A survey analysis of knowledge levels of urologists about radiation safety and fluoroscopy use.
Journal
International journal of clinical practice
ISSN: 1742-1241
Titre abrégé: Int J Clin Pract
Pays: India
ID NLM: 9712381
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
20
08
2020
accepted:
20
11
2020
pubmed:
26
11
2020
medline:
28
4
2021
entrez:
25
11
2020
Statut:
ppublish
Résumé
To evaluate the awareness of the use of fluoroscopy in endourological procedures, as well as the theoretical and practical applications of preventive measures. Between May 2018 and April 2019, a 26-question survey prepared using Google Docs was sent to urologists via email. Personal information, radiation training and behaviours related to radiation and fluoroscopy usage, and the use of protective equipment were queried. A total of 226 participants fully completed and returned the email survey. Of the 226 participants, 78 (34.5%) were academics, 44 (19.4%) were residents while 104 (46.1%) were experts. More than 60% of the participants stated that they participated in the operation requiring less than five fluoroscopy use per week. The majority of operations requiring fluoroscopy consisted of endourological procedures. The lead apron was used by 93% of the participants, but the use of protective glasses and gloves was very low (3.5%). The majority of academicians, experts and residents did not use dosimeters (76.9%, 82.7% and 81.8%, respectively). More than 50% of the participants did not have literature information about the harmful effects of radiation with the use of fluoroscopy. The most common complaints on the day of fluoroscopy were fatigue and headache. The lack of information regarding the radiation protection measures and harmful effects of radiation is common among urologists in Turkey. Therefore, systematic training programs on fluoroscopy use and radiation exposure should be provided during urology residency.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13862Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Tok A, Akbas A, Aytan N, et al. Are the urology operating room personnel aware about the ionizing radiation? Int Braz J Urol. 2015;41:982-989.
Perisinakis K, Damilakis J, Theocharopoulos N, Manios E, Vardas P, Gourtsoyiannis N. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation. 2001;104:58-62.
Theocharopoulos N, Damilakis J, Perisinakis K, Manios E, Vardas P, Gourtsoyiannis N. Occupational exposure in the electrophysiology laboratory: quantifying and minimizing radiation burden. Br J Radiol. 2006;79:644-651.
Brateman L. Radiation safety considerations for diagnostic radiology personnel. Radiographics. 1999;19:1037-1055.
The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Annals of the ICRP. 2007;37:1-332.
Castaneda WR, Espenan GD. How to protect yourself and others from radiation. In: Smith AD, ed. Smith’s Textbook of Endourology. 2nd ed.; 2007.
Singer G. Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg. 2005;13:69-76.
Sparenborg J, Yingling C, Hankins R, Dajani D, Luskin J, Nash K. Determining fluoroscopic radiation exposure to the urology resident. OMICS J Radiol. 2016;5:215.
Bagley DH, Cubler-Goodman A. Radiation exposure during ureteroscopy. J Urol. 1990;144:1356-1358.
Giblin JG, Rubenstein J, Taylor A, Pahira J. Radiation risk to the urologist during endourologic procedures, and a new shield that reduces exposure. Urology. 1996;48:624-627.
Soylemez H, Altunoluk B, Bozkurt Y, Sancaktutar AA, Penbegul N, Atar M. Radiation exposure-do urologists take it seriously in Turkey? J Urol. 2012;187:1301-1305.
Sancaktutar AAAM, Söylemez H, Bozkurt Y, Penbegül N, Bodakçi MN. Habits and awareness of Turkish urologists about using gonad protective. Eur Urol Suppl. 2011;10:578.
Jarrett RSA. Radiation safety for the urologist. AUA Update Series. 2000;19.
Chodick G, Bekiroglu N, Hauptmann M, et al. Risk of cataract after exposure to low doses of ionizing radiation: a 20-year prospective cohort study among US radiologic technologists. Am J Epidemiol. 2008;168:620-631.
Friedman AA, Ghani KR, Peabody JO, Jackson A, Trinh QD, Elder JS. Radiation safety knowledge and practices among urology residents and fellows: results of a nationwide survey. J Surg Educ. 2013;70:224-231.
Shiralkar S, Rennie A, Snow M, Galland RB, Lewis MH, Gower-Thomas K. Doctors' knowledge of radiation exposure: questionnaire study. BMJ. 2003;327:371-372.
Hamarsheh A, Ahmead M. Assessment of physicians' knowledge and awareness about the hazards of radiological examinations on the health of their patients. East Mediterr Health J. 2012;18:875-881.
Arslanoglu A, Bilgin S, Kubal Z, Ceyhan MN, Ilhan MN, Maral I. Doctors' and intern doctors' knowledge about patients' ionizing radiation exposure doses during common radiological examinations. Diagn Interv Radiol. 2007;13:53-55.
Soylemez H, Sancaktutar AA, Silay MS, et al. Knowledge and attitude of European urology residents about ionizing radiation. Urology. 2013;81:30-35.
Elkoushy MA, Andonian S. Prevalence of orthopedic complaints among endourologists and their compliance with radiation safety measures. J Endourol. 2011;25:1609-1613.
Authority TAE. Radiation Safety Regulation Issue Date of Official Journal. 2000;23999th ed.
Mantu GMC, Jay B. Urinary lithiasis and endourology; Percutaneous management of the upper urinary tract. In Campbell MF, Wein AJ, Kavoussi LR, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: W.B. Saunders; 2007.
Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol. 2008;81:362-378.
Smith DL, Heldt JP, Richards GD, et al. Radiation exposure during continuous and pulsed fluoroscopy. J Endourol. 2013;27:384-388.
Maurer CA, Z'Graggen K, Renzulli P, Schilling MK, Netzer P, Büchler MW. Total mesorectal excision preserves male genital function compared with conventional rectal cancer surgery. Br J Surg. 2001;88:1501-1505.
Harris AM, Loomis J, Hopkins M, Bylund J. Assessment of Radiation Safety Knowledge Among Urology Residents in the United States. J Endourol. 2019;33:492-497.
Yurt A, Cavusoglu B, Gunay T. Evaluation of awareness on radiation protection and knowledge about radiological examinations in healthcare professionals who use ionized radiation at work. Mol Imaging Radionucl Ther. 2014;23:48-53.
Bordoli SJ, Carsten CG 3rd, Cull DL, Johnson BL, Taylor SM. Radiation safety education in vascular surgery training. J Vasc Surg. 2014;59:860-864.
Kada S. A study of general practitioners' knowledge of ionizing radiation from diagnostic imaging examinations. Qual Prim Care. 2010;18:391-397.
Zhou GZ, Wong DD, Nguyen LK, Mendelson RM. Student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures. J Med Imaging Radiat Oncol. 2010;54:17-23.
Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008;81:725-729.
Tunçer N, Kuyucu E, Sayar Ş, Polat G, Erdil İ, Tuncay İ. Orthopedic surgeons’ knowledge regarding risk of radiation exposition: a survey analysis. SICOT J. 2017;3:29.
Jacob K, Vivian G, Steel JR. X-ray dose training: are we exposed to enough? Clin Radiol. 2004;59:928-934; discussion 6-7.
Choi JW, Mehrotra P, MacDonald LA, et al. Sex proportion of offspring and exposure to radiation in male invasive cardiologists. Bayl Univ Med Cent Proc. 2007;20:231-234.