Interventional Radiology Outpatient Clinics (IROC): Clinical Impact and Patient Satisfaction
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CLINICAL INVESTIGATION
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Interventional Radiology Outpatient Clinics (IROC): Clinical Impact and Patient Satisfaction Roberto Luigi Cazzato1 • Gianluca de Rubeis2 • Pierre de Marini1 • Pierre Auloge1 • Danoob Dalili3 • Julia Weiss1 • Guillaume Koch1 • Pramod Prabhakar Rao4 • Emanuele Boatta1 • Julien Garnon1 • Afshin Gangi1
Received: 21 May 2020 / Accepted: 1 October 2020 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2020
Abstract Purpose To retrospectively analyze our interventional radiology outpatient clinics (IROC) for referral patterns, impact on interventional practice, and patient satisfaction. Materials and Methods Consultations performed between 2011 and 2019 were extracted. The two consecutive years with the highest number of consultations (n2018 = 1426; n2019 = 1595) were compared for unattended consultations (i.e., scheduled consultations with patients not showingup); initial/follow-up consultations; hospital clinician/general practitioner referrals; initial consultations with radiologists not recommending interventions; procedural conversion rate (PCR; i.e., No. initial consultations resulting in interventions over the total number of initial consultations performed for the same clinical indication). A survey was conducted in 159 patients to determine their satisfaction. Results Consultations increased from 2011 to 2019 by 130%. In 2018–2019, the number of unattended & Roberto Luigi Cazzato [email protected] 1
Department of Interventional Radiology, University Hospital of Strasbourg, 1 place de l’hoˆpital, BP 426, 67091 Strasbourg, Cedex, France
2
Vascular and Interventional Radiology Unit, Department of Diagnostic Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale del Policlinico, 155, 00161 Rome, Italy
3
Department of Diagnostic and Interventional Radiology, Guy’s and St. Thomas’ Hospitals NHS Foundation Trust, Westminster Bridge Rd, Bishop’s, London SE1 7EH, UK
4
Department of Interventional Radiology, Civil Hospital of Colmar, 39 Avenue de la Liberte´, 68024 Colmar, France
consultations was stable (7.0% vs 6.6%; P = .68). The referrals were for back pain (42.2%), interventional oncology (40.5%), and arteriovenous malformations (9.0%). For back pain, in 2019, there were fewer consultations with radiologists not recommending interventions and increased PCR compared to 2018 (11.9% vs. 17.7%; 88.1% vs. 82.3%; respectively; P = .01). For interventional oncology, follow-up consultations and general practitioner referrals increased in 2019 compared to 2018 (43.0% vs 35.3%; P = .01; 24.4% vs. 12.7%; P \ .01; respectively). No other changes were noted. Cumulative 2018–2019 PCR was C 85.4%. 99.2% responders highly appreciated their IROC experience. Quality of secretarial and medical services were the main aspects evaluated to rate the experience with IROC. Conclusion IROC results in high PCR. Recent changes in referral/impact on
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