학술논문

Structured Reporting of Head and Neck Sonography Achieves Substantial Interrater Reliability.
Document Type
Academic Journal
Author
Ernst BP; Department of Otorhinolaryngology, University Medical Center Bonn, Bonn, Germany.; Dörsching C; Department of Otorhinolaryngology, University Medical Center Bonn, Bonn, Germany.; Bozzato A; Department of Otorhinolaryngology, Head & Neck Surgery, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany.; Gabrielpillai J; Department of Otorhinolaryngology, University Medical Center Bonn, Bonn, Germany.; Becker S; Department of Otorhinolaryngology, Head and Neck Surgery, University of Tübingen Medical Center, Tuebingen, Germany.; Froelich MF; Department of Radiology and Nuclear Medicine, University Medical Centre Mannheim, Mannheim, Germany.; Kramer B; Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Mannheim, Mannheim, Germany.; Sproll C; Department of Oral and Maxillofacial Surgery, Medical Faculty and University Hospital Düsseldorf, Duesseldorf, Germany.; Schapher M; Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University, Nuremberg, Germany.; Goncalves M; Department of Otorhinolaryngology, Plastic Head and Neck Surgery, RWTH Aachen University Hospital, Aachen, Germany.; Mansour N; Department of Otorhinolaryngology, University Medical Center Freiburg, Freiburg, Germany.; Hofauer B; Department of Otorhinolaryngology, Head and Neck Surgery, Technical University of Munich Hospital Rechts der Isar, Munich, Germany.; Sommer WH; Department of Radiology, LMU University Hospital, Munich, Germany.; von Scotti F; Ultrasound Division, Otorhinolaryngology Center Münsterland, Münster, Germany.; Weimer JM; Rudolf-Frey Teaching Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.; Künzel J; Department of Otorhinolaryngology, Universitätsklinikum Regensburg, Regensburg, Germany.
Source
Publisher: Thieme Country of Publication: Germany NLM ID: 101674542 Publication Model: eCollection Cited Medium: Print ISSN: 2509-596X (Print) Linking ISSN: 21997152 NLM ISO Abbreviation: Ultrasound Int Open Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2509-596X
Abstract
Purpose Ultrasound examinations are often criticized for having higher examiner dependency compared to other imaging techniques. Compared to free-text reporting, structured reporting (SR) of head and neck sonography (HNS) achieves superior time efficiency as well as report quality. However, there are no findings concerning the influence of SR on the interrater reliability (IRR) of HNS. Materials and Methods Typical pathologies (n=4) in HNS were documented by video/images by two certified head and neck ultrasound instructors. Consequently, structured reports of these videos/images were created by n=9 senior physicians at departments of otolaryngology or maxillofacial surgery with DEGUM instructors on staff. Reports (n=36) were evaluated regarding overall completeness and IRR. Additionally, user satisfaction was assessed by a visual analog scale (VAS). Results SR yielded very high report completeness (91.8%) in all four cases with a substantial IRR (Fleiss' κ 0.73). Interrater agreement was high at 87.2% with very good user satisfaction (VAS 8.6). Conclusion SR has the potential to ensure high-quality examination reports with substantial comparability and very high user satisfaction. Furthermore, big data collection and analysis are facilitated by SR. Therefore, process quality, workflow, and scientific output are potentially enhanced by SR.
Competing Interests: Conflict of Interest Wieland H Sommer is the founder of the company Smart Reporting GmbH, which hosts an online platform for structured reporting. The other authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article. This manuscript is part of medical doctoral theses presented by Carla Dörsching at the Medical Faculty of the University of Bonn.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)