Recommendations for adnexal cysts: have the Society of Radiologists in Ultrasound consensus conference guidelines affected utilization of ultrasound?

Abstract:

PURPOSE:In 2009, the Society of Radiologists in Ultrasound (SRU) convened a consensus conference to discuss the management of adnexal cysts in asymptomatic women and reach consensus on when follow-up imaging was required. The purpose of this quality assurance project was to assess the impact of using the resulting guidelines in our institution during 1-month periods before and after publication of the guidelines. METHODS:We retrospectively reviewed all pelvic ultrasound reports for a 1-month period before the conference (February 2009) and 2 years later (February 2011) after publication of the SRU guidelines. Incidence of recommendations for simple cysts and classic hemorrhagic cysts 5 cm or less in premenopausal women and simple cysts less than 1 cm in postmenopausal women was compared. Fisher exact test was used to compare proportions. RESULTS:Over the time period evaluated, the number of pelvic sonograms performed in our department decreased by 27%. The overall number of cysts with recommendations for follow-up decreased from February 2009 (132 studies with recommendations for follow-up in 870 pelvic ultrasound examinations, 15%) to February 2011 (71 recommendations for follow-up in 639 examinations, 11%; P = 0.02). The percentage of premenopausal simple cysts and classic hemorrhagic cysts described as less than 5 cm where follow-up was recommended decreased from 39/48 (89%) to 2/29 (7%, P < 0.0001). CONCLUSIONS:Use of the SRU guidelines on the management of adnexal cysts has, in our practice, dramatically decreased radiologist recommendations for follow-up of benign appearing cysts.

journal_name

Ultrasound Q

journal_title

Ultrasound quarterly

authors

Ghosh E,Levine D

doi

10.1097/RUQ.0b013e31827c6ab1

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

21-4

issue

1

eissn

0894-8771

issn

1536-0253

journal_volume

29

pub_type

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