CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S26
DOI: 10.1055/s-0041-1727663
Abstracts
Imaging / Sonography: Neck

The influence of structured reporting on inter-rater reliability of head and neck sonography

Benjamin Philipp Ernst
1   Universitätsklinikum Bonn, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Bonn
,
A Bozzato
2   Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Hals-, Nasen- und Ohrenheilkunde, Homburg
,
S Strieth
1   Universitätsklinikum Bonn, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Bonn
,
J Gabrielpillai
1   Universitätsklinikum Bonn, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Bonn
,
S Becker
3   Universitätsklinikum Tübingen, Klinik für Hals-, Nasen- u. Ohrenheilkunde, Tübingen
,
MF Froelich
4   Universitätsmedizin Mannheim, Klinik für Radiologie und Nuklearmedizin, Mannheim
,
B Kramer
5   Universitätsmedizin Mannheim, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Mannheim
,
C Sproll
6   Universitätsklinikum Düsseldorf, Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Düsseldorf
,
M Schapher
7   Universitätsklinikum Erlangen, Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Erlangen
,
M Goncalves
8   Universitätsklinikum Aachen, Klinik für Hals-, Nasen-, Ohrenheilkunde und Plastische Kopf- und Halschirurgie, Aachen
,
N Mansour
9   Universitätsklinikum Freiburg, Klinik für Hals-, Nasen- und Ohrenheilkunde, Freiburg
,
B Hofauer
10   Klinikum rechts der Isar der Technischen Universität München, Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, München
,
J Künzel
11   Universitätsklinikum Regensburg, Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Regensburg
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    Introduction Structured reporting (SR) has been shown to increase report completeness and time efficiency of head and neck ultrasound. Nevertheless, there is no data concerning the impact of SR on inter-rater reliability of head and neck ultrasound, which is often criticized to be inferior to other imaging techniques. Therefore, the aim of this study was to compare completeness and consequently inter-rater reliability of head and neck ultrasound.

    Materials and Methods n=4 head and neck ultrasound examinations of typical pathologies were captured by video/images by 2 DEGUM instructors. In a next step, video/image files were sent out to n=8 ENT departments with DEGUM instructors on staff. SRs were created using a specific templated based upon the files provided (n=32 reports). Reports were assessed for overall completeness and inter-rater reliability. Additionally, user satisfaction was evaluated by visual analogue scale (VAS).

    Results SR produced a very good mean overall report completeness (91.6 %) in all 4 cases (86.4 % - 95.6 %). Additionally, inter-rater reliability was substantial using SR with a Fleiss‘ kappa of 0.73 (0.64 - 0.94) and an inter-rater agreement of 87.2 % (50 % - 100 %). User satisfaction of the SR template was also very good (VAS 8.6).

    Conclusion Implementation of SR of head and neck ultrasound leads to a very good comparability while assuring very high report completeness and user satisfaction ratings. Additionally, SR enables scientific data to be collected and evaluated with ease. Consequently, SR may lead to a sustained improvement in process quality and workflow, especially for follow-up examinations.

    Poster-PDF A-1324.pdf

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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Ernst Benjamin Philipp
    Universitätsklinikum Bonn, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde
    Bonn

    Publication History

    Article published online:
    13 May 2021

    © 2021. 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/).

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