Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study
Introduction: The use of chest Computed Tomography (CT) scans has significantly increased in recent times, and it is also considered the preferred investigation method in various cases, including occult pneumothorax and interstitial lung diseases. Aim: To assess the relationship between chest CT...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18414/64179_CE[Ra1]_F(IS)_QC(SD_RDW_IS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf |
| _version_ | 1797670913160773632 |
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| author | Ankit Aneja Tanya Kumar Nitin Goyal Nitin Tangri |
| author_facet | Ankit Aneja Tanya Kumar Nitin Goyal Nitin Tangri |
| author_sort | Ankit Aneja |
| collection | DOAJ |
| description | Introduction: The use of chest Computed Tomography (CT)
scans has significantly increased in recent times, and it is also
considered the preferred investigation method in various cases,
including occult pneumothorax and interstitial lung diseases.
Aim: To assess the relationship between chest CT scan
findings/outcomes, clinicians’ expectations, and their influence
on treatment outcomes.
Materials and Methods: The present retrospective analytical
observational study was conducted in the Department of
Radiodiagnosis and Respiratory Medicine at a tertiary-level
hospital, Adesh Medical College and Hospital, Kurukshetra,
Haryana, India. The findings of the selected chest CT scans were
classified as normal, incidental, or pathological. The response of
the consulting physicians to these scans was divided into three
grades: highly expected, moderately expected, and unexpected.
The impact of these scans on patients’ treatment was divided
into three categories: major, minor, and none. The collected data
were analysed using the Statistical Package for Social Sciences
(SPSS) version 28.0, and the Chi-square test was used to assess
the association between different variables.
Results: The mean age of study participants was approximately
58±15 years. Out of the total 74 scans (each belonging to a
different individual), the findings of the chest CT scans revealed
that 59 (79.7%) scans were pathological, 11 (14.9%) were
incidental, and only 4 (5.4%) were normal. The outcomes of these
scans were highly expected in 42 (56.7%) cases, moderately
expected in 25 (33.8%), and unexpected in 7 (9.5%). These
scans had a major impact on the patient’s treatment course in
28 (37.8%) cases, minor impact in 40 (54%), and no influence
in 6 (8.1%) cases. The Chi-square test showed a significant
association between chest CT scan outcomes and clinicians’
expectations, chest CT scan outcomes and their influence on
treatment, as well as clinicians’ expectations and the effect
of scans on treatment. The p-value <0.05 was considered
statistically significant for all three cases.
Conclusion: Chest CT scans significantly impact the diagnostic
and treatment pathway for patients. |
| first_indexed | 2024-03-11T21:07:41Z |
| format | Article |
| id | doaj.art-43a9e820924b4775916ee9b6e82a666c |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-11T21:07:41Z |
| publishDate | 2023-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-43a9e820924b4775916ee9b6e82a666c2023-09-29T10:04:16ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-09-011709060810.7860/JCDR/2023/64179.18414Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational StudyAnkit Aneja0Tanya Kumar1Nitin Goyal2Nitin Tangri3Intern, Department of Radiodiagnosis, Adesh Medical College and Hospital, Kurukshetra, Haryana, India.Intern, Department of Radiodiagnosis, Adesh Medical College and Hospital, Kurukshetra, Haryana, India.Associate Professor, Department of Radiodiagnosis, Adesh Medical College and Hospital, Kurukshetra, Haryana, India.Professor, Department of Respiratory Medicine, Adesh Medical College and Hospital, Kurukshetra, Haryana, India.Introduction: The use of chest Computed Tomography (CT) scans has significantly increased in recent times, and it is also considered the preferred investigation method in various cases, including occult pneumothorax and interstitial lung diseases. Aim: To assess the relationship between chest CT scan findings/outcomes, clinicians’ expectations, and their influence on treatment outcomes. Materials and Methods: The present retrospective analytical observational study was conducted in the Department of Radiodiagnosis and Respiratory Medicine at a tertiary-level hospital, Adesh Medical College and Hospital, Kurukshetra, Haryana, India. The findings of the selected chest CT scans were classified as normal, incidental, or pathological. The response of the consulting physicians to these scans was divided into three grades: highly expected, moderately expected, and unexpected. The impact of these scans on patients’ treatment was divided into three categories: major, minor, and none. The collected data were analysed using the Statistical Package for Social Sciences (SPSS) version 28.0, and the Chi-square test was used to assess the association between different variables. Results: The mean age of study participants was approximately 58±15 years. Out of the total 74 scans (each belonging to a different individual), the findings of the chest CT scans revealed that 59 (79.7%) scans were pathological, 11 (14.9%) were incidental, and only 4 (5.4%) were normal. The outcomes of these scans were highly expected in 42 (56.7%) cases, moderately expected in 25 (33.8%), and unexpected in 7 (9.5%). These scans had a major impact on the patient’s treatment course in 28 (37.8%) cases, minor impact in 40 (54%), and no influence in 6 (8.1%) cases. The Chi-square test showed a significant association between chest CT scan outcomes and clinicians’ expectations, chest CT scan outcomes and their influence on treatment, as well as clinicians’ expectations and the effect of scans on treatment. The p-value <0.05 was considered statistically significant for all three cases. Conclusion: Chest CT scans significantly impact the diagnostic and treatment pathway for patients.https://www.jcdr.net/articles/PDF/18414/64179_CE[Ra1]_F(IS)_QC(SD_RDW_IS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdfcomputed tomographyclinical impactradiologylung pathology |
| spellingShingle | Ankit Aneja Tanya Kumar Nitin Goyal Nitin Tangri Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study Journal of Clinical and Diagnostic Research computed tomography clinical impact radiology lung pathology |
| title | Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study |
| title_full | Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study |
| title_fullStr | Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study |
| title_full_unstemmed | Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study |
| title_short | Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study |
| title_sort | relationship between chest ct scan findings and clinicians expectations in diagnosis and prognosis of respiratory disease patients at a tertiary care hospital a retrospective observational study |
| topic | computed tomography clinical impact radiology lung pathology |
| url | https://www.jcdr.net/articles/PDF/18414/64179_CE[Ra1]_F(IS)_QC(SD_RDW_IS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf |
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