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评估放射学对患者管理的贡献:骨科医生的观点。

Evaluation of radiological contribution to patient management: the orthopedist's point of view.

机构信息

Department of Radiology, Halil Bayraktar Vocational Health College, 52958Erciyes University, Kayseri, Turkey.

Department of Orthopedics and Traumatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

出版信息

Acta Radiol. 2022 Dec;63(12):1643-1653. doi: 10.1177/02841851211057279. Epub 2021 Nov 30.

DOI:10.1177/02841851211057279
PMID:34846198
Abstract

BACKGROUND

Orthopedists prefer imaging studies for the diagnosis, treatment, and follow-up of patients.

PURPOSE

To determine the effect of orthopedists' characteristics, including subspecialty, age, education, and professional experience, in collaboration with radiologists and the usefulness of radiology reports for orthopedists in diagnosis and patient management.

MATERIAL AND METHODS

Questionnaires, consisting of 21 questions investigating the orthopedists' characteristics, their behavior with radiology reports, their thoughts on communication, and collaboration with radiologists, were distributed to 205 orthopedists. Descriptive analysis was performed, and the effects of orthopedist characteristics on the outcomes was evaluated.

RESULTS

In total, 161 out of 205 enrolled participants were included in the analysis. A total of 156 (96.9%) participants stated that they reviewed at least one official radiology report, with MRI receiving the highest rate (92.4%). The main reason provided for not reviewing the radiology reports and requests regarding changes to radiology report formats seemed to be mostly related to time pressure. Despite a significant portion of the participants stating that clinical and surgical findings were inconsistent with radiology reports, less than half were inclined to contact the radiologist most of the time or always. Increasing age ( = 0.005), experience ( = 0.016), and university hospital specialization ( = 0.007) increased the tendency to form multidisciplinary team meetings. Communication with radiologists increased with age ( < 0.001), while more experience reduced the impact of radiology reports on decision-making ( = 0.035).

CONCLUSION

Increasing cooperation between orthopedists and radiologists will make a significant contribution to decision-making and treatment processes. Orthopedists' characteristics are influential factors in establishing this communication.

摘要

背景

骨科医生在诊断、治疗和随访患者时更喜欢影像学研究。

目的

确定骨科医生的特征(包括亚专业、年龄、教育和专业经验)对与放射科医生的合作以及放射科报告对骨科医生诊断和患者管理的有用性的影响。

材料与方法

向 205 名骨科医生发放了包含 21 个问题的问卷,调查他们的特征、他们对放射科报告的行为、他们对沟通的想法以及与放射科医生的合作情况。进行了描述性分析,并评估了骨科医生特征对结果的影响。

结果

共纳入 205 名参与者中的 161 名进行分析。共有 156 名(96.9%)参与者表示他们至少查看过一份官方放射科报告,其中 MRI 的比例最高(92.4%)。不查看放射科报告和要求更改放射科报告格式的主要原因似乎主要与时间压力有关。尽管很大一部分参与者表示临床和手术发现与放射科报告不一致,但只有不到一半的人倾向于大多数时候或总是联系放射科医生。年龄( = 0.005)、经验( = 0.016)和大学医院专业( = 0.007)的增加增加了形成多学科团队会议的倾向。与放射科医生的沟通随着年龄的增长而增加( < 0.001),而更多的经验减少了放射科报告对决策的影响( = 0.035)。

结论

增加骨科医生和放射科医生之间的合作将对决策和治疗过程做出重大贡献。骨科医生的特征是建立这种沟通的影响因素。

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