We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pediatric musculoskeletal pathologies: are there differences in triage of diagnoses and preferences for communication between radiology and orthopedics?
- Authors
Hussaini, Syed H.; Gaballah, Marian; Baghdadi, Soroush; Arkader, Alexandre; Williams, Brendan A.; Sze, Raymond W.; Nguyen, Jie C.
- Abstract
Objective: To define the clinical importance of various pediatric musculoskeletal diagnoses, determine preferred communication methods based on the acuity level of findings, and investigate differences between specialties utilizing the Delphi methodology. Methods: Radiologists, orthopedic surgeons, and sports-medicine pediatricians at a tertiary children's hospital were surveyed (n = 79) twice using REDCap (Research Electronic Data Capture). Surveys were conducted anonymously and at least 1 year apart, first eliciting all potentially non-routine findings and various communication methods (round 1), and later categorizing the acuity (emergent, urgent, or non-urgent) of different diagnosis categories and selecting the preferred communication method (verbal, written electronic messages, and report) and timeframe (round 2). Chi-square, Fisher's exact, and Kruskal–Wallis H tests were used to compare variables between specialties. Results: Round 1 produced 267 entries for non-routine findings (grouped into 19 diagnoses) and 71 for communication methods (grouped into 3 categories). Round 2 found no significant difference in the acuity assignments for the 19 predetermined diagnoses (p = 0.66) between the 3 specialties; however, there was reduced agreement for the top urgent diagnoses within and between specialties. Most pediatricians preferred written electronic messages. The preferred communication timeframe for urgent diagnoses was significantly different (< 2 h for pediatricians, < 4 h for radiologists, and < 8 h for surgeons; p = 0.003) between specialties whereas no difference was found for emergent (p = 1) and non-urgent diagnoses (p = 0.80). Conclusion: Acuity assignment for the 19 pediatric-specific musculoskeletal diagnoses was not significantly different between specialties, but the preferred communication timeframe for urgent diagnoses was significantly different, ranging between 2 and 8 h.
- Subjects
COMMUNICATIVE disorders; PEDIATRIC pathology; ORTHOPEDISTS; CHILDREN'S hospitals; DIAGNOSIS; ORTHOPEDICS; MUSCULOSKELETAL system diseases; KRUSKAL-Wallis Test; MEDICAL triage; ORTHOPEDIC surgery; TERTIARY care; FISHER exact test; DECISION making; COMMUNICATION; INTERPROFESSIONAL relations; CHI-squared test; QUALITY assurance; SPORTS medicine; DELPHI method; CHILDREN
- Publication
Skeletal Radiology, 2022, Vol 51, Issue 4, p863
- ISSN
0364-2348
- Publication type
Article
- DOI
10.1007/s00256-021-03961-y