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