MP16-10 EXPLORING THE VALUE OF USING PATIENT-ORIENTED MRI REPORTS IN CLINICAL PRACTICE

Abstract

You have accessJournal of UrologyCME1 May 2022MP16-10 EXPLORING THE VALUE OF USING PATIENT-ORIENTED MRI REPORTS IN CLINICAL PRACTICE Nathan Perlis, Antonio Finelli, Mike Lovas, Alexis Lund, Amelia DiMeo, Katherine Lajkosz, Alejandro Berlin, Janet Papadakos, Sangeet Ghai, Dominik Deniffel, Eric Meng, David Wiljer, Shabbir Alibhai, Vasiliki Bakas, Adam Badzynski, Odelia Lee, Joseph Cafazzo, and Masoom Haider Nathan PerlisNathan Perlis More articles by this author , Antonio FinelliAntonio Finelli More articles by this author , Mike LovasMike Lovas More articles by this author , Alexis LundAlexis Lund More articles by this author , Amelia DiMeoAmelia DiMeo More articles by this author , Katherine LajkoszKatherine Lajkosz More articles by this author , Alejandro BerlinAlejandro Berlin More articles by this author , Janet PapadakosJanet Papadakos More articles by this author , Sangeet GhaiSangeet Ghai More articles by this author , Dominik DeniffelDominik Deniffel More articles by this author , Eric MengEric Meng More articles by this author , David WiljerDavid Wiljer More articles by this author , Shabbir AlibhaiShabbir Alibhai More articles by this author , Vasiliki BakasVasiliki Bakas More articles by this author , Adam BadzynskiAdam Badzynski More articles by this author , Odelia LeeOdelia Lee More articles by this author , Joseph CafazzoJoseph Cafazzo More articles by this author , and Masoom HaiderMasoom Haider More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002549.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Standard radiology reports (SRR) are designed to communicate information between doctors. With many patients having instantaneous access to SRRs on patient portals, interpretation without guidance from doctors can cause anxiety and panic. We designed a patient-centred prostate MRI template report (PACERR)(Figure 1) to address some of these challenges and tested whether PACERRs improve patient knowledge and experience. METHODS: Patients booked for clinical prostate MRI were randomly assigned to SRR or SRR + PACERR. Questionnaires included multiple-choice that targeted 4 domains (understanding, usefulness, next steps, emotional experience) hypothesized to improve with patient-centred reports and short answer questions, testing knowledge regarding MRI results. Clinical encounters were observed and recorded to explore whether adding PACERR improved communication. Likert scaled-responses and short-answer questions were compared using Mann-Whitney U test and Kruskal-Wallis test. RESULTS: Of the 40 participants, the majority were MRI naïve (70%). Patients receiving a PACERR had higher scores in the categories of patient understanding (mean: 4.17 vs. 3.39, p=0.006), usefulness (mean: 4.58 vs. 3.07, p<0.001), and identifying next steps (mean: 1.89 vs. 3.03, p=0.003) but not emotional experience (mean: 4.18 vs. 3.79, p=0.22). PACERR participants found the layout and design more patient friendly (mean: 4.47 vs. 2.61, p<0.001) and easier to understand (mean: 4.37 vs. 2.38, p<0.001). In the knowledge section, overall, the PACERR arm scored better (87% vs. 56%, p=0.004). CONCLUSIONS: Using a patient-reported version of a prostate MRI report in clinical practice improves the patient experience by empowering them to better express themselves and comprehend their results. Patients report better interaction with their medical professionals. Further works needs to be done to educate physicians on applying PACERRs to clinical practice. The generalizability of PACERRs is limited, thus future work should be directed toward automation from traditional reports. Source of Funding: Dr. Perlis reports from Canadian Urological Association Scholarship Foundation (CUASF) - Early Investigator Research Scholarship, during the conduct of the study © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e278 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nathan Perlis More articles by this author Antonio Finelli More articles by this author Mike Lovas More articles by this author Alexis Lund More articles by this author Amelia DiMeo More articles by this author Katherine Lajkosz More articles by this author Alejandro Berlin More articles by this author Janet Papadakos More articles by this author Sangeet Ghai More articles by this author Dominik Deniffel More articles by this author Eric Meng More articles by this author David Wiljer More articles by this author Shabbir Alibhai More articles by this author Vasiliki Bakas More articles by this author Adam Badzynski More articles by this author Odelia Lee More articles by this author Joseph Cafazzo More articles by this author Masoom Haider More articles by this author Expand All Advertisement PDF DownloadLoading ...

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