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Biomedical subjects

Shelley Nan Weiner

Publications and source records attributed to Shelley Nan Weiner.

4 recordsLinked to original sources
PubMed2005

Are the breast cancer screening recommendations clear or confusing?

The American public is convinced that cancer screening tests are valuable. Breast cancer screening recommendations have recently received a great deal of attention. Careful review of the available data reveals that combined annual mammography and clinical breast examination is the appropriate breast cancer screening program for most women over the age of 40. However, a small group of women with a genetic susceptibility for breast cancer may benefit from additional imaging. In this article, the criteria for a good screening program are identified.

Adult↗
PubMed2005

Utilization management and noninvasive diagnostic imaging.

Health care costs are rising at unprecedented rates in the United States, and a substantial contributor to these cost increases is a growing dependence on diagnostic imaging. Radiologists have become aware of the need for optimal use of imaging provided in a cost-effective and timely manner. This article describes a program that has reduced inappropriate imaging use by involving both community-based and academic radiologists in its precertification process.

Cost Control↗
PubMed2005

Radiology by nonradiologists: is report documentation adequate?

OBJECTIVE: To determine if the quality of medical imaging reports differs significantly between radiologists and nonradiologists. STUDY DESIGN: A retrospective nonblinded review of randomly selected chest and long bone x-ray reports by orthopedists and primary care physicians compared with randomly selected imaging reports generated by radiologists. METHODS: We randomly selected 1 report from each of 50 high self-referring physicians privileged by 2 metropolitan New York area health plans for both bone and joint studies and chest x-rays for a total of 200 reports (50 bone and joint x-rays from each plan and 50 chest x-rays from each plan). We compared them with 50 randomly selected radiologist-generated reports. The reports were evaluated for quality based on the American College of Radiology's Guideline for Communication: Diagnostic Radiology. The data were analyzed by the 2-sample t-test between proportions at the 95% confidence interval. RESULTS: Radiologists consistently provided higher-quality medical imaging reports than nonradiologists. CONCLUSIONS: To improve imaging service quality, all providers should be held to the same standards for reporting and communication of results.

Clinical Competence↗