John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo St, Honolulu, HI, 96825, USA.
California Polytechnic State University, San Luis Obispo, CA, USA.
J Cancer Educ. 2023 Jun;38(3):895-899. doi: 10.1007/s13187-022-02204-5. Epub 2022 Aug 19.
Access to electronic medical record (EMR) patient portals made it easier for patients to quickly acquire the results of their radiology studies. However, there is little research on how well oncology patients understand the findings of radiology reports presented in the online portal without patient-physician discussion. This study assessed oncology patients' confidence and accuracy in interpreting radiology reports either with or without layman translations. A survey based on a radiology report was administered to oncology patients and caregivers. Two versions of the radiological report were randomly distributed, either a standard report or one with layman translations to evaluate participant understanding and accuracy of interpreting radiological results. Among 85 participants, a majority (67.8%) reported wanting patient portal access to radiological reports, yet less than a quarter (21.2%) felt confident in reading and interpreting radiological reports. Univariate binary logistic regression models showed that participants who read the lay report were 8 times more likely to find the radiology report easy to read. This research demonstrated that the inclusion of layman translation of standard radiology reports improves oncology patients' and caregivers' understanding of such reports with statistically significant and clinically meaningful increases in readability.
电子病历（EMR）患者门户的访问使得患者更容易快速获取放射学研究的结果。然而，关于在没有医患讨论的情况下，肿瘤患者如何理解在线门户中呈现的放射学报告结果的研究甚少。本研究评估了肿瘤患者在有或没有非专业翻译的情况下解释放射学报告的信心和准确性。一项基于放射学报告的调查在肿瘤患者及其护理人员中进行。随机分发了两份放射学报告的版本，一份是标准报告，一份是带有非专业翻译的报告，以评估参与者对放射学结果的理解和解释的准确性。在 85 名参与者中，大多数（67.8%）报告希望能够访问放射学报告的患者门户，但只有不到四分之一（21.2%）的人对阅读和解释放射学报告有信心。单变量二项逻辑回归模型显示，阅读非专业报告的参与者认为放射学报告更容易阅读的可能性是阅读标准报告的 8 倍。这项研究表明，标准放射学报告的非专业翻译的纳入提高了肿瘤患者和护理人员对这些报告的理解，在可读性方面有统计学意义和临床意义上的显著提高。
