Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies: results of UK national re-audit

D. C.  Howlett; K. J. Drinkwater; N. Mahmood; L. Salman; J. Griffin; M. K. Javaid; G. Retnasingam; A. Marzoug; R. Greenhalgh

doi:10.1016/j.crad.2023.09.004

Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies: results of UK national re-audit

D. C. Howlett, K. J. Drinkwater, N. Mahmood, L. Salman, J. Griffin, M. K. Javaid, G. Retnasingam, A. Marzoug, R. Greenhalgh,

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Aim: To describe a UK-wide re-audit of the 2019 Royal College of Radiologists (RCR) audit evaluating patient-related data and organisational infrastructure in the radiological reporting of vertebral fragility fractures (VFFs) on computed tomography (CT) studies and to assess the impact of a series of RCR interventions, initiated to raise VFF awareness, on reporting practice and outcomes.

Materials and Methods: Patient specific and organisational questionnaires largely replicated those utilised in 2019. The patient questionnaire involved retrospective analysis of between 50 and 100 consecutive, non-traumatic CT studies which included the thoracolumbar spine. All RCR radiology audit leads were invited to participate. Data collection commenced from 1 April 2022. RESULTS: Data were supplied by 129/194 (67%) departments. One thousand five hundred and eighty-six of 7,316 patients (21.7%) had a VFF on auditor review. Overall improvements were demonstrated in key initial/provisional reporting results; comment on spine/bone (93.2%, 14.4% improvement, p<0.0002); fracture severity assessment (34.7%, 8.5% improvement, p=0.0007); use of recommended terminology (67.8%, 7.5% improvement, p=0.0034); recommendations for further management (11.7%, 9.1% improvement, p<0.0002).

Conclusions: The 2022 national re-audit confirms improvements in diagnostic performance and practice in VFF reporting. Continuing work is required to build on this improvement and to further embed best practice.

Original language	English
Pages (from-to)	e1041-e1047
Number of pages	7
Journal	Clinical Radiology
Volume	78
Issue number	12
Early online date	29 Sept 2023
DOIs	https://doi.org/10.1016/j.crad.2023.09.004
Publication status	Published - Dec 2023

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@article{13de6de1190041538804e29e82451d91,

title = "Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies: results of UK national re-audit",

abstract = "Aim: To describe a UK-wide re-audit of the 2019 Royal College of Radiologists (RCR) audit evaluating patient-related data and organisational infrastructure in the radiological reporting of vertebral fragility fractures (VFFs) on computed tomography (CT) studies and to assess the impact of a series of RCR interventions, initiated to raise VFF awareness, on reporting practice and outcomes.Materials and Methods: Patient specific and organisational questionnaires largely replicated those utilised in 2019. The patient questionnaire involved retrospective analysis of between 50 and 100 consecutive, non-traumatic CT studies which included the thoracolumbar spine. All RCR radiology audit leads were invited to participate. Data collection commenced from 1 April 2022. RESULTS: Data were supplied by 129/194 (67%) departments. One thousand five hundred and eighty-six of 7,316 patients (21.7%) had a VFF on auditor review. Overall improvements were demonstrated in key initial/provisional reporting results; comment on spine/bone (93.2%, 14.4% improvement, p<0.0002); fracture severity assessment (34.7%, 8.5% improvement, p=0.0007); use of recommended terminology (67.8%, 7.5% improvement, p=0.0034); recommendations for further management (11.7%, 9.1% improvement, p<0.0002).Conclusions: The 2022 national re-audit confirms improvements in diagnostic performance and practice in VFF reporting. Continuing work is required to build on this improvement and to further embed best practice.",

author = "Howlett, {D. C.} and Drinkwater, {K. J.} and N. Mahmood and L. Salman and J. Griffin and Javaid, {M. K.} and G. Retnasingam and A. Marzoug and R. Greenhalgh and A. Barrett and A. Chandegra and A. Dabbas and A. Dhillon and A. Elstob and A. Kamalasanan and A. Mirza and A. Mohamed and A. Neelakantan and A. Paddon and A. Patel and A. Radhakrishnan and A. Shah and A. Shenton and A. Teibe and B. Dharmarajah and D. Campbell and F. Williams and J. Green and J. Taylor and J. Walker and J. Warner and K. Harrison and K. Patel and K. Singh and K. Tan and M. Clark and M. Mohan and M. Siddiqui and M. Szewczyk-Bieda and P. Sharma and R. Gray and R. Gupta and R. Walker and S. David and S. Green and S. Lim and S. Patel and S. Singh and V. Rao and Y. Wu",

note = "Copyright: {\textcopyright} 2023 Published by Elsevier Ltd on behalf of The Royal College of Radiologists.",

year = "2023",

month = dec,

doi = "10.1016/j.crad.2023.09.004",

language = "English",

volume = "78",

pages = "e1041--e1047",

journal = "Clinical Radiology",

issn = "0009-9260",

publisher = "W.B. Saunders Ltd",

number = "12",

}

TY - JOUR

T1 - Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies

T2 - results of UK national re-audit

AU - Howlett, D. C.

AU - Drinkwater, K. J.

AU - Mahmood, N.

AU - Salman, L.

AU - Griffin, J.

AU - Javaid, M. K.

AU - Retnasingam, G.

AU - Marzoug, A.

AU - Greenhalgh, R.

AU - Barrett, A.

AU - Chandegra, A.

AU - Dabbas, A.

AU - Dhillon, A.

AU - Elstob, A.

AU - Kamalasanan, A.

AU - Mirza, A.

AU - Mohamed, A.

AU - Neelakantan, A.

AU - Paddon, A.

AU - Patel, A.

AU - Radhakrishnan, A.

AU - Shah, A.

AU - Shenton, A.

AU - Teibe, A.

AU - Dharmarajah, B.

AU - Campbell, D.

AU - Williams, F.

AU - Green, J.

AU - Taylor, J.

AU - Walker, J.

AU - Warner, J.

AU - Harrison, K.

AU - Patel, K.

AU - Singh, K.

AU - Tan, K.

AU - Clark, M.

AU - Mohan, M.

AU - Siddiqui, M.

AU - Szewczyk-Bieda, M.

AU - Sharma, P.

AU - Gray, R.

AU - Gupta, R.

AU - Walker, R.

AU - David, S.

AU - Green, S.

AU - Lim, S.

AU - Patel, S.

AU - Singh, S.

AU - Rao, V.

AU - Wu, Y.

PY - 2023/12

Y1 - 2023/12

N2 - Aim: To describe a UK-wide re-audit of the 2019 Royal College of Radiologists (RCR) audit evaluating patient-related data and organisational infrastructure in the radiological reporting of vertebral fragility fractures (VFFs) on computed tomography (CT) studies and to assess the impact of a series of RCR interventions, initiated to raise VFF awareness, on reporting practice and outcomes.Materials and Methods: Patient specific and organisational questionnaires largely replicated those utilised in 2019. The patient questionnaire involved retrospective analysis of between 50 and 100 consecutive, non-traumatic CT studies which included the thoracolumbar spine. All RCR radiology audit leads were invited to participate. Data collection commenced from 1 April 2022. RESULTS: Data were supplied by 129/194 (67%) departments. One thousand five hundred and eighty-six of 7,316 patients (21.7%) had a VFF on auditor review. Overall improvements were demonstrated in key initial/provisional reporting results; comment on spine/bone (93.2%, 14.4% improvement, p<0.0002); fracture severity assessment (34.7%, 8.5% improvement, p=0.0007); use of recommended terminology (67.8%, 7.5% improvement, p=0.0034); recommendations for further management (11.7%, 9.1% improvement, p<0.0002).Conclusions: The 2022 national re-audit confirms improvements in diagnostic performance and practice in VFF reporting. Continuing work is required to build on this improvement and to further embed best practice.

AB - Aim: To describe a UK-wide re-audit of the 2019 Royal College of Radiologists (RCR) audit evaluating patient-related data and organisational infrastructure in the radiological reporting of vertebral fragility fractures (VFFs) on computed tomography (CT) studies and to assess the impact of a series of RCR interventions, initiated to raise VFF awareness, on reporting practice and outcomes.Materials and Methods: Patient specific and organisational questionnaires largely replicated those utilised in 2019. The patient questionnaire involved retrospective analysis of between 50 and 100 consecutive, non-traumatic CT studies which included the thoracolumbar spine. All RCR radiology audit leads were invited to participate. Data collection commenced from 1 April 2022. RESULTS: Data were supplied by 129/194 (67%) departments. One thousand five hundred and eighty-six of 7,316 patients (21.7%) had a VFF on auditor review. Overall improvements were demonstrated in key initial/provisional reporting results; comment on spine/bone (93.2%, 14.4% improvement, p<0.0002); fracture severity assessment (34.7%, 8.5% improvement, p=0.0007); use of recommended terminology (67.8%, 7.5% improvement, p=0.0034); recommendations for further management (11.7%, 9.1% improvement, p<0.0002).Conclusions: The 2022 national re-audit confirms improvements in diagnostic performance and practice in VFF reporting. Continuing work is required to build on this improvement and to further embed best practice.

U2 - 10.1016/j.crad.2023.09.004

DO - 10.1016/j.crad.2023.09.004

M3 - Article

C2 - 37838545

SN - 0009-9260

VL - 78

SP - e1041-e1047

JO - Clinical Radiology

JF - Clinical Radiology

IS - 12

ER -

Radiology reporting of incidental osteoporotic vertebral fragility fractures present on CT studies: results of UK national re-audit

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