TITLE:
Compliance of Computed Tomography Scan Requests in Sub-Saharan Africa
AUTHORS:
Zakari Nikièma, Kofi-Mensa Savi de Tové, Issiaka Sombié, San Désiré Constantin Barro, Ziemlé Clément Méda, Rabiou Cissé
KEYWORDS:
Compliance, Prescription, Scanner, Sub-Saharan Africa
JOURNAL NAME:
Open Journal of Radiology,
Vol.6 No.2,
June
15,
2016
ABSTRACT: >Objective: To investigate the compliance of computed tomography (CT) scan
requests in the X-ray units of Sub-Saharan Africa. Methods: Multi-centric,
exhaustive, descriptive and cross-sectional study (Burkina Faso and Benin) focused
on CT scan requests implemented and interpreted from May 1 to July 31, 2014.
Request compliance was assessed according to the criteria of the French High
Authority for Health to which was added a criterion for fulfillment of
description of patient clinical information. An exam was deemed compliant when
all criteria were met. Ratios were compared by means of Chi2 test at
0.05% significance level. Results: Among the 426 colligated computed tomography
prescriptions, the least filled fields were allergy concept (0%), creatinine-mia
(0.3%), examination purpose (50.2%). The overall compliance rate was 35%. The
requests made by medical specialists were more compliant than those made by
general practitioners and students (p = 0.003). Fulfillment of clinical
information description was also better among medical specialists compared to
the other prescribers (p = 0.002). Conclusion: It is important to improve the
quality of computed tomography (CT) scan requests in the hospitals of
Bobo-Dioulasso (Bur-kina Faso) and Parakou (Benin).