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Structured reporting of head and neck ultrasound examinations

BACKGROUND: Reports of head and neck ultrasound examinations are frequently written by hand as free texts. Naturally, quality and structure of free text reports is variable, depending on the examiner’s individual level of experience. Aim of the present study was to compare the quality of free text r...

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Autores principales: Ernst, Benjamin P., Hodeib, Mohamed, Strieth, Sebastian, Künzel, Julian, Bischof, Fabian, Hackenberg, Berit, Huppertz, Tilmann, Weber, Veronika, Bahr, Katharina, Eckrich, Jonas, Hagemann, Jan, Engelbarts, Matthias, Froelich, Matthias F., Solbach, Philipp, Linke, Richard, Matthias, Christoph, Sommer, Wieland H., Becker, Sven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437950/
https://www.ncbi.nlm.nih.gov/pubmed/30917796
http://dx.doi.org/10.1186/s12880-019-0325-5
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author Ernst, Benjamin P.
Hodeib, Mohamed
Strieth, Sebastian
Künzel, Julian
Bischof, Fabian
Hackenberg, Berit
Huppertz, Tilmann
Weber, Veronika
Bahr, Katharina
Eckrich, Jonas
Hagemann, Jan
Engelbarts, Matthias
Froelich, Matthias F.
Solbach, Philipp
Linke, Richard
Matthias, Christoph
Sommer, Wieland H.
Becker, Sven
author_facet Ernst, Benjamin P.
Hodeib, Mohamed
Strieth, Sebastian
Künzel, Julian
Bischof, Fabian
Hackenberg, Berit
Huppertz, Tilmann
Weber, Veronika
Bahr, Katharina
Eckrich, Jonas
Hagemann, Jan
Engelbarts, Matthias
Froelich, Matthias F.
Solbach, Philipp
Linke, Richard
Matthias, Christoph
Sommer, Wieland H.
Becker, Sven
author_sort Ernst, Benjamin P.
collection PubMed
description BACKGROUND: Reports of head and neck ultrasound examinations are frequently written by hand as free texts. Naturally, quality and structure of free text reports is variable, depending on the examiner’s individual level of experience. Aim of the present study was to compare the quality of free text reports (FTR) and structured reports (SR) of head and neck ultrasound examinations. METHODS: Both standard FTRs and SRs of head and neck ultrasound examinations of 43 patients were acquired by nine independent examiners with comparable levels of experience. A template for structured reporting of head and neck ultrasound examinations was created using a web-based approach. FTRs and SRs were evaluated with regard to overall quality, completeness, required time to completion, and readability by four independent raters with different specializations (Paired Wilcoxon test, 95% CI) and inter-rater reliability was assessed (Fleiss’ kappa). A questionnaire was used to compare FTRs vs. SRs with respect to user satisfaction (Mann-Whitney U test, 95% CI). RESULTS: By comparison, completeness scores of SRs were significantly higher than FTRs’ completeness scores (94.4% vs. 45.6%, p < 0.001), and pathologies were described in more detail (91.1% vs. 54.5%, p < 0.001). Readability was significantly higher in all SRs when compared to FTRs (100% vs. 47.1%, p < 0.001). The mean time to complete a report, however, was significantly higher in SRs (176.5 vs. 107.3 s, p < 0.001). SRs achieved significantly higher user satisfaction ratings (VAS 8.87 vs. 1.41, p < 0.001) and a very high inter-rater reliability (Fleiss’ kappa 0.92). CONCLUSIONS: As compared to FTRs, SRs of head and neck ultrasound examinations are more comprehensive and easier to understand. On the balance, the additional time needed for completing a SR is negligible. Also, SRs yield high inter-rater reliability and may be used for high-quality scientific data analyses.
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spelling pubmed-64379502019-04-08 Structured reporting of head and neck ultrasound examinations Ernst, Benjamin P. Hodeib, Mohamed Strieth, Sebastian Künzel, Julian Bischof, Fabian Hackenberg, Berit Huppertz, Tilmann Weber, Veronika Bahr, Katharina Eckrich, Jonas Hagemann, Jan Engelbarts, Matthias Froelich, Matthias F. Solbach, Philipp Linke, Richard Matthias, Christoph Sommer, Wieland H. Becker, Sven BMC Med Imaging Research Article BACKGROUND: Reports of head and neck ultrasound examinations are frequently written by hand as free texts. Naturally, quality and structure of free text reports is variable, depending on the examiner’s individual level of experience. Aim of the present study was to compare the quality of free text reports (FTR) and structured reports (SR) of head and neck ultrasound examinations. METHODS: Both standard FTRs and SRs of head and neck ultrasound examinations of 43 patients were acquired by nine independent examiners with comparable levels of experience. A template for structured reporting of head and neck ultrasound examinations was created using a web-based approach. FTRs and SRs were evaluated with regard to overall quality, completeness, required time to completion, and readability by four independent raters with different specializations (Paired Wilcoxon test, 95% CI) and inter-rater reliability was assessed (Fleiss’ kappa). A questionnaire was used to compare FTRs vs. SRs with respect to user satisfaction (Mann-Whitney U test, 95% CI). RESULTS: By comparison, completeness scores of SRs were significantly higher than FTRs’ completeness scores (94.4% vs. 45.6%, p < 0.001), and pathologies were described in more detail (91.1% vs. 54.5%, p < 0.001). Readability was significantly higher in all SRs when compared to FTRs (100% vs. 47.1%, p < 0.001). The mean time to complete a report, however, was significantly higher in SRs (176.5 vs. 107.3 s, p < 0.001). SRs achieved significantly higher user satisfaction ratings (VAS 8.87 vs. 1.41, p < 0.001) and a very high inter-rater reliability (Fleiss’ kappa 0.92). CONCLUSIONS: As compared to FTRs, SRs of head and neck ultrasound examinations are more comprehensive and easier to understand. On the balance, the additional time needed for completing a SR is negligible. Also, SRs yield high inter-rater reliability and may be used for high-quality scientific data analyses. BioMed Central 2019-03-27 /pmc/articles/PMC6437950/ /pubmed/30917796 http://dx.doi.org/10.1186/s12880-019-0325-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ernst, Benjamin P.
Hodeib, Mohamed
Strieth, Sebastian
Künzel, Julian
Bischof, Fabian
Hackenberg, Berit
Huppertz, Tilmann
Weber, Veronika
Bahr, Katharina
Eckrich, Jonas
Hagemann, Jan
Engelbarts, Matthias
Froelich, Matthias F.
Solbach, Philipp
Linke, Richard
Matthias, Christoph
Sommer, Wieland H.
Becker, Sven
Structured reporting of head and neck ultrasound examinations
title Structured reporting of head and neck ultrasound examinations
title_full Structured reporting of head and neck ultrasound examinations
title_fullStr Structured reporting of head and neck ultrasound examinations
title_full_unstemmed Structured reporting of head and neck ultrasound examinations
title_short Structured reporting of head and neck ultrasound examinations
title_sort structured reporting of head and neck ultrasound examinations
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437950/
https://www.ncbi.nlm.nih.gov/pubmed/30917796
http://dx.doi.org/10.1186/s12880-019-0325-5
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