■虽然先进的医疗技术和对医疗信息的无限制访问可能会使患者受益并赋予患者权力,这些相同的优势可能会带来一些风险,尤其是在患者可以直接进行高级影像学检查的情况下。这项工作的目的是评估与下背痛患者相关的三个领域:患者的感知,在直接获得他们的胸腰椎放射学报告后,误解和焦虑相关症状的经验。另一个目的是评估与灾难化的可能关联。
■转诊到脊柱诊所的患者,在完成CT或MRI检查后,对其胸腰椎进行了调查。使用一组问卷评估了患者对直接访问其成像报告的重要性以及他们归因于报告中发现的医学术语的关注的看法。然后将医学术语严重性评分与脊柱外科医生为相同医学术语创建的参考临床评分相关联。最后,对患者阅读放射学报告后的焦虑相关症状和疼痛突变量表(PCS)进行评估.
■来自162名参与者(44.6%为女性)的数据,平均年龄53.1±15.6岁,被收集。63%的患者表示,阅读报告有助于他们更好地了解自己的医疗状况,84%的患者同意尽早获得报告有助于改善与医生的沟通。患者在影像学报告中与医学术语相关的关注程度在2.07和3.75之间,等级为1-5。在六个常见医学术语中,患者的关注程度明显较高,而在一个术语中,患者的关注程度明显较低。与专家的意见相比。平均(±SD)为2.86±2.79焦虑相关症状。平均疼痛突变量表(PSC)评分为29.18±11.86,范围为2至52。关注程度和报告的症状数量均与PCS显着相关。
■直接获取放射学报告可能会引发焦虑症状,尤其是有灾难性思维倾向的患者。提高脊柱临床医生和放射科医师对直接获取放射学报告可能存在的风险的认识有助于预防患者的误解和不必要的焦虑相关症状。
UNASSIGNED: While advanced medical technology and unlimited access to medical information might benefit and empower patients, these same advantages may pose some risks, especially in the cases where patients have direct access to advanced imaging studies. The aim of this work was to evaluate three domains related to patients with lower back pain: the patients\' perceptions, misconceptions and the experience of anxiety-related symptoms following direct access to their thoraco-lumbar spine radiology report. An additional aim was the assessment of possible associations with catastrophization.
UNASSIGNED: Patients who were referred to the spine clinic, following the completion of a CT or MRI of their thoraco-lumbar spine were surveyed. Patient perceptions of the importance of having direct access to their imaging report and of the concern they attribute to the medical terms found in their report were evaluated using a set of questionnaires. The medical terms severity scores were then correlated to a reference clinical score created for the same medical terms by spine surgeons. Lastly, patients\' anxiety-related symptoms and Pain Catastrophizing Scale (PCS) after reading their radiology report were evaluated.
UNASSIGNED: Data from 162 participants (44.6% female), with mean age of 53.1 ± 15.6 years, were collected. Sixty-three percent of the patients stated that reading their report helped them gain better understanding of their medical condition and 84% agreed that having early access to the report helped improve communication with the physician. Patients\' degree of concern associated with the medical terms in their imaging report ranged between 2.07 and 3.75, on a scale of 1-5. The patient\'s degree of concerns were significantly higher for six common medical terms and significantly lower in one, when compared to experts\' opinions. A mean (± SD) of 2.86±2.79 anxiety-related symptoms was reported. The mean Pain Catastrophizing Scale (PSC) score was 29.18 ±11.86, ranging from 2 to 52. Both the degree of concerns and the number of symptoms reported were significantly associated with the PCS.
UNASSIGNED: Direct access to radiology
reports might provoke anxiety symptoms, especially in patients with a tendency for catastrophic thinking. Increasing awareness amongst spine clinicians and radiologist about possible risks associated with direct access to radiology
reports could contribute to preventing patients\' misconceptions and unnecessary anxiety-related symptoms.