Evidence map›Paper›PMID 33178958›Full record

ArticleBJR open2020

Reporting radiographers and their role in thoracic CT service improvement: managing the pulmonary nodule.

Paul Holland, Hazel Spence, Alison Clubley, Chantel Brooks, David Baldwin, Kate Pointon

Open access · goldAbstract read
In one paragraph

Article in BJR open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Lung nodules: sorting the wheat from the chaff.The British journal of radiology · 2023
    Review
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

6 authors at 2 institutions in 1 country.

Paul HollandDepartment of Radiology, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, United Kingdom.
Hazel SpenceDepartment of Radiology, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, United Kingdom.
Alison ClubleyDepartment of Radiology, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, United Kingdom.
Chantel BrooksDepartment of Radiology, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, United Kingdom.
David BaldwinDepartment of Respiratory Medicine, University of Nottingham, Nottingham, United Kingdom.
Kate PointonDepartment of Radiology, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, United Kingdom.
Nottingham City Hospital · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe use of cross-sectional imaging in clinical medicine has been a major step forward in the management of many conditions but with that comes the increasing demand on resources and the detection of other potentially significant findings. This, in the context of a shortage of skilled radiologists, means that new ways of working are important. In thoracic CT, pulmonary nodules are a significant challenge because they are so common. Poor and inconsistent management can both cause harm to patients and waste resources so it is important that the latest guidelines are followed. The latter mandate the use of semi-automated volumetry that allows more precise management but is time-consuming.

methodsReporting radiographers were iteratively trained in the use of semi-automated volumetry for pulmonary nodules by experienced thoracic radiologists. Once trained in this specific aspect, radiographers completed reporting of pulmonary nodules, checked by radiologists.

resultsRadiographer reporting reduced radiologist time in reporting nodules and measuring their volume. Most of the volumetry was completed prior to the multidisciplinary meeting. This facilitated an increase in the number of patients discussed in 60 min from 15 to 22. Radiographers failed to detect few nodules, although a second read by radiologists is required in any case for other aspects of the reporting.

conclusionReporting radiographers, working with radiologists in a supportive setting, can deliver the radiology in a lung nodule pathway, reducing the time commitment from radiologists and the pulmonary nodule multidisciplinary team members, whilst using this as an opportunity to conduct research.

Identifiers

PMID33178958
PMCPMC7594904
OpenAlexW3007232699

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.