Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography
Context: There is an increasing interest in the standardization of the evaluation of imaging exams, especially enterography in Crohn’s disease. Objective: To compare the quality of the conventional report with the structured report in computed tomography enterography in Crohn’s disease. Method: Nine...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2018-10-01
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| Series: | Journal of Coloproctology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2237936318300546 |
| _version_ | 1818431249820155904 |
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| author | Alvaro Ariel Gomez Thiago Franchi Nunes Carlos Henrique Marques dos Santos Denise Maria Rissato Tiago Kojun Tibana Isa Felix Adôrno Doroty Mesquita Dourado |
| author_facet | Alvaro Ariel Gomez Thiago Franchi Nunes Carlos Henrique Marques dos Santos Denise Maria Rissato Tiago Kojun Tibana Isa Felix Adôrno Doroty Mesquita Dourado |
| author_sort | Alvaro Ariel Gomez |
| collection | DOAJ |
| description | Context: There is an increasing interest in the standardization of the evaluation of imaging exams, especially enterography in Crohn’s disease. Objective: To compare the quality of the conventional report with the structured report in computed tomography enterography in Crohn’s disease. Method: Nine CT enterographies of patients with Crohn’s disease with conventional reports were performed; after the standardization of the structured report by the radiology department of a university hospital that is a reference in the care of patients with inflammatory bowel diseases, the same exams were reevaluated, and new reports were issued, without the radiologists having access to the previous report; the 18 reports underwent evaluation of five specialists in Inflammatory Bowel Diseases, resulting in 90 analyses of the report; the specialists evaluated the following criteria: clarity of the information of the report, ease in characterizing the extension of the disease, ease in defining the presence of complications, usefulness of the exam to define the behavior, and ease in defining the activity of the disease, with the use of a 0–10 score. The statistical analysis was perfrmed with Wilcoxon’s non-parametric test, considering a significance level of 5%. Results: The mean scores assigned to the exam reports, using both reports (unstructured and structured) ranged from 7.98 to 9.16; however, the scores of the structured reports were significantly higher (p < 0.003). Conclusion: In the specialists’ evaluation, the structured report was shown to be of better quality than the unstructured one in the CT enterography of patients with Crohn’s Disease. Resumo: Contexto: Há cada vez maior interesse em padronização na avaliação de exames de imagem, em especial a enterografia na Doenca de Crohn. Objetivo: Comparar a qualidade do laudo convencional com o estruturado na enterografia por tomografia computadorizada na Doença de Crohn. Método: Foram realizados nove enterografias por TC de pacientes com Doença de Crohn com laudos convencionais; após a padronização do laudo estruturado pelo serviço de radiologia um hospital universitário, referência no atendimento de pacientes com doenças inflamatórias intestinais, os mesmos exames foram reavaliados e novos laudos foram emitidos, sem que os radiologistas tivessem acesso ao laudo anterior; os 18 laudos foram submetidos a avaliação de cinco especialistas em Doenças Inflamatórias Intestinais, resultando em 90 análises de laudo; os especialistas avaliaram os seguintes critérios: clareza das informações do laudo, facilidade em caracterizar a extensão da doença, facilidade em definir a presença de complicações, utilidade do exame para definir a conduta e facilidade em definir a atividade da doença, conferindo uma pontuação de 0 a 10. A análise estatística foi realizada com o teste não paramétrico de Wilcoxon, considerando-se nível de significância de 5%. Resultados: os escores médios atribuídos aos laudos do exame, usando ambos os relatórios (não estruturado e estruturado), variaram de 7,98 a 9,16; todavia, os escores dos laudos estruturados foram significativamente maiores (p < 0,003). Conclusão: Na avaliação dos especialistas o laudo estruturado mostrou-se de melhor qualidade que o não estruturado na enterografia por tomografia computadorizada de pacientes com Doença de Crohn. Keywords: Crohn’s disease, Tomography, Small intestine, Complications, Diagnosis, Palavras-chave: Doença de Crohn, Tomografia, Intestino delgado, Complicações, Diagnóstico |
| first_indexed | 2024-12-14T15:46:19Z |
| format | Article |
| id | doaj.art-4c3765154afd4feea2b9f0df4eb523dd |
| institution | Directory Open Access Journal |
| issn | 2237-9363 |
| language | English |
| last_indexed | 2024-12-14T15:46:19Z |
| publishDate | 2018-10-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Journal of Coloproctology |
| spelling | doaj.art-4c3765154afd4feea2b9f0df4eb523dd2022-12-21T22:55:29ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632018-10-01384290294Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterographyAlvaro Ariel Gomez0Thiago Franchi Nunes1Carlos Henrique Marques dos Santos2Denise Maria Rissato3Tiago Kojun Tibana4Isa Felix Adôrno5Doroty Mesquita Dourado6Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilHospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilHospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil; Universidade Anhanguera (Uniderp), Campo Grande, MS, Brazil; Corresponding author.Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilHospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilHospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilUniversidade Anhanguera (Uniderp), Campo Grande, MS, BrazilContext: There is an increasing interest in the standardization of the evaluation of imaging exams, especially enterography in Crohn’s disease. Objective: To compare the quality of the conventional report with the structured report in computed tomography enterography in Crohn’s disease. Method: Nine CT enterographies of patients with Crohn’s disease with conventional reports were performed; after the standardization of the structured report by the radiology department of a university hospital that is a reference in the care of patients with inflammatory bowel diseases, the same exams were reevaluated, and new reports were issued, without the radiologists having access to the previous report; the 18 reports underwent evaluation of five specialists in Inflammatory Bowel Diseases, resulting in 90 analyses of the report; the specialists evaluated the following criteria: clarity of the information of the report, ease in characterizing the extension of the disease, ease in defining the presence of complications, usefulness of the exam to define the behavior, and ease in defining the activity of the disease, with the use of a 0–10 score. The statistical analysis was perfrmed with Wilcoxon’s non-parametric test, considering a significance level of 5%. Results: The mean scores assigned to the exam reports, using both reports (unstructured and structured) ranged from 7.98 to 9.16; however, the scores of the structured reports were significantly higher (p < 0.003). Conclusion: In the specialists’ evaluation, the structured report was shown to be of better quality than the unstructured one in the CT enterography of patients with Crohn’s Disease. Resumo: Contexto: Há cada vez maior interesse em padronização na avaliação de exames de imagem, em especial a enterografia na Doenca de Crohn. Objetivo: Comparar a qualidade do laudo convencional com o estruturado na enterografia por tomografia computadorizada na Doença de Crohn. Método: Foram realizados nove enterografias por TC de pacientes com Doença de Crohn com laudos convencionais; após a padronização do laudo estruturado pelo serviço de radiologia um hospital universitário, referência no atendimento de pacientes com doenças inflamatórias intestinais, os mesmos exames foram reavaliados e novos laudos foram emitidos, sem que os radiologistas tivessem acesso ao laudo anterior; os 18 laudos foram submetidos a avaliação de cinco especialistas em Doenças Inflamatórias Intestinais, resultando em 90 análises de laudo; os especialistas avaliaram os seguintes critérios: clareza das informações do laudo, facilidade em caracterizar a extensão da doença, facilidade em definir a presença de complicações, utilidade do exame para definir a conduta e facilidade em definir a atividade da doença, conferindo uma pontuação de 0 a 10. A análise estatística foi realizada com o teste não paramétrico de Wilcoxon, considerando-se nível de significância de 5%. Resultados: os escores médios atribuídos aos laudos do exame, usando ambos os relatórios (não estruturado e estruturado), variaram de 7,98 a 9,16; todavia, os escores dos laudos estruturados foram significativamente maiores (p < 0,003). Conclusão: Na avaliação dos especialistas o laudo estruturado mostrou-se de melhor qualidade que o não estruturado na enterografia por tomografia computadorizada de pacientes com Doença de Crohn. Keywords: Crohn’s disease, Tomography, Small intestine, Complications, Diagnosis, Palavras-chave: Doença de Crohn, Tomografia, Intestino delgado, Complicações, Diagnósticohttp://www.sciencedirect.com/science/article/pii/S2237936318300546 |
| spellingShingle | Alvaro Ariel Gomez Thiago Franchi Nunes Carlos Henrique Marques dos Santos Denise Maria Rissato Tiago Kojun Tibana Isa Felix Adôrno Doroty Mesquita Dourado Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography Journal of Coloproctology |
| title | Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography |
| title_full | Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography |
| title_fullStr | Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography |
| title_full_unstemmed | Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography |
| title_short | Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography |
| title_sort | comparison of conventional and structured report in the evaluation of crohn s disease through enterography |
| url | http://www.sciencedirect.com/science/article/pii/S2237936318300546 |
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