Does Direct Radiologist-Patient Verbal Communication Affect Follow-Up Compliance of Probably Benign Assessments? |
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| Institution: | 1. Fort Wayne Radiology, Fort Wayne, Indiana;2. Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan;1. Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, Maryland;2. Clinical Pharmacokinetics Research Laboratory, Clinical Center, National Institutes of Health, Bethesda, Maryland;3. Translational Neuroradiology Unit, National Institutes of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland;1. Division of Pediatric Radiology, Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee;2. Department of Pediatrics, Vanderbilt University School of Medicine, Monroe Carrell Jr. Children''s Hospital at Vanderbilt, Nashville, Tennessee;1. Department of Radiology, Division of Cardiovascular Imaging, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts;2. Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts;3. Harvey L. Neiman Health Policy Institute, Reston, Virginia;4. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;1. Center for Research on Utilization of Imaging Services (CRUISE), Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania;2. HealthHelp, Inc, Houston, Texas;1. Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina;2. Rush University Medical Center, Chicago, Illinois;3. Georgetown University Hospital, Washington, District of Columbia, American College of Surgeons;4. Sidney Kimmel Cancer Center at Johns Hopkins University, Baltimore, Maryland, American Society of Clinical Oncology;5. Interventional Endoscopy and Pancreatic Diseases, New Haven, Connecticut, American Gastroenterological Association;6. University of Illinois Hospital, Chicago, Illinois;7. Massachusetts General Hospital, Boston, Massachusetts;8. University of Colorado, Anschutz Medical Campus, Aurora, Colorado;9. Oregon Health and Science University, Portland, Oregon;10. Riley Hospital for Children, Indianapolis, Indiana;11. University of Wisconsin, Madison, Wisconsin;12. Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois;13. University of Illinois Hospital and Health Science System, Chicago, Illinois;14. Froedtert & the Medical College of Wisconsin, Milwaukee, Wisconsin |
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| Abstract: | PurposeThe aim of this study was to determine whether direct verbal communication of results by a radiologist affected follow-up compliance rates for probably benign breast imaging findings.MethodsThis study was institutional review board approved and HIPAA compliant. A retrospective search identified all patients from January 1, 2010 to December 31, 2010 who had breast findings newly assessed as probably benign (BI-RADS category 3). Patients were categorized by whether the radiologist or the technologist verbally communicated the result and follow-up recommendation. Patient adherence to 6-, 12-, and 24-month follow-up imaging recommendations was recorded.ResultsCompliance data were available for 770 of 819 patients in the study. Overall compliance was 83.0% (639 of 770) for 6-month examinations, 68.1% (524 of 770) for 6- and 12-month examinations, and 57.4% (442 of 770) for 6-, 12-, and 24-month examinations. For patients who initially underwent diagnostic mammography alone, there was no significant difference in compliance between those who had and those who did not have radiologist-patient communication (6 months, 81.9% vs 80.8% P = .83]; 6 and 12 months, 70.8% vs 67.3% P = .58]; 6, 12, and 24 months, 54.2% vs 58.4% P = .53]). For patients who initially underwent diagnostic mammography alone versus ultrasound with or without diagnostic mammography, there was no significant difference in compliance (6 months, 81.1% vs 84.3% P = .24]; 6 and 12 months, 68.1% vs 68.0% P = .96]; 6, 12, and 24 months, 57.4% vs 57.4% P = .00]).ConclusionsHigh initial compliance was achieved by radiologist or technologist verbal communication of findings and recommendations. Direct communication by the radiologist did not increase compliance compared with communication by a technologist. |
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| Keywords: | Mammography probably benign patient compliance radiologist visibility |
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