Missed And Delayed Diagnoses In Cancer: Lessons From AviationK23CA125585 · NCI · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2007 to 2011
$709k
AHRQ HHS R01 HS022087Intramural VA VA999999NCI NIH HHS K23 CA125585
6 · The paper itself

Abstract

Communication problems in diagnostic testing have increased in both number and importance in recent years. The medical and legal impact of failure of communication is dramatic. Over the past decades, the courts have expanded and strengthened the duty imposed on radiologists to timely communicate radiologic abnormalities to referring physicians and perhaps the patients themselves in certain situations. The need to communicate these findings goes beyond strict legal requirements: there is a moral imperative as well. The Code of Medical Ethics of the American Medical Association points out that "Ethical values and legal principles are usually closely related, but ethical obligations typically exceed legal duties." Thus, from the perspective of the law, radiologists are required to communicate important unexpected findings to referring physicians in a timely fashion, or alternatively to the patients themselves. From a moral perspective, radiologists should

Indexed as

case lawcommunicationdisclosuremalpracticemedical ethicsradiology

Identifiers

PMID27006891
PMCPMC4799785

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.