Evidence map›Paper›PMID 29854188›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Improving Quality of Follow-Up Imaging Recommendations in Radiology.

Thusitha Mabotuwana, Christopher S Hall, Joel Tieder, Martin L Gunn

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

4 authors.

Thusitha MabotuwanaPhilips Healthcare, Seattle, WA, USA.
Christopher S HallPhilips Healthcare, Seattle, WA, USA.
Joel TiederUniversity of Washington, Seattle, WA, USA.
Martin L GunnPhilips Healthcare, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Failure of timely follow-up imaging recommendations can result in suboptimal patient care. Evidence suggests that the use of conditional language in follow-up recommendations is associated with changes to follow-up compliance. Assuming that referring physicians prefer explicit guidance for follow-up recommendations, we develop algorithms to extract recommended modality and interval from follow-up imaging recommendations related to lung, thyroid and adrenal findings. Using a production dataset of 417,451 radiology reports, we observed that on average, follow-up interval was not mentioned in 79.4% of reports, and modality was missing in 47.4% of reports (4,819 reports contained a follow-up imaging recommendation for one of the three findings). We also developed an interactive dashboard to be used to monitor compliance rates. Recognizing the importance of increasing precision of follow-up recommendations, a quality improvement pilot study is underway with the goal of achieving a target where follow-up modality and interval are both explicitly specified.

Indexed as

AftercareAlgorithmsPatient ComplianceQuality ImprovementHumansPatient Discharge SummariesPilot ProjectsRadiographyUser-Computer Interface

Identifiers

PMID29854188
PMCPMC5977608

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.