Dendl, Lena-Marie and Teufel, Andreas and Schleder, Stephan and Rennert, Janine and Stroszczynski, Christian and Mueller-Schilling, Martina and Schreyer, Andreas G. (2017) Analysis of Radiological Case Presentations and their Impact on Therapy and Treatment Concepts in Internal Medicine. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 189 (3). pp. 239-246. ISSN 1438-9029, 1438-9010
Full text not available from this repository. (Request a copy)Abstract
Purpose Evaluation of clinical impact regarding diagnostic and therapeutic changes influenced by interdisciplinary radiological case presentations. Materials and Methods Prospective evaluation of radiological-gastrointestinal clinical case conferences over a 1-year period at a tertiary care center. We documented the preparation (phase 1) and clinical case conference (phase 2) regarding their impact on the radiology report and further diagnostic work-up and therapy. Results 1067 examinations were evaluated in 69 clinical case conferences including 487 cases. We calculated a mean time of 35.8 minutes per conference with 5.1 minutes per case for preparation. During phase 1, major changes compared to the previous report were found in 1.2% of cases, and no change was found in 91.4% of cases. In phase 2 an additional relevant finding was found in 0.6% of cases, while there was no major change to the reports in 99% of cases. We recommended further radiological diagnostic workup in 9% of cases and interventional radiological examination in 2.7% of cases, while no change was documented in 83.2%. Further radiological or surgical therapy was recommended in 7% and 6.8% of cases, respectively. There was no change in therapy in 78.5% of cases. Conclusion The analysis of an interdisciplinary radiological case presentation in internal medicine shows that the case discussion with the radiologist results in a change in patient management in 37.3% of cases (16.8% diagnosis, 21.5% therapy). Overall, interdisciplinary radiological clinical case conferences help to improve the management and quality of patient care. Our data support the broad implementation of radiological clinical case conferences.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 2ND OPINION; CANCER; HEAD; decision analysis; cost-effectiveness; health policy and practice |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:00 |
| Last Modified: | 26 Feb 2019 07:17 |
| URI: | https://pred.uni-regensburg.de/id/eprint/281 |
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