A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records
Objective. Between one-third and half of all radiology examinations worldwide are probably chest studies. The aim of the current study was to retrospectively evaluate the clinical influence of chest radiography. Methods. In a tertiary referral hospital, 939 consecutive daytime chest radiography exam...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/862198 |
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| author | Mats Geijer Liz Ivarsson Jan H. Göthlin |
| author_facet | Mats Geijer Liz Ivarsson Jan H. Göthlin |
| author_sort | Mats Geijer |
| collection | DOAJ |
| description | Objective. Between one-third and half of all radiology examinations worldwide are probably chest studies. The aim of the current study was to retrospectively evaluate the clinical influence of chest radiography. Methods. In a tertiary referral hospital, 939 consecutive daytime chest radiography examinations were evaluated. The outcome was classified as normal, incidental, or pathologic. The referring physician’s reaction to radiologic outcome was classified as highly expected, moderately expected, or unexpected. The influence on the patients' treatment was divided into four groups from major to no influence. Results. In all, 71.6% of the studies had a highly expected outcome. Moderately expected or unexpected outcomes were noted in 36.6% of 500 pathologic examinations. Unexpected outcome was noted in 11.6% of all studies. The radiologic outcome influenced treatment in 65.4% of patients where pathology was demonstrated. Patients with normal or incidental findings had treatment influenced in 1/3 of the cases. Unexpected findings influenced treatment more than moderately expected findings. When radiological findings were highly expected, treatment was influenced in less than half of the cases. Surprisingly few chest radiology examinations were commented upon in the medical records. |
| format | Article |
| id | doaj-art-e355eb6ed81f4f348089c43eff70ff5c |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-e355eb6ed81f4f348089c43eff70ff5c2025-08-20T03:26:30ZengWileyRadiology Research and Practice2090-19412090-195X2012-01-01201210.1155/2012/862198862198A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical RecordsMats Geijer0Liz Ivarsson1Jan H. Göthlin2Center for Medical Imaging and Physiology, Lund University and Skåne University Hospital, 221 85 Lund, SwedenDepartment of Radiology, Sahlgrenska University Hospital, 413 45 Gothenburg, SwedenDepartment of Radiology, Sahlgrenska University Hospital, 413 45 Gothenburg, SwedenObjective. Between one-third and half of all radiology examinations worldwide are probably chest studies. The aim of the current study was to retrospectively evaluate the clinical influence of chest radiography. Methods. In a tertiary referral hospital, 939 consecutive daytime chest radiography examinations were evaluated. The outcome was classified as normal, incidental, or pathologic. The referring physician’s reaction to radiologic outcome was classified as highly expected, moderately expected, or unexpected. The influence on the patients' treatment was divided into four groups from major to no influence. Results. In all, 71.6% of the studies had a highly expected outcome. Moderately expected or unexpected outcomes were noted in 36.6% of 500 pathologic examinations. Unexpected outcome was noted in 11.6% of all studies. The radiologic outcome influenced treatment in 65.4% of patients where pathology was demonstrated. Patients with normal or incidental findings had treatment influenced in 1/3 of the cases. Unexpected findings influenced treatment more than moderately expected findings. When radiological findings were highly expected, treatment was influenced in less than half of the cases. Surprisingly few chest radiology examinations were commented upon in the medical records.http://dx.doi.org/10.1155/2012/862198 |
| spellingShingle | Mats Geijer Liz Ivarsson Jan H. Göthlin A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records Radiology Research and Practice |
| title | A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records |
| title_full | A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records |
| title_fullStr | A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records |
| title_full_unstemmed | A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records |
| title_short | A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records |
| title_sort | retrospective analysis of the clinical impact of 939 chest radiographs using the medical records |
| url | http://dx.doi.org/10.1155/2012/862198 |
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