A review of data in medical request and the patient questionnaire for magnetic resonance evaluation of silicone breast implants

A review of data in medical request and the patient questionnaire for magnetic resonance evaluation of silicone breast implants

Einstein (São Paulo), December 2017

29267430

Jaime Anger, Pablo Eduardo Elias, Paula de Camargo Moraes, Nelson Hamerschlak

To analyze the quality and quantity of data in the questionnaires and in request forms for magnetic resonance imaging. This retrospective study was conducted with data from 300 medical records. The research used the following data from the questionnaires: patient age, reason for the magnetic resonance imaging, reason for placing the breast implant, report of any signs or symptoms, time elapsed since surgery to place the current breast implant, replacement implant surgery, chemotherapy, and/or radiation therapy treatments. From the magnetic resonance imaging request forms, information about the breast implant, the implant placement surgery, patient clinical information and ordering physician specialty were verified. The mean age of patients was 48.8 years, and the mean time elapsed since breast implant surgery was 5 years. A total of 60% of women in the sample were submitted to aesthetic surgery, while 23.7% were submitted to chemotherapy and/or radiation therapy. In the request forms, 23.7% of physicians added some piece of information about the patient, whereas 2.3% of them informed the type of implant and 5.2% informed about the surgery. The amount of information in the magnetic resonance imaging request forms is very limited, and this may hinder quality of radiological reports. Institutional and technological measures should be implemented to encourage the requesting physicians and radiologists to share information.