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Decision support to general practice in choice of chest imaging for patients with pulmonary symptoms.
Malvang, Lise Bolander; Trolle, Christian; Rasmussen, Torben Riis; Hyldgaard, Charlotte.
Afiliación
  • Malvang LB; Diagnostic Center Silkeborg, Department of Radiology, Regional Hospital Central Jutland.
  • Trolle C; Diagnostic Center Silkeborg, Department of Medicine, Regional Hospital Central Jutland.
  • Rasmussen TR; Department of Gynecology and Obstetrics, Copenhagen University Hospital - Herlev Hospital, Denmark.
  • Hyldgaard C; Diagnostic Center Silkeborg, Department of Medicine, Regional Hospital Central Jutland.
Dan Med J ; 70(6)2023 May 16.
Article en En | MEDLINE | ID: mdl-37341358
INTRODUCTION: The choice of chest imaging for patients with respiratory problems is based on risk profile and symptoms. In 2018-2020, GPs in the catchment area of Silkeborg Regional Hospital, Denmark, were offered direct referral for either X-ray or low-dose computed tomography (LDCT) of the chest for patients with respiratory symptoms who did not meet the criteria for a contrast-enhanced CT (CECT) of the chest and upper abdomen as part of the lung cancer referral pathway. The aim of this study was 1) to estimate the percentage of patients referred for LDCT or chest X-ray who met CECT criteria based on the clinical information in the referral letters, and 2) to assess the GPs' response to standard questions regarding the active feedback provided. METHODS: The study was conducted from April to October 2019. Radiographers initially assessed all referrals for X-ray or LDCT, and contacted the GPs if they assessed that symptoms and clinical characteristics justified CECT. RESULTS: In the study period, 1,112 referrals for chest imaging from GPs were received; in 97 cases (9%), the referral information warranted CECT as part of a lung cancer referral package. In 71% (69/97) of these cases, the GP accepted the conversion to CECT; 55 of 73 LDCTs and 14 of 24 X-rays. In 15 cases, the GP adhered to the requested imaging owing to clinical assessment or their agreement with the patient, and in the remaining 13 cases no specific reason was given. CONCLUSION: The feedback provided was well received by GPs and the approach adopted may be a step towards structured decision support to facilitate the choice of chest imaging. FUNDING: None. TRIAL REGISTRATION: Not relevant.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General / Neoplasias Pulmonares Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Dan Med J Año: 2023 Tipo del documento: Article Pais de publicación: Dinamarca
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General / Neoplasias Pulmonares Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Dan Med J Año: 2023 Tipo del documento: Article Pais de publicación: Dinamarca