Title:Structured Reporting of Computed Tomography Enterography in Crohn’s
Disease
Volume: 20
Author(s): Hui Zhu, Suying Chen, Jinghao Chen, Jushun Yang, Ruochen Cong, Jinjie Sun, Yachun Xu*Bosheng He*
Affiliation:
- Department of Radiology, Hai'an City People's Hospital of Jiangsu Province, Jiangsu, 226602, China
- Department of Radiology, Affiliated Hospital 2 of Nantong University, Jiangsu, 226001, China
- Department of Clinical Medicine Research Center, Affiliated Hospital 2 of Nantong University, Nantong 226001, China
Keywords:
Crohn’s disease, Structured report, Free-text report, Computed tomography enterography, Life quality, Patients.
Abstract:
Background:
To compare the integrity, clarity, conciseness, etc., of the structured report (SR) versus free-text report (FTR) for computed tomography
enterography of Crohn’s disease (CD).
Methods:
FTRs and SRs were generated for 30 patients with CD. The integrity, clarity, conciseness etc., of SRs versus FTRs, were compared. In this study,
an evidence-based medicine practice model was utilized on 92 CD patients based on SR in order to evaluate its clinical value. Then, the life quality
of the patients in two groups was evaluated before and after three months of intervention using an Inflammatory Bowel Disease Questionnaire
(IBDQ).
Results:
SRs received higher ratings for satisfaction with integrity (median rating 4.27 vs. 3.75, P=0.008), clarity (median rating 4.20 vs. 3.43, P=0.003),
conciseness (median rating 4.23 vs. 3.20, P=0.003), the possibility of contacting a radiologist to interpret (median rating 4.17 vs. 3.20, P<0.001),
and overall clinical impact (median rating 4.23 vs. 3.27, P<0.001) than FTRs. Besides, research group had higher score of IBDQ intestinal
symptom dimension (median score 61.13 vs. 58.02, P=0.003), IBDQ systemic symptom dimension (median score 24.48 vs. 20.67, P<0.001), IBDQ
emotional capacity dimension (median score 65.65 vs. 61.74, P<0.001), IBDQ social ability dimension (median score 26.80 vs. 22.37, P<0.001),
and total IBDQ score (median score 178.07 vs. 162.80, P<0.001) than control group.
Conclusion:
The SR of CTE in CD patients was conducive to improving the quality and readability of the report, and CD patients’ life quality could
significantly improve after the intervention of an evidence-based medicine model based on SR.
