Reschke Philipp, Booz Christian, Gruenewald Leon D, Koch Vitali, Höhne Elena, Gökduman Aynur, Eichler Katrin, Schlüchtermann Jörg, Vogl Thomas J, Gotta Jennifer
Goethe University Hospital Frankfurt, Department of Radiology, Frankfurt am Main, Germany.
Goethe University Hospital Frankfurt, Department of Radiology, Frankfurt am Main, Germany.
Eur J Radiol. 2025 Jun;187:112068. doi: 10.1016/j.ejrad.2025.112068. Epub 2025 Mar 23.
Radiology reports play a crucial role in clinical decision-making. High report quality and completeness are essential for efficient patient care. However, the clarity and comprehensiveness of radiology reports are often points of contention among referring physicians. This study evaluated referring physicians' views on the quality and clinical utility of radiology reports.
A prospective, anonymous online survey was conducted from June 2023 to March 2025, targeting 258 practicing physicians in Germany, including 93 internists, 90 surgeons and 75 general practitioners. The survey included rating scales, multiple-choice questions and net promoter scores (NPS).
Referring physicians' satisfaction with the completeness of radiology reports was moderate, with an average score of 38.4 ± 24.3 on a scale from -100 to + 100. Among the specialties surveyed, surgeons reported the highest level of dissatisfaction (p < 0.05). Internists and surgeons showed significantly stronger preferences for structured reporting compared to general practitioners (p < 0.05). According to the surveyed referring physicians, the most frequently missing information in reports included "determination of a diagnosis" (39 %) and "recommendations for further diagnostic measures or follow-up examinations" (23 %). A large majority of referring physicians (84.9 %) found multidisciplinary case conferences to be valuable (5-7 out of 7 stars) for enhancing their understanding of reports.
Reporting preferences vary across specialties and radiologists must address the clinical needs of referring physicians, who are the primary audience for radiology reports. Integrating imaging into multidisciplinary meetings can further improve radiology report comprehension of referring physicians.
放射学报告在临床决策中起着至关重要的作用。高质量和完整的报告对于高效的患者护理至关重要。然而，放射学报告的清晰度和全面性常常是转诊医生争论的焦点。本研究评估了转诊医生对放射学报告质量和临床实用性的看法。
于2023年6月至2025年3月进行了一项前瞻性、匿名在线调查，目标是德国的258名执业医生，包括93名内科医生、90名外科医生和75名全科医生。该调查包括评分量表、多项选择题和净推荐值（NPS）。
转诊医生对放射学报告完整性的满意度中等，在-100至+100的量表上平均得分为38.4±24.3。在所调查的专业中，外科医生报告的不满程度最高（p<0.05）。与全科医生相比，内科医生和外科医生对结构化报告的偏好明显更强（p<0.05）。根据接受调查的转诊医生的说法，报告中最常缺失的信息包括“诊断的确定”（39%）和“进一步诊断措施或随访检查的建议”（23%）。绝大多数转诊医生（84.9%）认为多学科病例讨论会对于增强他们对报告的理解很有价值（7分制中得5 - 7分）。
不同专业的报告偏好各不相同，放射科医生必须满足转诊医生的临床需求，转诊医生是放射学报告的主要受众。将影像学纳入多学科会议可以进一步提高转诊医生对放射学报告的理解。
