Shared patient analysis: a method to assess the clinical benefits of patient referrals

Medical Care
R A DudleyR Warren

Abstract

Referral to specialized physicians or institutions often is deemed necessary in clinical medicine, but no method exists to assess the clinical benefit of such referrals. To describe a method, which is shared patient analysis, to measure the expected improvement in clinical management associated with referrals and to apply that method in the field of abdominal and pelvic oncological radiology. All patients referred, during a 4-year period, to surgical oncologists at four academic centers (the referral providers, or RPs) with radiographs performed before referral at a community site (the initial providers, or IPs). Patients (n = 396) for whom both the IP interpretation and a final diagnosis was available were eligible. All IP and RP readings were placed in random order and presented to surgical oncologists, who then recommended a treatment course. Diagnostic accuracy of the IP and RP readings and the proportion of patients who were assigned to an appropriate treatment by the oncologist were determined. When the indication for imaging was primary diagnosis or staging, the kappa for presence of cancer was 0.70. When the indication was cancer follow-up, the kappa for presence of recurrent/progressing cancer was 0.66. There were disa...Continue Reading

References

Sep 1, 1992·AJR. American Journal of Roentgenology·C A Beam
Jan 1, 1990·Journal of Clinical Epidemiology·A R Feinstein, D V Cicchetti
May 26, 1993·JAMA : the Journal of the American Medical Association·T Randall
Dec 4, 1996·JAMA : the Journal of the American Medical Association·T K Egglin, A R Feinstein
Feb 24, 1999·JAMA : the Journal of the American Medical Association·G T O'ConnorJ E Wennberg

❮ Previous
Next ❯

Citations

Nov 19, 2010·Annals of Oncology : Official Journal of the European Society for Medical Oncology·O R BrookA Engel
Oct 29, 2011·AJNR. American Journal of Neuroradiology·L S Babiarz, D M Yousem
Apr 7, 2007·Journal of the American College of Radiology : JACR·Vijay M Rao, David C Levin
Sep 23, 2018·Journal of Global Oncology·Heinz-Peter SchlemmerHedvig Hricak
May 6, 2019·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sharyl J NassHedvig Hricak
Aug 14, 2020·AJR. American Journal of Roentgenology·Sabine A HeinzDerya Yakar

❮ 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.

Related Papers

Journal of the American College of Radiology : JACR
Lukasz S BabiarzD C Levin
Journal of the American College of Radiology : JACR
Milton J Guiberteau
Journal of the American College of Radiology : JACR
Vijay M Rao, David C Levin
Journal of the American College of Radiology : JACR
Jeffrey C Weinreb, Pamela A Wilcox
© 2021 Meta ULC. All rights reserved