Objective determination of standard of care: use of blind readings by external radiologists

AJR. American Journal of Roentgenology
Richard C SemelkaLarissa Braga

Abstract

The purpose of this study was to determine whether specific findings determined to be critical and standard of care by expert witnesses in a legal case are identifiable by radiologists blinded to clinical outcome and litigation. Images from six CT studies were sent to radiologists for interpretation. Two studies were performed for screening after major trauma, one of the cases being the subject of a settled legal action; three were randomly selected from studies performed in the evaluation of emergency department patients; and one was the control. The cases were selected to simulate a typical emergency department caseload. In the medicolegal case, four plaintiff expert witness radiologists had identified three findings in the CT study that were not described by the radiologist of record (primary reader). One of these findings was considered critical and was the basis for the legal case. Thirty-one radiologists participated in the study. The three findings made by the expert witnesses-T3 and T10 vertebral body fractures and 1-mm symmetric widening of the facet joints at T10-were made by none, 19 (61.3%), and none of the 31 radiologists in this study. Thirty-one radiologists who had no knowledge of the clinical outcome or litigat...Continue Reading

References

May 20, 2003·The American Journal of Medicine·Patrick A Hope
Jun 6, 2003·The New England Journal of Medicine·Michelle M MelloTroyen A Brennan
Jan 16, 2004·The New England Journal of Medicine·David M StuddertTroyen A Brennan
Aug 21, 2004·Health Affairs·Michelle M MelloWilliam M Sage
Dec 14, 2006·JAMA : the Journal of the American Medical Association·Jessica S Banthin, Didem M Bernard
May 9, 2007·Health Affairs·Katherine BaickerAmitabh Chandra
Nov 30, 2007·The New England Journal of Medicine·David J Brenner, Eric J Hall
Jan 9, 2008·Health Affairs·Jessica S BanthinDidem M Bernard
Jan 22, 2009·AJR. American Journal of Roentgenology·John F DickJoann G Elmore
Mar 24, 2009·The Journal of Economic Perspectives : a Journal of the American Economic Association·Alan M Garber, Johathan Skinner

❮ Previous
Next ❯

Citations

Aug 27, 2013·Clinical Radiology·P McCoubrie, R FitzGerald
Mar 24, 2011·AJR. American Journal of Roentgenology·Leonard Berlin
Jul 22, 2014·Journal of the American College of Radiology : JACR·Daniel J DurandJonathan S Lewin
Oct 30, 2012·Academic Radiology·Anthony F FotenosJonathan S Lewin
Apr 2, 2011·Mayo Clinic Proceedings·Christopher M Burkle
Aug 1, 2015·Clinical Radiology·N H Strickland
Feb 28, 2019·The British Journal of Radiology·Nicola Hilary Strickland
Jan 13, 2018·AJR. American Journal of Roentgenology·Lane F DonnellyJonathan B Kruskal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.