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British Journal of Radiology (2003) 76, 57-61
© 2003 British Institute of Radiology
doi: 10.1259/bjr/68918327

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Short communication

Accident and Emergency and General Practitioner plain radiograph reporting by radiographers and radiologists: a quasi-randomized controlled trial

S Brealey, BSc 1 D G King, MBChB, FRCS(Eng), FRCR 2 M T I Crowe, MRCP, FRCR 3 I Crawshaw, DCR, MSc 2 L Ford, DCR, MSc 2 N G Warnock, MRCP, FRCR 2 R A J Mannion, MRCP, FRCR 2 and S Ethell, BSc 4

1 Department of Health Sciences, University of York, York YO1 5DD, 2 X-ray Department, York District Hospital, Wiggington Road, York YO30 8HE, 3 X-ray Department, King's Lynn and Wisbech Hospitals NHS Trust, The Queen Elizabeth Hospital, Gayton Road, Norfolk PE30 4ET, and 4 Department of Radiography and Imaging Sciences, St Martin's College, Bowerham Road, Lancaster LA1 3JD, UK

Two specially trained radiographers at York District Hospital have been reporting appendicular plain radiograph X-ray examinations for Accident and Emergency (A&E) patients since February 1995. This study explores the potential for further expanding their reporting role. This was achieved by assessing the two radiographers' and a group of consultant radiologists' ability to report on a retrospectively selected random stratified sample of 400 A&E and General Practitioner (GP) plain radiograph X-ray examinations for all body areas. Using receiver operating characteristic (ROC) curve analyses there was no statistically significant difference at the 5% level between the area under the ROC curves for the radiographers and consultant radiologists when reporting A&E or GP plain radiographs. It may be feasible to expand the reporting role of suitably trained radiographers to include plain radiograph X-ray examinations for all A&E patients and for GP patients, with no detriment to the quality of reports.




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