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An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer
BACKGROUND: Quality gaps exist in the diagnostic evaluation of lung cancer patients. The initial CT chest guides the workup of patients with suspected lung cancer. We sought to determine how frequently CT reports provided guideline-concordant recommendations with regard to additional imaging studies...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203401/ https://www.ncbi.nlm.nih.gov/pubmed/34194587 http://dx.doi.org/10.1155/2021/6647087 |
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author | Weinstock, Andrew Jeagal, Luke Savard, Chantal Taylor, Jana Gonzalez, Anne V. |
author_facet | Weinstock, Andrew Jeagal, Luke Savard, Chantal Taylor, Jana Gonzalez, Anne V. |
author_sort | Weinstock, Andrew |
collection | PubMed |
description | BACKGROUND: Quality gaps exist in the diagnostic evaluation of lung cancer patients. The initial CT chest guides the workup of patients with suspected lung cancer. We sought to determine how frequently CT reports provided guideline-concordant recommendations with regard to additional imaging studies and/or invasive diagnostic procedures. Methods. This was a retrospective study. The records of patients referred for investigation of suspected lung cancer between January 1, 2015, and June 30, 2016, were reviewed. Patients with confirmed lung cancer, for whom CT scan images and reports were available, are included. CT reports were reviewed, with attention to additional imaging studies and/or invasive diagnostic procedures suggested. These recommendations were examined against current guidelines for lung cancer diagnosis and staging, based on suspected disease stage. RESULTS: One hundred forty-six patients are included in the analysis. Most patients were diagnosed with non-small-cell lung cancer (NSCLC), and 63% had advanced disease (stages III and IV). Only 12% of CT reports contained guideline-concordant recommendations for additional imaging studies, with PET scan suggested in only 6% of reports. Potential invasive diagnostic procedures were suggested in one fifth of CT reports, and only 58% of these recommendations were in keeping with current guidelines. In particular, transthoracic needle aspiration (TTNA) was suggested in 26% of patients despite advanced stage disease. CONCLUSION: Guideline-concordant recommendations for investigation of suspected lung cancer are rarely available on CT reports. This is true with respect to both imaging studies and invasive diagnostic procedures. Incorporation of more evidence-based suggestions may reduce quality gaps in lung cancer diagnosis and staging. |
format | Online Article Text |
id | pubmed-8203401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-82034012021-06-29 An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer Weinstock, Andrew Jeagal, Luke Savard, Chantal Taylor, Jana Gonzalez, Anne V. Can Respir J Research Article BACKGROUND: Quality gaps exist in the diagnostic evaluation of lung cancer patients. The initial CT chest guides the workup of patients with suspected lung cancer. We sought to determine how frequently CT reports provided guideline-concordant recommendations with regard to additional imaging studies and/or invasive diagnostic procedures. Methods. This was a retrospective study. The records of patients referred for investigation of suspected lung cancer between January 1, 2015, and June 30, 2016, were reviewed. Patients with confirmed lung cancer, for whom CT scan images and reports were available, are included. CT reports were reviewed, with attention to additional imaging studies and/or invasive diagnostic procedures suggested. These recommendations were examined against current guidelines for lung cancer diagnosis and staging, based on suspected disease stage. RESULTS: One hundred forty-six patients are included in the analysis. Most patients were diagnosed with non-small-cell lung cancer (NSCLC), and 63% had advanced disease (stages III and IV). Only 12% of CT reports contained guideline-concordant recommendations for additional imaging studies, with PET scan suggested in only 6% of reports. Potential invasive diagnostic procedures were suggested in one fifth of CT reports, and only 58% of these recommendations were in keeping with current guidelines. In particular, transthoracic needle aspiration (TTNA) was suggested in 26% of patients despite advanced stage disease. CONCLUSION: Guideline-concordant recommendations for investigation of suspected lung cancer are rarely available on CT reports. This is true with respect to both imaging studies and invasive diagnostic procedures. Incorporation of more evidence-based suggestions may reduce quality gaps in lung cancer diagnosis and staging. Hindawi 2021-06-05 /pmc/articles/PMC8203401/ /pubmed/34194587 http://dx.doi.org/10.1155/2021/6647087 Text en Copyright © 2021 Andrew Weinstock et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Weinstock, Andrew Jeagal, Luke Savard, Chantal Taylor, Jana Gonzalez, Anne V. An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title | An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title_full | An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title_fullStr | An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title_full_unstemmed | An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title_short | An Audit of CT Chest Reports and Their Potential Impact on the Workup of Patients with Suspected Lung Cancer |
title_sort | audit of ct chest reports and their potential impact on the workup of patients with suspected lung cancer |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203401/ https://www.ncbi.nlm.nih.gov/pubmed/34194587 http://dx.doi.org/10.1155/2021/6647087 |
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