Patients With Cirrhosis Rapidly Review Potentially Abnormal Hepatocellular Carcinoma Surveillance Results Through the Patient Portal

Author:

Louissaint Jeremy1,Kyalwazi Beverly2ORCID,Deng John2,Melendez-Torres Jonathan2,Turer Robert W.23ORCID,Hogan Timothy P.45ORCID,Tapper Elliot B.6,Yekkaluri Sruthi2ORCID,Xie Donglu7,Rich Nicole E.1ORCID,Singal Amit G.1ORCID

Affiliation:

1. Division of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA;

2. Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, Texas, USA;

3. Clinical Informatics Center, UT Southwestern Medical Center, Dallas, Texas, USA;

4. O'Donnell School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA;

5. Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Massachusetts, USA;

6. Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA;

7. Research Academic Systems, UT Southwestern Medical Center, Dallas, Texas, USA.

Abstract

INTRODUCTION: Test results are immediately released to patients through patient portals. We characterized patient and provider time-to-review of liver imaging results. METHODS: We identified 401 patients with cirrhosis enrolled in the portal with ≥1 liver imaging. We compared result review times for patients and providers and identified factors associated with rapid review. RESULTS: The median time-to-review for patients was shorter than providers (3.7 vs 17.6 hours, P < 0.001), with more than half of results reviewed by patients first. Rapid patient review was inversely associated with older age and Hispanic ethnicity. DISCUSSION: Patients rapidly review imaging results through the portal, often before providers.

Funder

American Cancer Society Institutional Research Grant

University of Texas Southwestern Dean's Scholar in Clinical Research

University of Texas Southwestern CTSA

Texas Health Resources Clinical Scholar Award

NIH

American College of Gastroenterology Junior Faculty Development Award

Publisher

Ovid Technologies (Wolters Kluwer Health)

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