读者偏见在乳腺癌查中的服务和临床影响:一项回顾性研究
Clarisse F de Vries1,2, Roger T Staff3, Jaroslaw A Dymiter4
1Aberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen AB25 2ZD, United Kingdom.
The British journal of radiology
|January 24, 2024
概括
读者的经验影响了对乳房扫描查的同意,经验较少的读者往往会屈从于高级同事. 这并没有对癌症检测率产生负面影响,但增加了仲裁员的工作量.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 公共卫生 公共卫生
背景情况:
- 乳房扫描查对于早期发现乳腺癌至关重要.
- 读者同意对于一致可靠的查结果至关重要.
- 影响乳房扫描读者同意的因素需要进一步调查.
研究的目的:
- 确定影响读者同意乳腺癌查的因素.
- 探索协议水平与患者结果之间的关系.
- 分析读者经验对乳房学同意的影响.
主要方法:
- 通过使用科恩的卡帕统计,评估了83,265张乳房图的读者对协议.
- 分析了基于读者角色 (第一/第二),经验和结果的协议变化.
- 评估第一个读者的意见对第二个读者的评价的影响.
主要成果:
- 根据读者是第一名还是第二名,读者同意的程度有很大差异.
- 如果读者1更有经验,读者2更有可能同意读者1.
- 协议水平与癌症检测或召回率没有相关性,但较低时会增加仲裁员的工作量.
结论:
- 在哺乳镜查中,第二读者的意见受到第一读者的意见的影响,因相对经验而改变.
- 缺乏经验的读者对经验丰富的合作伙伴的依赖并没有对服务结果产生不利影响.
- 允许访问第一个读者的意见可能有助于新读者,但可能会减少独立评估,并可能降低癌症检测率.
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