Department of General Surgery, S. Chiara Hospital, Trento, Italy.
General Surgery Unit, S. Lorenzo Hospital, Borgo Valsugana, Tn, Italy.
Hernia. 2021 Dec;25(6):1685-1692. doi: 10.1007/s10029-021-02503-8. Epub 2021 Sep 21.
The advantages offered by structured reporting have already been highlighted in the literature. However, there is still no evidence on the validity of this reporting method for the study of abdominal wall defects. This study aims to show the experience of the Trentino Hernia Team (THT) multidisciplinary group in the development and use of a structured CT scan report for the study of abdominal wall defects.
A regional multidisciplinary team (THT group) used a Delphi method to identify and select the most important CT scan parameters needed to describe and stage abdominal wall defects for correct preoperative planning. Based on the selected parameters, a CT scan structured report was worked out and collectively accepted. The first 20 structured reports obtained were individually tested for compilation speed and homogeneity of the data reported by five distinct radiologists. The reports were then evaluated by five different surgeons to test the simplicity of interpretation.
We produced a model of a structured report for the study of the abdominal wall defects and tested it in our hospital network on the first 20 reports. The average completion time was 18 min (range 12-25). There was no heterogeneity among the reported data. The reports were analysed by five distinct surgeons to evaluate completeness and simplicity of interpretation. Each surgeon used a Likert scale from 0 to 5 to evaluate each report, producing average scores of 4.8 and 4.1 for completeness and comprehensibility respectively, with a mean combined total score of 8.9 out of 10.
Our structured report represents a fundamental tool capable of providing the surgeon with all the measurements of the parameters necessary for correct preoperative planning. At the same time, it is of crucial help for the radiologists representing an easy and fast way to report all the needed parameters using the same standards.
文献已经强调了结构化报告的优势。然而，对于这种报告方法在腹壁缺陷研究中的有效性，仍没有证据。本研究旨在展示特伦蒂诺疝团队（THT）多学科小组在开发和使用结构化 CT 扫描报告以研究腹壁缺陷方面的经验。
一个区域多学科小组（THT 组）使用 Delphi 方法来确定和选择描述和分期腹壁缺陷所需的最重要的 CT 扫描参数，以进行正确的术前规划。根据选定的参数，制定了一个 CT 扫描结构化报告，并共同接受。前 20 个结构化报告的个体测试了编译速度和由五个不同放射科医生报告的数据的一致性。然后，由五名不同的外科医生评估报告，以测试其解释的简单性。
我们为腹壁缺陷研究制作了一个结构化报告模型，并在我们的医院网络中对前 20 个报告进行了测试。平均完成时间为 18 分钟（范围 12-25 分钟）。报告的数据没有异质性。报告由五名不同的外科医生进行分析，以评估完整性和解释的简单性。每位外科医生使用 0 到 5 的李克特量表评估每个报告，分别得出完整性和可理解性的平均评分为 4.8 和 4.1，总评分为 10 分的 8.9 分。
我们的结构化报告代表了一种基本工具，能够为外科医生提供正确术前规划所需的所有参数测量值。同时，它对放射科医生来说是一个至关重要的帮助，代表了一种使用相同标准快速报告所有必要参数的简单方法。
