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BMC Medical Imaging
Published in: BMC Medical Imaging 1/2018

Open Access 01-12-2018 | Research article

Structured reporting of x-rays for atraumatic shoulder pain: advantages over free text?

Authors: Franziska Schöppe, Wieland H. Sommer, Florian Schmidutz, Dominik Pförringer, Marco Armbruster, Karolin J. Paprottka, Jessica L. V. Plum, Bastian O. Sabel, Felix G. Meinel, Nora N. Sommer

Published in: BMC Medical Imaging | Issue 1/2018

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Abstract

Background

To analyse structured and free text reports of shoulder X-ray examinations evaluating the quality of reports and potential contributions to clinical decision-making.

Methods

We acquired both standard free text and structured reports of 31 patients with a painful shoulder without history of previous trauma who received X-ray exams. A template was created for the structured report based on the template ID 0000154 (Shoulder X-ray) from radreport.​org using online software with clickable decision trees with concomitant generation of structured semantic reports. All reports were evaluated regarding overall quality and key features: content, information extraction and clinical relevance.

Results

Two experienced orthopaedic surgeons reviewed and rated structured and free text reports of 31 patients independently. The structured reports achieved significantly higher median ratings in all key features evaluated (P < 0.001), including facilitation of information extraction (P < 0.001) and better contribution to subsequent clinical decision-making (P < 0.001). The overall quality of structured reports was significantly higher than in free text report (P < 0.001).

Conclusions

A comprehensive structured template may be a useful tool to assist in clinical decision-making and is, thus, recommended for the reporting of degenerative changes regarding X-ray examinations of the shoulder.
Appendix
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Metadata
Title
Structured reporting of x-rays for atraumatic shoulder pain: advantages over free text?
Authors
Franziska Schöppe
Wieland H. Sommer
Florian Schmidutz
Dominik Pförringer
Marco Armbruster
Karolin J. Paprottka
Jessica L. V. Plum
Bastian O. Sabel
Felix G. Meinel
Nora N. Sommer
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2018
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-018-0262-8

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