Prospective monitoring of imaging guideline adherence by physicians in a surgical collaborative: comparison of statistical process control methods for detecting outlying performance.
Identifieur interne : 000178 ( Main/Exploration ); précédent : 000177; suivant : 000179Prospective monitoring of imaging guideline adherence by physicians in a surgical collaborative: comparison of statistical process control methods for detecting outlying performance.
Auteurs : Michael Inadomi [États-Unis] ; Karandeep Singh [États-Unis] ; Ji Qi [États-Unis] ; Rodney Dunn [États-Unis] ; Susan Linsell [États-Unis] ; Brian Denton [États-Unis] ; Patrick Hurley [États-Unis] ; Eduardo Kleer [États-Unis] ; James Montie [États-Unis] ; Khurshid R. Ghani [États-Unis]Source :
- BMC medical informatics and decision making [ 1472-6947 ] ; 2020.
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Abstract
BACKGROUND
Systematic, automated methods for monitoring physician performance are necessary if outlying behavior is to be detected promptly and acted on. In the Michigan Urological Surgery Improvement Collaborative (MUSIC), we evaluated several statistical process control (SPC) methods to determine the sensitivity and ease of interpretation for assessing adherence to imaging guidelines for patients with newly diagnosed prostate cancer.
METHODS
Following dissemination of imaging guidelines within the Michigan Urological Surgery Improvement Collaborative (MUSIC) for men with newly diagnosed prostate cancer, MUSIC set a target of imaging < 10% of patients for which bone scan is not indicated. We compared four SPC methods using Monte Carlo simulation: p-chart, weighted binomial CUSUM, Bernoulli cumulative sum (CUSUM), and exponentially weighted moving average (EWMA). We simulated non-indicated bone scan rates ranging from 5.9% (within target) to 11.4% (above target) for a representative MUSIC practice. Sensitivity was determined using the average run length (ARL), the time taken to signal a change. We then plotted actual non-indicated bone scan rates for a representative MUSIC practice using each SPC method to qualitatively assess graphical interpretation.
RESULTS
EWMA had the lowest ARL and was able to detect changes significantly earlier than the other SPC methodologies (p < 0.001). The p-chart had the highest ARL and thus detected changes slowest (p < 0.001). EWMA and p-charts were easier to interpret graphically than CUSUM methods due to their ability to display historical imaging rates.
CONCLUSIONS
SPC methods can be used to provide informative and timely feedback regarding adherence to healthcare performance target rates in quality improvement collaboratives. We found the EWMA method most suited for detecting changes in imaging utilization.
DOI: 10.1186/s12911-020-1126-z
PubMed: 32404086
PubMed Central: PMC7218839
Affiliations:
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sort="Dunn, Rodney" uniqKey="Dunn R" first="Rodney" last="Dunn">Rodney Dunn</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC 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Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Hurley, Patrick" sort="Hurley, Patrick" uniqKey="Hurley P" first="Patrick" last="Hurley">Patrick Hurley</name><affiliation wicri:level="1"><nlm:affiliation>Comprehensive Urology, Novi, MI, 48375, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Comprehensive Urology, Novi, MI, 48375</wicri:regionArea><wicri:noRegion>48375</wicri:noRegion></affiliation></author><author><name sortKey="Kleer, Eduardo" sort="Kleer, Eduardo" uniqKey="Kleer E" first="Eduardo" last="Kleer">Eduardo Kleer</name><affiliation wicri:level="1"><nlm:affiliation>IHA Urology, Ypsilanti, MI, 48197, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>IHA Urology, Ypsilanti, MI, 48197</wicri:regionArea><wicri:noRegion>48197</wicri:noRegion></affiliation></author><author><name sortKey="Montie, James" sort="Montie, James" uniqKey="Montie J" first="James" last="Montie">James Montie</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA. kghani@med.umich.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32404086</idno><idno type="pmid">32404086</idno><idno type="doi">10.1186/s12911-020-1126-z</idno><idno type="pmc">PMC7218839</idno><idno type="wicri:Area/Main/Corpus">000269</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000269</idno><idno type="wicri:Area/Main/Curation">000269</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000269</idno><idno type="wicri:Area/Main/Exploration">000269</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prospective monitoring of imaging guideline adherence by physicians in a surgical collaborative: comparison of statistical process control methods for detecting outlying performance.</title><author><name sortKey="Inadomi, Michael" sort="Inadomi, Michael" uniqKey="Inadomi M" first="Michael" last="Inadomi">Michael Inadomi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Singh, Karandeep" sort="Singh, Karandeep" uniqKey="Singh K" first="Karandeep" last="Singh">Karandeep Singh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Qi, Ji" sort="Qi, Ji" uniqKey="Qi J" first="Ji" last="Qi">Ji Qi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Dunn, Rodney" sort="Dunn, Rodney" uniqKey="Dunn R" first="Rodney" last="Dunn">Rodney Dunn</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Denton, Brian" sort="Denton, Brian" uniqKey="Denton B" first="Brian" last="Denton">Brian Denton</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Hurley, Patrick" sort="Hurley, Patrick" uniqKey="Hurley P" first="Patrick" last="Hurley">Patrick Hurley</name><affiliation wicri:level="1"><nlm:affiliation>Comprehensive Urology, Novi, MI, 48375, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Comprehensive Urology, Novi, MI, 48375</wicri:regionArea><wicri:noRegion>48375</wicri:noRegion></affiliation></author><author><name sortKey="Kleer, Eduardo" sort="Kleer, Eduardo" uniqKey="Kleer E" first="Eduardo" last="Kleer">Eduardo Kleer</name><affiliation wicri:level="1"><nlm:affiliation>IHA Urology, Ypsilanti, MI, 48197, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>IHA Urology, Ypsilanti, MI, 48197</wicri:regionArea><wicri:noRegion>48197</wicri:noRegion></affiliation></author><author><name sortKey="Montie, James" sort="Montie, James" uniqKey="Montie J" first="James" last="Montie">James Montie</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author><author><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA. kghani@med.umich.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900</wicri:regionArea><wicri:noRegion>48109-2900</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC medical informatics and decision making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnostic Imaging (MeSH)</term><term>Guideline Adherence (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Monte Carlo Method (MeSH)</term><term>Physicians (MeSH)</term><term>Prospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie diagnostique (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins (MeSH)</term><term>Méthode de Monte Carlo (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnostic Imaging</term><term>Guideline Adherence</term><term>Humans</term><term>Male</term><term>Monte Carlo Method</term><term>Physicians</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adhésion aux directives</term><term>Humains</term><term>Imagerie diagnostique</term><term>Mâle</term><term>Médecins</term><term>Méthode de Monte Carlo</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Systematic, automated methods for monitoring physician performance are necessary if outlying behavior is to be detected promptly and acted on. In the Michigan Urological Surgery Improvement Collaborative (MUSIC), we evaluated several statistical process control (SPC) methods to determine the sensitivity and ease of interpretation for assessing adherence to imaging guidelines for patients with newly diagnosed prostate cancer.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Following dissemination of imaging guidelines within the Michigan Urological Surgery Improvement Collaborative (MUSIC) for men with newly diagnosed prostate cancer, MUSIC set a target of imaging < 10% of patients for which bone scan is not indicated. We compared four SPC methods using Monte Carlo simulation: p-chart, weighted binomial CUSUM, Bernoulli cumulative sum (CUSUM), and exponentially weighted moving average (EWMA). We simulated non-indicated bone scan rates ranging from 5.9% (within target) to 11.4% (above target) for a representative MUSIC practice. Sensitivity was determined using the average run length (ARL), the time taken to signal a change. We then plotted actual non-indicated bone scan rates for a representative MUSIC practice using each SPC method to qualitatively assess graphical interpretation.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>EWMA had the lowest ARL and was able to detect changes significantly earlier than the other SPC methodologies (p < 0.001). The p-chart had the highest ARL and thus detected changes slowest (p < 0.001). EWMA and p-charts were easier to interpret graphically than CUSUM methods due to their ability to display historical imaging rates.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>SPC methods can be used to provide informative and timely feedback regarding adherence to healthcare performance target rates in quality improvement collaboratives. We found the EWMA method most suited for detecting changes in imaging utilization.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32404086</PMID><DateCompleted><Year>2020</Year><Month>12</Month><Day>16</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>16</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6947</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>05</Month><Day>13</Day></PubDate></JournalIssue><Title>BMC medical informatics and decision making</Title><ISOAbbreviation>BMC Med Inform Decis Mak</ISOAbbreviation></Journal><ArticleTitle>Prospective monitoring of imaging guideline adherence by physicians in a surgical collaborative: comparison of statistical process control methods for detecting outlying performance.</ArticleTitle><Pagination><MedlinePgn>89</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12911-020-1126-z</ELocationID><Abstract><AbstractText Label="BACKGROUND">Systematic, automated methods for monitoring physician performance are necessary if outlying behavior is to be detected promptly and acted on. In the Michigan Urological Surgery Improvement Collaborative (MUSIC), we evaluated several statistical process control (SPC) methods to determine the sensitivity and ease of interpretation for assessing adherence to imaging guidelines for patients with newly diagnosed prostate cancer.</AbstractText><AbstractText Label="METHODS">Following dissemination of imaging guidelines within the Michigan Urological Surgery Improvement Collaborative (MUSIC) for men with newly diagnosed prostate cancer, MUSIC set a target of imaging < 10% of patients for which bone scan is not indicated. We compared four SPC methods using Monte Carlo simulation: p-chart, weighted binomial CUSUM, Bernoulli cumulative sum (CUSUM), and exponentially weighted moving average (EWMA). We simulated non-indicated bone scan rates ranging from 5.9% (within target) to 11.4% (above target) for a representative MUSIC practice. Sensitivity was determined using the average run length (ARL), the time taken to signal a change. We then plotted actual non-indicated bone scan rates for a representative MUSIC practice using each SPC method to qualitatively assess graphical interpretation.</AbstractText><AbstractText Label="RESULTS">EWMA had the lowest ARL and was able to detect changes significantly earlier than the other SPC methodologies (p < 0.001). The p-chart had the highest ARL and thus detected changes slowest (p < 0.001). EWMA and p-charts were easier to interpret graphically than CUSUM methods due to their ability to display historical imaging rates.</AbstractText><AbstractText Label="CONCLUSIONS">SPC methods can be used to provide informative and timely feedback regarding adherence to healthcare performance target rates in quality improvement collaboratives. We found the EWMA method most suited for detecting changes in imaging utilization.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Inadomi</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Karandeep</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qi</LastName><ForeName>Ji</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dunn</LastName><ForeName>Rodney</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Linsell</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Denton</LastName><ForeName>Brian</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hurley</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Comprehensive Urology, Novi, MI, 48375, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kleer</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>IHA Urology, Ypsilanti, MI, 48197, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Montie</LastName><ForeName>James</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghani</LastName><ForeName>Khurshid R</ForeName><Initials>KR</Initials><Identifier Source="ORCID">0000-0002-6089-0733</Identifier><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, NCRC Bldg. 16, 1st Floor, Room 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109-2900, USA. kghani@med.umich.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Michigan Urological Surgery Improvement Collaborative (MUSIC)</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Med Inform Decis Mak</MedlineTA><NlmUniqueID>101088682</NlmUniqueID><ISSNLinking>1472-6947</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003952" MajorTopicYN="N">Diagnostic Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="Y">Guideline Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009010" MajorTopicYN="N">Monte Carlo Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="Y">Physicians</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Imaging</Keyword><Keyword MajorTopicYN="Y">Monitoring</Keyword><Keyword MajorTopicYN="Y">Prostate cancer</Keyword><Keyword MajorTopicYN="Y">Quality control</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>08</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32404086</ArticleId><ArticleId IdType="doi">10.1186/s12911-020-1126-z</ArticleId><ArticleId IdType="pii">10.1186/s12911-020-1126-z</ArticleId><ArticleId IdType="pmc">PMC7218839</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Hosp Pediatr. 2016 Jan;6(1):9-14</Citation><ArticleIdList><ArticleId 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IdType="pubmed">24631408</ArticleId></ArticleIdList></Reference><Reference><Citation>Postgrad Med J. 2005 Oct;81(960):647-52</Citation><ArticleIdList><ArticleId IdType="pubmed">16210461</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Inadomi, Michael" sort="Inadomi, Michael" uniqKey="Inadomi M" first="Michael" last="Inadomi">Michael Inadomi</name></noRegion><name sortKey="Denton, Brian" sort="Denton, Brian" uniqKey="Denton B" first="Brian" last="Denton">Brian Denton</name><name sortKey="Denton, Brian" sort="Denton, Brian" uniqKey="Denton B" first="Brian" last="Denton">Brian Denton</name><name sortKey="Dunn, Rodney" sort="Dunn, Rodney" uniqKey="Dunn R" first="Rodney" last="Dunn">Rodney Dunn</name><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><name sortKey="Hurley, Patrick" sort="Hurley, Patrick" uniqKey="Hurley P" first="Patrick" last="Hurley">Patrick Hurley</name><name sortKey="Kleer, Eduardo" sort="Kleer, Eduardo" uniqKey="Kleer E" first="Eduardo" last="Kleer">Eduardo Kleer</name><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><name sortKey="Montie, James" sort="Montie, James" uniqKey="Montie J" first="James" last="Montie">James Montie</name><name sortKey="Qi, Ji" sort="Qi, Ji" uniqKey="Qi J" first="Ji" last="Qi">Ji Qi</name><name sortKey="Singh, Karandeep" sort="Singh, Karandeep" uniqKey="Singh K" first="Karandeep" last="Singh">Karandeep Singh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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