Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial

Journal article

Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D. 2017. Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial. Trials. 18 (521). https://doi.org/10.1186/s13063-017-2268-x
AuthorsWoznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D.
Abstract

Background
Diagnostic capacity and suboptimal logistics are consistently identified as barriers to timely diagnosis of cancer, especially lung cancer. Immediate chest X-ray (CXR) reporting for patients referred from general practice is advocated in the National Optimal Lung Cancer Pathway to improve time to diagnosis of lung cancer and to reduce inappropriate urgent respiratory medicine referral for suspected cancer (2WW) referrals. The aim of radioX is to examine the impact of immediate reporting by radiographers of CXRs requested by general practice (GP) on lung cancer patient pathways.

Methods
A two-way comparative study that will compare the time to diagnosis of lung cancer for patients. Internal comparison will be made between those who receive an immediate radiographer report of a GP CXR compared to standard radiographer GP CXR reporting over a 12-month period. External comparison will be made with a similar, neighbouring hospital trust that does not have radiographer CXR reporting. Primary outcome is the effect on the speed of the lung cancer pathway (diagnosis of cancer or discharge). Secondary outcomes include the effect of the pathway on efficiency including the number of repeat CXRs performed in a timely fashion for suspected infection and the effect of immediate reporting of GP CXRs on patient satisfaction.

Discussion
The radioX trial will examine the hypothesis that immediate reporting of CXRs referred from GP reduces the time to diagnosis of lung cancer or discharge from the lung cancer pathway.

Trial registration
International Standard Randomised Controlled Trial Number ISRCTN21818068. Registered on 20 June 2017.

Year2017
JournalTrials
Journal citation18 (521)
PublisherBioMed Central
ISSN1745-6215
Digital Object Identifier (DOI)https://doi.org/10.1186/s13063-017-2268-x
FunderCancer Research UK
Publication dates
Print06 Nov 2017
Publication process dates
Deposited14 Nov 2017
Accepted23 Oct 2017
Accepted author manuscript
Output statusPublished
Additional information

Creative Commons Attribution License, CC-BY 4.0

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Woznitza, N., e-Learning for Healthcare and College of Radiographers 2012. e-Learning for Healthcare – Image Interpretation Project. e-Learning for Healthcare.
An unusual cause of respiratory distress
Woznitza, N., Datsopolous, S., Shukla, R. and Aladangady, N. 2012. An unusual cause of respiratory distress. Archives of Disease in Childhood. 97, pp. A12-A13. https://doi.org/10.1136/archdischild-2012-301885.30
Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
Woznitza, N. 2014. Radiographer clinical reporting.
Commentary: radiographer reporting
Woznitza, N. 2014. Commentary: radiographer reporting. Journal of Medical Radiation Sciences. 61 (2), pp. 66-68. https://doi.org/10.1002/jmrs.51
Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
Woznitza, N., Piper, K., Bothamley, G. and Burke, S. 2014. Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations.
Optimizing patient care in radiology through team-working: audit data
Woznitza, N. 2014. Optimizing patient care in radiology through team-working: audit data.
Optimizing neonatal X-ray quality: results of an audit
Woznitza, N., Hayes, N., Malshava, N. and McGuinness, D. 2014. Optimizing neonatal X-ray quality: results of an audit.
Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
Woznitza, N. 2014. Advanced radiographic practice in adult chest imaging.
The implementation of a radiographic reporting service for trauma examinations of the skeletal system in 4 NHS trusts. NHS Executive South Thames funded research project
Piper, K., Paterson, A. and Ryan, C. 1999. The implementation of a radiographic reporting service for trauma examinations of the skeletal system in 4 NHS trusts. NHS Executive South Thames funded research project. Canterbury Christ Church University.
Interpretation of clinical imagingexaminations by radiographers:a programme of research
Piper, K. 2014. Interpretation of clinical imagingexaminations by radiographers:a programme of research. PhD Thesis Canterbury Christ Church University Faculty of Health and Wellbeing
Observer agreement in the reporting of knee and lumbar spine Magnetic Resonance (MR) Imaging examinations: selectively trained MR radiographers and consultant radiologists compared with an index radiologist
Brealey, S., Piper, K., King, D., Bland, M., Caddick, J., Gibbon, A., Highland, A., Jenkins, N., Petty, D. and Warren, D. 2013. Observer agreement in the reporting of knee and lumbar spine Magnetic Resonance (MR) Imaging examinations: selectively trained MR radiographers and consultant radiologists compared with an index radiologist. European Journal of Radiology. 82 (10). https://doi.org/10.1016/j.ejrad.2013.05.024
Skeletal reporting by radiographers: a review of 27800 cases
Piper, K. 2012. Skeletal reporting by radiographers: a review of 27800 cases.
ABCs of preliminary plain film image assessment
Williams, I. and Piper, K. 2012. ABCs of preliminary plain film image assessment.
Variation in accident and emergency musculoskeletal appendicular radiographic reports and the development of a report template
Paterson, A., Piper, K. and Ryan, C. 2001. Variation in accident and emergency musculoskeletal appendicular radiographic reports and the development of a report template. British Journal of Radiology. 74 (Supp.), p. 46.
Accuracy of radiographer reporting of magnetic resonance imaging for suspected acoustic neuroma
Gillmore, K., Piper, K., Byrne, J., Jeffree, M. and Millar, J. 2001. Accuracy of radiographer reporting of magnetic resonance imaging for suspected acoustic neuroma. British Journal of Radiology. 74 (S), p. 4.
The implementation of a radiographic reporting service for trauma examinations of the skeletal system
Piper, K. and Ryan, C. 1998. The implementation of a radiographic reporting service for trauma examinations of the skeletal system.
The development of a postgraduate diploma in Clinical Reporting (Radiography)
Davies, S., Piper, K., McKay, L. and Paterson, A. 1994. The development of a postgraduate diploma in Clinical Reporting (Radiography).
Using MRI for ankylosing spondylitis
Estall, H., Rennie, W. and Piper, K. 2012. Using MRI for ankylosing spondylitis. Imaging & Therapy Practice, Jan.
Clinical reporting in radiography: invited presentation
Piper, K. 1995. Clinical reporting in radiography: invited presentation.
The accuracy of radiographers' reports in accident and emergency examinations of the skeletal system
Piper, K. 1997. The accuracy of radiographers' reports in accident and emergency examinations of the skeletal system.
The accuracy of radiographers' reports in examinations of the skeletal system
Piper, K. 1997. The accuracy of radiographers' reports in examinations of the skeletal system.
Reporting by radiographers: findings of an accredited postgraduate skeletal reporting programme in the UK
Piper, K. 1997. Reporting by radiographers: findings of an accredited postgraduate skeletal reporting programme in the UK.
UK forges ahead with radiographer reporting
Thomas, A., Manning, D. and Piper, K. 2004. UK forges ahead with radiographer reporting. Diagnostic Imaging Europe.
The implementation of a radiographic reporting service for skeletal trauma
Paterson, A. and Piper, K. 1999. The implementation of a radiographic reporting service for skeletal trauma.
The implementation of a radiographic reporting service for skeletal trauma
Paterson, A. and Piper, K. 2000. The implementation of a radiographic reporting service for skeletal trauma.
The implementation of a radiographic reporting service
Piper, K. 2000. The implementation of a radiographic reporting service.
Abnormality detection in the appendicular skeleton: a practical workshop on professional responsibilities and subtle abnormalities
Piper, K. and Paterson, A. 2002. Abnormality detection in the appendicular skeleton: a practical workshop on professional responsibilities and subtle abnormalities.
MRI reporting by radiographers: the construction of an objective structured examination
Piper, K. 2007. MRI reporting by radiographers: the construction of an objective structured examination.
Chest reporting by radiographers
Piper, K. and Cox, S. 2011. Chest reporting by radiographers.
Can reporting radiographers produce clinically relevant reports?
Woznitza, N. and Piper, K. 2011. Can reporting radiographers produce clinically relevant reports?
Clinical reporting by radiographers in the UK
Piper, K. 2009. Clinical reporting by radiographers in the UK.
MRI reporting by radiographers: findings of an accredited postgraduate programme
Piper, K. and Thomas, N. 2008. MRI reporting by radiographers: findings of an accredited postgraduate programme.
MRI reporting by radiographers: findings of an accredited postgraduate programme
Piper, K., Buscall, K. and Thomas, N. 2010. MRI reporting by radiographers: findings of an accredited postgraduate programme. Radiography. 16 (2), pp. 136-142. https://doi.org/10.1016/j.radi.2009.10.017
Factors influencing the development and implementation of advanced and consultant radiographer practice – a review of the literature
Kelly, J., Piper, K. and Nightingale, J. 2008. Factors influencing the development and implementation of advanced and consultant radiographer practice – a review of the literature. Radiography. 14 (s1), pp. e71-e78. https://doi.org/10.1016/j.radi.2008.11.002
Reporting by radiographers: Neurological magnetic resonance imaging examinations of the head and cervical spine
Piper, K. 2009. Reporting by radiographers: Neurological magnetic resonance imaging examinations of the head and cervical spine.
Principles of image interpretation and search strategies
Williams, I. and Piper, K. 2010. Principles of image interpretation and search strategies.
Workshop to launch: ''Web-based short course in initial image interpretation of the appendicular skeleton''
Williams, I. and Piper, K. 2010. Workshop to launch: ''Web-based short course in initial image interpretation of the appendicular skeleton''.
Rationale for computed tomography head radiographer reporting
Williams, I. and Piper, K. 2010. Rationale for computed tomography head radiographer reporting.
Pre-testing of initial image interpretation skills
Williams, I. and Piper, K. 2010. Pre-testing of initial image interpretation skills.
Radiographer role development and image interpretation skills
Williams, I. and Piper, K. 2010. Radiographer role development and image interpretation skills.
Reporting for radiographers
Piper, K. and Field-Boden, Q. 1996. Reporting for radiographers. The Radiographer.
Clinical reporting in radiography
Piper, K. 1998. Clinical reporting in radiography.
ST funded research report - Implementation of a radiographic reporting service in four NHS Trusts: Initial findings
Piper, K. 1998. ST funded research report - Implementation of a radiographic reporting service in four NHS Trusts: Initial findings.
Accuracy of radiographers' reports in the interpretation of radiographic examinations of the skeletal system: a review of 6796 cases
Piper, K., Paterson, A. and Godfrey, R. 2005. Accuracy of radiographers' reports in the interpretation of radiographic examinations of the skeletal system: a review of 6796 cases. Radiography. 11 (1), pp. 27-34. https://doi.org/10.1016/j.radi.2004.05.004
A case study of a Baker's cyst
Piper, K. and Mitchell, M. 2007. A case study of a Baker's cyst. Synergy.
Initial image interpretation of appendicular skeletal radiographs: A comparison between nurses and radiographers
Piper, K. and Paterson, A. 2009. Initial image interpretation of appendicular skeletal radiographs: A comparison between nurses and radiographers. Radiography. 15 (1), pp. 40-48. https://doi.org/10.1016/j.radi.2007.10.006
Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers
Coleman, L. and Piper, K. 2009. Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers. Radiography. 15 (3), pp. 196-202. https://doi.org/10.1016/j.radi.2007.12.001
MRI reporting by radiographers: The construction of an objective structured examination
Piper, K. and Buscall, K. 2008. MRI reporting by radiographers: The construction of an objective structured examination. Radiography. 14 (2), pp. 78-89. https://doi.org/10.1016/j.radi.2007.02.003