Patient preferences and acceptable risk for computed tomography in trauma
| العنوان: | Patient preferences and acceptable risk for computed tomography in trauma |
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| المؤلفون: | Clare E. Ronan, Tarann M. Henderson, Eric C. Silverman, Craig L. Anderson, Ali S. Raja, Joelle Schlang, Anne M. Ritchie, Bryan Sloane, Brigitte M. Baumann, Robert M. Rodriguez, Mark I. Langdorf |
| المصدر: | Injury, vol 45, iss 9 Rodriguez, RM; Henderson, TM; Ritchie, AM; Langdorf, MI; Raja, AS; Silverman, E; et al.(2014). Patient preferences and acceptable risk for computed tomography in trauma. Injury, 45(9), 1345-1349. doi: 10.1016/j.injury.2014.03.011. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/0x07g0hq |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Pediatrics, Health Knowledge, Attitudes, Practice, Neoplasms, Radiation-Induced, Cost-Benefit Analysis, Clinical Sciences, Chest ct, Computed tomography, Nursing, Radiation Dosage, Risk Assessment, Odds, Radiation risk, Acceptable risk, Trauma Centers, Radiation, Ionizing, medicine, Humans, In patient, General Environmental Science, Informed Consent, Trauma Severity Indices, medicine.diagnostic_test, business.industry, Diagnostic test, Mean age, Patient preferences, Patient Preference, Emergency department, Health Care Costs, Middle Aged, Patient Acceptance of Health Care, Patient preference, United States, Surgery, Trauma imaging, Orthopedics, Cross-Sectional Studies, Public Health and Health Services, General Earth and Planetary Sciences, Wounds and Injuries, Female, business, Tomography, X-Ray Computed, Trauma CT |
| الوصف: | Background Rising use of computed tomography (CT) to evaluate patients with trauma has increased both patient costs and risk of cancer from ionizing radiation, without demonstrable improvements in outcome. Patient-centred care mandates disclosure of the potential risks, costs and benefits of diagnostic testing whenever possible. Objective We sought to determine (1) patient preferences regarding emergency department (ED) real-time discussions of risks and costs of CT during their trauma evaluations; and (2) whether varying levels of odds of detection of life-threatening injury (LTI) were associated with changes in patient preferences for CT. Methods Excluding patients already receiving CT and patients with altered mental status, we surveyed adult, English-speaking patients at four Level I verified trauma centres. After informing subjects of cancer risks associated with chest CT, we used hypothetical scenarios with varying LTIs to assess patients' preferences regarding CT. Results Of 941 patients enrolled, 50% were male and their mean age was 42 years. Most patients stated they would prefer to discuss CT radiation risks (73.5%, 95% CI [66.1-80.8]) and costs (53.2%, 95% CI [46.1-60.4]) with physicians. As the odds of detecting LTI decreased, preferences for receiving CT decreased accordingly: LTI 25% (desire 91.2%, 95% CI [89.4-93.1]), LTI 10% (desire 79.3%, 95% CI [76.7-81.9]), LTI 5% (desire 69.1%, 95% CI [66.1-72.1]) and LTI |
| وصف الملف: | application/pdf |
| تدمد: | 1879-0267 |
| DOI: | 10.1016/j.injury.2014.03.011. |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79b9e640a8e80aff0854c62c823ea851 https://pubmed.ncbi.nlm.nih.gov/24742979 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....79b9e640a8e80aff0854c62c823ea851 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18790267 |
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| DOI: | 10.1016/j.injury.2014.03.011. |