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10.1016/j.jacr.2020.06.006

http://scihub22266oqcxt.onion/10.1016/j.jacr.2020.06.006
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32590015!7287462!32590015
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suck abstract from ncbi


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pmid32590015      J+Am+Coll+Radiol 2020 ; 17 (8): 1056-1060
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  • Radiologist Reporting and Operational Management for Patients With Suspected COVID-19 #MMPMID32590015
  • Hammer MM; Zhao AH; Hunsaker AR; Mendicuti AD; Sodickson AD; Boland GW; Khorasani R
  • J Am Coll Radiol 2020[Aug]; 17 (8): 1056-1060 PMID32590015show ga
  • PURPOSE: The aim of this study was to evaluate the adoption and outcomes of locally designed reporting guidelines for patients with possible coronavirus disease 2019 (COVID-19). METHODS: A departmental guideline was developed for radiologists that specified reporting terminology and required communication for patients with imaging findings suggestive of COVID-19, on the basis of patient test status and imaging indication. In this retrospective study, radiology reports completed from March 1, 2020, to May 3, 2020, that mentioned COVID-19 were reviewed. Reports were divided into patients with known COVID-19, patients with "suspected" COVID-19 (having an order indication of respiratory or infectious signs or symptoms), and "unsuspected patients" (other order indications, eg, trauma or non-chest pain). The primary outcome was the percentage of COVID-19 reports using recommended terminology; the secondary outcome was percentages of suspected and unsuspected patients diagnosed with COVID-19. Relationships between categorical variables were assessed using the Fisher exact test. RESULTS: Among 77,400 total reports, 1,083 suggested COVID-19 on the basis of imaging findings; 774 of COVID-19 reports (71%) used recommended terminology. Of 574 patients without known COVID-19 at the time of interpretation, 345 (60%) were eventually diagnosed with COVID-19, including 61% (315 of 516) of suspected and 52% (30 of 58) of unsuspected patients. Nearly all unsuspected patients (46 of 58) were identified on CT. CONCLUSIONS: Radiologists rapidly adopted recommended reporting terminology for patients with suspected COVID-19. The majority of patients for whom radiologists raised concern for COVID-19 were subsequently diagnosed with the disease, including the majority of clinically unsuspected patients. Using unambiguous terminology and timely notification about previously unsuspected patients will become increasingly critical to facilitate COVID-19 testing and contact tracing as states begin to lift restrictions.
  • |*Practice Guidelines as Topic[MESH]
  • |COVID-19[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/*diagnostic imaging/epidemiology[MESH]
  • |Female[MESH]
  • |Guideline Adherence/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnostic imaging/epidemiology[MESH]
  • |Predictive Value of Tests[MESH]
  • |Radiography, Thoracic/methods/statistics & numerical data[MESH]
  • |Radiologists/*standards[MESH]
  • |Radiology Department, Hospital/*standards[MESH]
  • |Research Design/*standards[MESH]
  • |Retrospective Studies[MESH]
  • |Tomography, X-Ray Computed/methods/statistics & numerical data[MESH]


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