Evidence map›Paper›PMID 33909134›Full record

ArticleEuropean radiology2021

Direct communication between radiologists and patients improves the quality of imaging reports.

Andreas Gutzeit, Elisabeth Sartoretti, Clemens Reisinger, Janusch Blautzik, Sabine Sartoretti-Schefer, Sebastian Kos, Arne Fischmann, Ricardo Donners, Dorothee Harder, Matthias Meissnitzer and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  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. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. 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

18 authors.

Andreas GutzeitDepartment of Radiology, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria. agutzeit2000@gmail.com.
Elisabeth SartorettiFaculty of Medicine, University of Zürich, Zürich, Switzerland.
Clemens ReisingerInstitute of Radiology and Nuclear Medicine and Breast Center St. Anna, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Janusch BlautzikInstitute of Radiology and Nuclear Medicine and Breast Center St. Anna, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Sabine Sartoretti-ScheferDepartment of Radiology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Sebastian KosInstitute of Radiology and Nuclear Medicine and Breast Center St. Anna, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Arne FischmannInstitute of Radiology and Nuclear Medicine and Breast Center St. Anna, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Ricardo DonnersDepartment of Radiology, Royal Marsden Hospital Downs Road, SM2 5PT, Sutton, UK.
Dorothee HarderDepartment of Radiology, University Hospital Basel, University of Basel, Basel, Switzerland.
Matthias MeissnitzerDepartment of Radiology, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria.
Klaus HerganDepartment of Radiology, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria.
Selina LargiadèrFaculty of Medicine, University of Zürich, Zürich, Switzerland.
Rosemarie ForstnerDepartment of Radiology, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria.
Johannes M FroehlichClinical Research Group, Klus Apotheke Zürich, Zürich, Switzerland.
Carolin ReischauerDepartment of Medicine, University of Fribourg, Fribourg, Switzerland.
Simon MatooriInstitute of Radiology and Nuclear Medicine and Breast Center St. Anna, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Dow Mu KohCancer Research UK Clinical Magnetic Resonance Research Group, Institute of Cancer Research, Sutton, Surrey, UK.
Thomas SartorettiFaculty of Medicine, University of Zürich, Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigate in what percentage of cases and to what extent radiological reports change when radiologists directly communicate with patients after imaging examinations.

methodsOne hundred twenty-two consecutive outpatients undergoing MRI examinations at a single center were prospectively included. Radiological reports of the patients were drafted by two radiologists in consensus using only the clinical information that was made available by the referring physicians. Thereafter, one radiologist talked directly with the patient and recorded the duration of the conversation. Afterwards, the additional information from the patient was used to reevaluate the imaging studies in consensus. The radiologists determined whether the radiological report changed based on additional information and, if yes, to what extent. The degree of change was graded on a 4-point Likert scale (1, non-relevant findings, to 4, highly relevant findings).

resultsFollowing direct communication (duration 170.9 ± 53.9 s), the radiological reports of 52 patients (42.6%) were changed. Of the 52 patients, the degree of change was classified as grade 1 for 8 patients (15.4 %), grade 2 for 27 patients (51.9%), grade 3 for 13 patients (25%), and grade 4 for 4 patients (7.7%). The reasons leading to changes were missing clinical information in 50 cases (96.2%) and the lack of additional external imaging in 2 cases (3.8%).

conclusionsRadiologists should be aware that a lack of accurate information from the clinician can lead to incorrect radiological reports or diagnosis. Radiologists should communicate directly with patients, especially when the provided information is unclear, as it may significantly alter the radiological report. KEY POINTS: • Direct communication between radiologists and patients for an average of 170's resulted in a change in the radiological reports of 52 patients (42.6%). • Of the 42.6% of cases where the reports were changed, the alterations were highly relevant (grades 3 and 4) in 32.7%, indicating major changes with significant impact towards patient management.

Indexed as

RadiologistsRadiologyCommunicationHumansMagnetic Resonance ImagingRadiographyCommunicationDiagnostic test, routineRadiologists

Identifiers

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.