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A new interesting article has been published in J Am Coll Radiol. 2019 Dec; 16(12):1645-1655. doi: 10.1016/j.jacr.2019.05.016. Epub 2019 Jun 4. and titled:

A Secondary Analysis to Identify Patient-Centered Outcomes in the ACR’s Appropriateness Criteria.

Authors of this article are:

Thompson MJ, Hardy V, Zigman Suchsland M, Devine B, Kurth D, Chou R, Haines GR, Jarvik JG; PROD Research Group.

A summary of the article is shown below:

CONTEXT: There is a growing body of literature indicating imaging testing can affect patients cognitively, socially, behaviorally, and emotionally. The extent to which these patient-centered outcomes (PCOs) are reported in the imaging literature is unclear. Identifying PCOs may facilitate shared decision making around imaging testing.OBJECTIVE: To identify PCOs across a spectrum of clinical topics included in the ACR’s Appropriateness Criteria (AC).METHODS: We systematically reviewed AC evidence tables for eligible articles of studies conducted in any clinical setting in high-income countries. Included studies reported PCOs occurring as a direct or indirect result of an imaging test performed for any reason (eg, diagnosis, screening, surveillance, or staging). PCOs and the methods used to measure them were extracted through a secondary analysis and descriptive synthesis.RESULTS: Our search identified 89 articles that reported outcomes of radiation exposure (n = 37), downstream testing (n = 20), complications (n = 19), incidental findings (n = 10), quality of life (n = 7), physical discomfort (n = 5), patient values and experiences (n = 4), patient financial and time costs (n = 4), psychosocial outcomes (n = 4), and test duration (n = 2). These outcomes were rarely reported from the patient perspective and were measured using a range of standardized or validated and nonstandardized methods.CONCLUSIONS: We identified few PCOs incorporated in the AC. Our findings reflect the historical emphasis of diagnostic research on accuracy, clinical utility, and selected outcomes (eg, adverse events). As radiology moves to a more patient-centered approach, it will be important to measure PCOs reported directly from patients.Copyright © 2019 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Check out the article’s website on Pubmed for more information:

[link-preview url=https://www.ncbi.nlm.nih.gov/pubmed/31173747 forceshot=true]

This article is a good source of information and a good way to become familiar with topics such as: Appropriateness criteria; imaging; patient centered.

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