增加放射学价值:在英国国家审计和干预后改善骨质疏松性椎体脆性骨折的放射学诊断。

IF 1.8 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
David C Howlett, Hannah L Adams, Lamees Salman, Karl J Drinkwater
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引用次数: 0

摘要

椎体脆性骨折(VFFs)是最常见的骨质疏松性骨折,具有显著的发病率、死亡率和未来骨折的风险。不幸的是,vff经常被误诊和漏报。在此背景下,皇家放射科医师学院(RCR)与皇家内科医师学院(RCP)和皇家骨质疏松学会(ROS)合作,于2019年在英国范围内进行了回顾性审计,以评估CT研究中偶然出现的VFFs的放射学报告。未达到审计标准;然而,在一系列干预措施之后,2022年的重新审计表明,审计参数的遵守情况得到了普遍改善,特别是报告的中度/重度vff增加了6个百分点。本文从降低患者发病率、死亡率和成本的角度考察了如果确定的改进转化为国家层面,可能会带来的潜在好处,承认并讨论了需要发生的其他改进,特别是关于后续转诊途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adding value in radiology-improved radiological diagnosis of osteoporotic vertebral fragility fractures following National UK Audit and Interventions.

Vertebral fragility fractures (VFFs) are the most common osteoporotic fracture, with significant associated morbidity, mortality, and risk of future fractures. Unfortunately, VFFs are frequently underdiagnosed and underreported. With this background, The Royal College of Radiologists (RCR), in collaboration with the Royal College of Physicians (RCP) and Royal Osteoporosis Society (ROS), undertook a UK-wide retrospective audit in 2019 to assess radiology reporting of incidental VFFs present on CT studies. The audit standards were not achieved; however, following a series of interventions, a re-audit in 2022 demonstrated generalized improvement in compliance with the audit parameters, in particular a 6-percentage point increase in moderate/severe VFFs reported. This article examines the potential benefits in terms of reductions in patient morbidity, mortality, and costs that could be expected if the improvements identified were translated to a national level, acknowledging and discussing other improvements that need to occur, with particular reference to onward referral pathways.

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来源期刊
British Journal of Radiology
British Journal of Radiology 医学-核医学
CiteScore
5.30
自引率
3.80%
发文量
330
审稿时长
2-4 weeks
期刊介绍: BJR is the international research journal of the British Institute of Radiology and is the oldest scientific journal in the field of radiology and related sciences. Dating back to 1896, BJR’s history is radiology’s history, and the journal has featured some landmark papers such as the first description of Computed Tomography "Computerized transverse axial tomography" by Godfrey Hounsfield in 1973. A valuable historical resource, the complete BJR archive has been digitized from 1896. Quick Facts: - 2015 Impact Factor – 1.840 - Receipt to first decision – average of 6 weeks - Acceptance to online publication – average of 3 weeks - ISSN: 0007-1285 - eISSN: 1748-880X Open Access option
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