Second opinions in orthopedic oncology imaging: can fellowship training reduce clinically significant discrepancies?

Skeletal Radiology
Aleksandr RozenbergAdam C Zoga

Abstract

To determine factors that lead to significant discrepancies in second-opinion consultation of orthopedic oncology patients, and particularly if musculoskeletal fellowship training can decrease clinically significant discrepancies. A PACS database was queried for secondary reads on outside cross-sectional imaging studies, as requested by orthopedic oncology from 2014 to 2017. Comparison of original and secondary reports was performed using a published seven-point scale that defines clinically significant discrepancies. An online search was performed for each original radiologist to record if a fellowship in musculoskeletal imaging was completed. Additionally, years of post-residency experience, number of Medicare part B patients billed per year (marker of practice volume), and average hierarchical condition category for each radiologist (marker of practice complexity) was recorded. A total of 571 patients met the inclusion criteria, with 184 cases initially interpreted by an outside fellowship trained musculoskeletal (MSK) radiologist and 387 cases initially interpreted by a non-MSK trained radiologist. The rate of clinically significant discrepancy was 9.2% when initially interpreted by MSK radiologists compared with 27.9% when...Continue Reading

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Citations

Dec 18, 2019·AJR. American Journal of Roentgenology·Joseph H YacoubDavide Bova
Sep 29, 2020·Seminars in Musculoskeletal Radiology·Mark DaviesGunnar Åström
Jan 27, 2021·Medicina·Alberto Stefano TagliaficoMichele Piana
Aug 14, 2021·Journal of Clinical Orthopaedics and Trauma·Karthikeyan P IyengarChetan Sangani
May 18, 2021·Clinical Radiology·D DaliliUNKNOWN British Society of Skeletal Radiologists
Sep 10, 2021·Insights Into Imaging·Domenico AlbanoUNKNOWN Young Club of the European Society of Musculoskeletal Radiology (ESSR)

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