Abstract
Fluoroscopic barium swallow examinations are a commonly performed radiologic study in the evaluation of dysphagia. These studies remain essential in the diagnostic work-up despite the increasing utilization of endoscopy, but current residents are often less experienced with fluoroscopy. Structured reporting has been demonstrated to improve comprehensiveness of reports in multiple settings, but has not been evaluated for barium swallow examinations. A retrospective review identified patients who underwent barium swallow examinations pre-structured reporting in 2017 and followed a multidisciplinary proposal for and adoption of an optional structured report in 2020. Reports were assessed for comprehensiveness by evaluating presence/absence each element (total of 10 elements). Differences in report elements between groups and multiple subgroups was performed utilizing a Mann–Whitney U test. χ2 tests were also utilized to evaluate inclusion of each individual element of the report. A total of 487 reports from 2020 and 757 reports from 2017 were analyzed. Certain elements showed substantial differences in reporting, with greater than 90% of structured reports including them, but much lower numbers including them in non-structured reports from 2017 and 2020. Reports generated in 2020 had a statistically significant increase in report elements included when compared to 2017 (p < 0.01). This statistically significant increase was also observed in comparison of structured reports and non-structured reports from either period (p < 0.01). Adoption of structured reporting for fluoroscopic barium swallow examinations led to significant increase in report comprehensiveness and should be considered after a multidisciplinary approach to development.
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References
Levine MS, Rubesin SE, Laufer I. Barium studies in modern radiology: do they have a role? Radiology. 2009;250(1):18–22. https://doi.org/10.1148/radiol.2501080806.
Cereser L, Marchesini F, Di Poi E, Sacco S, De Marchi G, Linda A, Como G, Zuiani C, Girometti R. Structured report for chest high-resolution computed tomography in patients with connective tissue disease: impact on the report quality as perceived by referring clinicians. Eur J Radiol. 2020;131:109269. https://doi.org/10.1016/j.ejrad.2020.109269.
Dimarco M, Cannella R, Pellegrino S, Iadicola D, Tutino R, Allegra F, Castiglione D, Salvaggio G, Midiri M, Brancatelli G, Vernuccio F. Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability. Abdom Radiol. 2020;45(2):437–48. https://doi.org/10.1007/s00261-019-02287-7.
Flusberg M, Ganeles J, Ekinci T, Goldberg-Stein S, Paroder V, Kobi M, Chernyak V. Impact of a structured report template on the quality of CT and MRI reports for hepatocellular carcinoma diagnosis. J Am Coll Radiol. 2017;14(9):1206–11. https://doi.org/10.1016/j.jacr.2017.02.050.
Nörenberg D, Sommer WH, Thasler W, D’Haese J, Rentsch M, Kolben T, Schreyer A, Rist C, Reiser M, Armbruster M. Structured reporting of rectal magnetic resonance imaging in suspected primary rectal cancer: potential benefits for surgical planning and interdisciplinary communication. Invest Radiol. 2017;52(4):232–9. https://doi.org/10.1097/rli.0000000000000336.
Sahni VA, Silveira PC, Sainani NI, Khorasani R. Impact of a structured report template on the quality of MRI reports for rectal cancer staging. AJR Am J Roentgenol. 2015;205(3):584–8. https://doi.org/10.2214/ajr.14.14053.
Wildman-Tobriner B, Allen BC, Bashir MR, Camp M, Miller C, Fiorillo LE, Cubre A, Javadi S, Bibbey AD, Ehieli WL, McGreal N, Quevedo R, Thacker JK, Mazurowski M, Jaffe TA. Structured reporting of CT enterography for inflammatory bowel disease: effect on key feature reporting, accuracy across training levels, and subjective assessment of disease by referring physicians. Abdom Radiol. 2017;42(9):2243–50. https://doi.org/10.1007/s00261-017-1136-1.
Bosmans JM, Weyler JJ, De Schepper AM, Parizel PM. The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology. 2011;259(1):184–95. https://doi.org/10.1148/radiol.10101045.
Kelsch R, Saon M, Sutherland E, Tech K, Al-Katib S. Discrepant reporting style preferences between clinicians and radiologists. Curr Probl Diagn Radiol. 2020. https://doi.org/10.1067/j.cpradiol.2020.10.014.
Burns J, Catanzano TM, Schaefer PW, Agarwal V, Kim D, Goiffon RJ, Jordan SG. Structured reports and radiology residents: friends or foes? Acad Radiol. 2020. https://doi.org/10.1016/j.acra.2020.10.014.
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All authors were involved in the conceptualization of the study, manuscript preparation, and editing of manuscript. MK and TK were responsible for data collection. SG and AK were responsible for data analysis and statistical analysis. All authors approved the final version of the manuscript and are accountable for the manuscript’s contents.
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Galgano, S.J., Kirkland, M., Kuhlman, T. et al. Assessing the Impact of Structured Reports for Fluoroscopic Double-Contrast Barium Esophagrams. Dysphagia 37, 1266–1270 (2022). https://doi.org/10.1007/s00455-021-10382-5
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DOI: https://doi.org/10.1007/s00455-021-10382-5