泌尿外科医师对三种前列腺MRI诊断报告满意度的调查研究

Investigation of urologist satisfaction to three types of prostate MRI reports

目的从前列腺MRI报告的准确性、对治疗方案的指导意义及泌尿外科医师对报告的主观感受3个参数分别评估我院泌尿外科医师对3种前列腺MRI报告,即传统自由文本报告(报告A)、TNM分期结构化报告(报告B)及PI-RADSTMv2联合(或不联合)TNM分期的结构化报告(报告C)的满意度。材料与方法调查研究2007年10月至2018年12月我院泌尿外科医师对放射科出具的3381份3种类型前列腺MRI报告的满意度。采用Likert五分量表法分别从报告的准确性、报告对治疗方案的指导意义及泌尿外科医师对报告的主观感受3个参数进行满意度评分。满意度统计方法用Kruskal-WallisH检验和Nemenyi检验。结果泌尿外科医师对报告B和报告C的总满意度均显著高于报告A(P<0.05),但对报告B和报告C的总满意度之间差异无统计学意义(P>0.05)。在报告对临床治疗方案的指导意义上,泌尿外科医师对报告B和报告C的满意度之间差异有统计学意义(P<0.05),但在报告的准确性及医师对报告的主观感受上,泌尿外科医师对报告B和报告C的满意度之间差异无统计学意义(P>0.05)。在对3个参数的满意度评价上,泌尿外科医师对报告B和报告C满意度均高于报告A(P<0.05)。结论与传统自由文本报告相比,泌尿外科医师对结构化的前列腺MRI报告更满意。

Objective: To evaluate urologist satisfaction on the structured prostate MRI reports including report with TNM staging (report B) and report with PI-RADSTM v2 score with or without TNM staging (report C) compared with conventional free-text report (report A) in terms of correctness,practicality and subjective feeling of urologists.Materials and Methods: From October 2007 to December 2018,3381 prostate MRI reports including report A,report B and report C were rated by 13 urologists using a 5-point Likert scales.A questionnaire was used to assess urologist satisfaction based on the following parameters: correctness,practicality and subjective feeling of urologists.Kruskal-Wallis H-test followed by Nemenyi test was used to compare urologists' satisfaction parameters for each type of prostate MRI report.Results: The overall satisfaction degree of urologists to report B and report C were both significantly higher than that to report A (both P<0.05),but no statistical difference was found in the overall satisfaction degree between report B and report C (P>0.05).There was significant difference regarding the parameter of practicality between report B and report C (P<0.05), but no statistical difference was found regarding correctness and subjectivity (both P>0.05). Both report B and report C had significantly higher rating of satisfaction than report A for each parameter (All P<0.05).Conclusions: Both structured prostate MRI reports including report B and report C can add up urologist satisfaction allowing some advantages over the report A.