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. Author manuscript; available in PMC: 2010 Sep 1.
Published in final edited form as: Arch Intern Med. 2009 Sep 28;169(17):1578–1586. doi: 10.1001/archinternmed.2009.263

Table 5.

Diagnostic and therapeutic outcomes of 92 critical imaging test results that lacked timely follow-up at 4 weeks #

Outcomes Occurrences % Unique Pts. n=92^ %
New diagnosis of a disease Ŧ 26 28.3% 26 28.3%
        Cancer 11 42.3% 11 42.3%
        Non-malignant neoplasia (e.g. adenoma) 5 19.2% 5 19.2%
        Other 10 38.5% 10 38.5%
Further non-invasive diagnostic tests performed 107 64 69.6%
        Stable/negative/normal/benign finding 46 43.0% 42 65.6%
        Abnormal findings 61 57.0% 41 64.1%
                Type of diagnostic test
                    Lab or other 7 6.5% 7 10.9%
                    Imaging-X ray 37 34.6% 30 46.9%
                    Imaging-CT 44 41.1% 37 57.8%
                    Imaging-MRI 6 5.6% 4 6.3%
                    Imaging-Nuclear Medicine 9 8.4% 7 10.9%
                    Imaging-Ultrasound 4 3.7% 3 4.7%
Further invasive diagnostic test performed 17 16 17.4%
        Stable/negative/normal/benign finding 6 35.3% 6 37.5%
        Abnormal findings 11 64.7% 10 62.5%
                Type of invasive diagnostic test
                    Ultrasound Guided biopsy 5 29.4% 4 25.0%
                    Other biopsy 3 17.6% 3 18.8%
                    Upper Endoscopy 2 11.8% 2 12.5%
                    Cystoscopy 2 11.8% 2 12.5%
                    Colonoscopy 1 5.9% 1 6.3%
                    Bronchoscopy 2 11.8% 2 12.5%
                    Transurethral Resection Bladder Tumor Resection 1 5.9% 1 6.3%
                    Wedge Resection 1 5.9% 1 6.3%
Medical treatment without hospitalization 20 21.7% 20 21.7%
Medical treatment with hospitalization 4 4.3% 3 3.3%
Surgical treatment without hospitalization 0 0.0% 0 0.0%
Surgical treatment with hospitalization 6 6.5% 6 6.5%
Complication related to any medical or surgical intervention above 3 3.3% 2 2.2%
Death related to primary diagnosis of imaging test 2 2.2%
Unrelated death 1 1.1%
#

Outcomes of tests determined at 9 months after date of initial test; In 5 tests no outcomes could be determined because the patient did not return to the institution after the initial test.

^

Numbers will not add up to 92 or 100% as more than one outcome was possible for a unique patient.

Ŧ

In 6 patients a new diagnosis had not yet been established by the time of review because work-up was still in progress.