The Pros and Cons of Structured Reports

Haroun, Reham R.; Al-Hihi, Maysoon; Abujudeh, Hani H.

doi:10.1007/s40134-019-0342-8

Cited by 4 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This might be attributed to the drawbacks of SR: reporting complex cases can be time-consuming in template-based structured reports [ 13 ]. Incidental findings different from the suspected diagnosis do not fit well in SR templates.…”

Section: Introductionmentioning

confidence: 99%

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

et al. 2023

View full text Add to dashboard Cite

Background To evaluate the implementation process of structured reporting (SR) in a tertiary care institution over a period of 7 years. Methods We analysed the content of our image database from January 2016 to December 2022 and compared the numbers of structured reports and free-text reports. For the ten most common SR templates, usage proportions were calculated on a quarterly basis. Annual modality-specific SR usage was calculated for ultrasound, CT, and MRI. During the implementation process, we surveyed radiologists and clinical referring physicians concerning their views on reporting in radiology. Results As of December 2022, our reporting platform contained more than 22,000 structured reports. Use of the ten most common SR templates increased markedly since their implementation, leading to a mean SR usage of 77% in Q4 2022. The highest percentages of SR usage were shown for trauma CT, focussed assessment with ultrasound for trauma (FAST), and prostate MRI: 97%, 95%, and 92%, respectively, in 2022. Overall modality-specific SR usage was 17% for ultrasound, 13% for CT, and 6% for MRI in 2022. Both radiologists and referring physicians were more satisfied with structured reports and rated SR better than free-text reporting (FTR) on various attributes. Conclusions The increasing SR usage during the period under review and the positive attitude towards SR among both radiologists and clinical referrers show that SR can be successfully implemented. We therefore encourage others to take this step in order to benefit from the advantages of SR. Key points Structured reporting usage increased markedly since its implementation at our institution in 2016. Mean usage for the ten most popular structured reporting templates was 77% in 2022. Both radiologists and referring physicians preferred structured reports over free-text reports. Our data shows that structured reporting can be successfully implemented. We strongly encourage others to implement structured reporting at their institutions.

show abstract

Section: Introductionmentioning

confidence: 99%

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Nevertheless, routine clinical SR usage is still low in most radiology departments. This might be attributed to the drawbacks of SR: the reporting of complex cases can be elaborate in template-based structured reports, and SR still lacks sufficient integration of speech recognition, which is commonly used for FTR [ 14 ]. Filling in SR templates using a mouse and keyboard can be time consuming and carries the risk of distraction from the image study [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Structured reporting in radiology enables epidemiological analysis through data mining: urolithiasis as a use case

Jorg,

Halfmann,

Rölz

et al. 2023

Abdom Radiol

View full text Add to dashboard Cite

Purpose To investigate the epidemiology and distribution of disease characteristics of urolithiasis by data mining structured radiology reports. Methods The content of structured radiology reports of 2028 urolithiasis CTs was extracted from the department’s structured reporting (SR) platform. The investigated cohort represented the full spectrum of a tertiary care center, including mostly symptomatic outpatients as well as inpatients. The prevalences of urolithiasis in general and of nephro- and ureterolithasis were calculated. The distributions of age, sex, calculus size, density and location, and the number of ureteral and renal calculi were calculated. For ureterolithiasis, the impact of calculus characteristics on the degree of possible obstructive uropathy was calculated. Results The prevalence of urolithiasis in the investigated cohort was 72%. Of those patients, 25% had nephrolithiasis, 40% ureterolithiasis, and 35% combined nephro- and ureterolithiasis. The sex distribution was 2.3:1 (M:F). The median patient age was 50 years (IQR 36–62). The median number of calculi per patient was 1. The median size of calculi was 4 mm, and the median density was 734 HU. Of the patients who suffered from ureterolithiasis, 81% showed obstructive uropathy, with 2nd-degree uropathy being the most common. Calculus characteristics showed no impact on the degree of obstructive uropathy. Conclusion SR-based data mining is a simple method by which to obtain epidemiologic data and distributions of disease characteristics, for the investigated cohort of urolithiasis patients. The added information can be useful for multiple purposes, such as clinical quality assurance, radiation protection, and scientific or economic investigations. To benefit from these, the consistent use of SR is mandatory. However, in clinical routine SR usage can be elaborate and requires radiologists to adapt. Graphical abstract

show abstract

“…The reduced number of missed errors improve care quality through using standardized language. It should also be mentioned that structured reporting reduces typographical errors and improves reimbursement by ensuring completeness (15).…”

Section: Introductionmentioning

confidence: 99%

Improving data adequacy of ultrasonography reports for non-alcoholic fatty liver disease (NAFLD) through a national structured template

et al. 2022

View full text Add to dashboard Cite

Background Non-alcoholic fatty liver disease (NAFLD) is a prevalent disorder that increases due to lifestyle, the rising rate of obesity, and population ages worldwide. Diagnostic ways, including sonography, do not have an explicit reporting structure. Purpose To create a structure template for NAFLD reporting, investigate its completeness, and assess the specialist opinions of using it in clinical practice. Material and Methods A structured reporting template (SRT) was designed and implemented in four stages. At first, important features were extracted from a comprehensive literature review and were evaluated by 10 radiologists and gastroenterologists using the Likert scale. Finally, the usefulness of the SRT in comparison with the conventional reporting template (CRT) was judged by 10 gastroenterologists completing the questionnaire. Results Demographic information and sonography of the liver, gallbladder, and spleen organs were the most critical features. The completeness scores of SRT reports were higher than CRT scores for almost all the factors studied. The difference in the scores was significant for most of the parameters. Moreover, the total completeness score increased from 42% in CRT to 92% in SRT. A comparison of the report adequacy of two reports was seen in all items. The SRT obtained more rates from specialists. Conclusion Introduction of the SRT for NAFLD significantly enhanced the completeness of reporting to reduce variability in the interpretation of the related reports by clinicians. Nevertheless, more studies are needed to generalize the results in real scales for patients with NAFLD.

show abstract

The Pros and Cons of Structured Reports

Cited by 4 publications

References 20 publications

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

Structured reporting in radiology enables epidemiological analysis through data mining: urolithiasis as a use case

Improving data adequacy of ultrasonography reports for non-alcoholic fatty liver disease (NAFLD) through a national structured template

Contact Info

Product

Resources

About