Evidence map›Paper›PMID 29943178›Full record

ArticleEuropean radiology2019

Direct communication between radiologists and patients following imaging examinations. Should radiologists rethink their patient care?

Andreas Gutzeit, Regine Heiland, Sonja Sudarski, Johannes M Froehlich, Klaus Hergan, Matthias Meissnitzer, Sebastian Kos, Peter Bertke, Orpheus Kolokythas, Dow M Koh

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
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

19 citing papers in PubMed, 47 citations in OpenAlex.

  1. Humor in radiological breast cancer screening: a way of improving patient service?Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. 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

10 authors at 7 institutions in 5 countries.

Andreas GutzeitDepartment of Radiology, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, A-5020, Salzburg, Austria. agutzeit2000@gmail.com.
Regine Heilandelbdialog GbR; Schulz von Thun Institute, Institute for Communication, Hamburg, Germany.
Sonja SudarskiInstitute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167, Mannheim, Germany.
Johannes M FroehlichInstitute of Radiology and Nuclear Medicine, Hirslanden Klinik St. Anna, St. Anna-Strasse 32, 6006, Lucerne, Switzerland.
Klaus HerganDepartment of Radiology, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, A-5020, Salzburg, Austria.
Matthias MeissnitzerDepartment of Radiology, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, A-5020, Salzburg, Austria.
Sebastian KosInstitute of Radiology and Nuclear Medicine, Hirslanden Klinik St. Anna, St. Anna-Strasse 32, 6006, Lucerne, Switzerland.
Peter BertkeDepartment of Internal Medicine, Hirslanden Klinik St. Anna, St. Anna-Strasse 31, 6006, Lucerne, Switzerland.
Orpheus KolokythasDepartment of Radiology, University Washington, 1959 NE Pacific St., Seattle, WA, 98190, USA.
Dow M KohDepartment of Radiology, Royal Marsden Hospital, Sutton, Surrey, UK.
Paracelsus Medical University · ATHirslanden Klinik St. Anna · CHETH Zurich · CHGerman Institute for Global and Area Studies · DERoyal Marsden NHS Foundation Trust · GBSeattle Pacific University · USUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate patients' perception of the radiology service when the radiologist communicates the findings to patients.

methodsAfter routine MRI, patients in group 1 (n = 101) were given the opportunity to discuss the findings with the radiologist. Patients in group 2 (n = 101) left the radiology department without any personal communication. Subsequently, by means of a questionnaire designed by an expert psychologist, both groups were asked regarding their anxiety, emotional attachment to the institute and subjective assessment of competence.

resultsOverall 76 % of all patients were concerned about their imaging findings without significant difference between both groups (p = 0.179). Significantly more patients in group 1 (81%) versus group 2 (14%; p < 0.001) perceived the opportunity to discuss their imaging findings with a radiologist to be a characteristic of a good radiology consultation. A larger number of patients in group 1 experienced significantly higher bonding and only wanted in the future to be examined in the department with communication (p = 0.001) (93%/75%). Significantly more patients in group 1 regarded the radiology department they attended as being more competent (mean score 4.72/4.09, p < 0.001).

conclusionDirect communication of imaging findings from radiologists to patients after an MRI examination leads to increased confidence in the radiology service and higher bonding between the patient and radiologist. Radiologists who refrain from direct communication have a lower bonding to patients and are assessed to have lower competence from the patient's point of view. KEY POINTS: • Communication between radiologists and patients leads to an increased bonding affinity. • Direct communication leads to increased patient confidence in the radiology service. • Patients perceived discussion with a radiologist of high value.

Indexed as

CommunicationPhysician-Patient RelationsAdolescentAdultAgedAged, 80 and overAnxietyAttitude to HealthClinical CompetenceFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPatient CareRadiologistsAnxietyCommunicationPsychologyQuestionnairesSurveys

Identifiers

PMID29943178
OpenAlexW2811001103

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.