Current status of radiological protection in endourological procedures in Spain.

Autor: Pérez-Fentes D; Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España. Electronic address: danielfentes@gmail.com., Pombar-Cameán M; Servicio de Protección Radiológica, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España., Álvarez-Ossorio Fernández JL; Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España.
Jazyk: English; Spanish; Castilian
Zdroj: Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2019 May; Vol. 43 (4), pp. 205-211. Date of Electronic Publication: 2019 Feb 26.
DOI: 10.1016/j.acuro.2018.04.006
Abstrakt: Objective: To discover the extent of training in radiological protection (RP) of Spanish urologists who perform endourological procedures, and to analyse the use of on ionising radiation control and protection measures.
Material and Methods: A survey conducted through the Plataforma de Investigación de Estudios Multicéntricos (PIEM) (Multicentre Study Research Platform) on the 1,894 associates of the Spanish Association of Urology, between April and October 2015. The questionnaire comprised 21 questions on endourological activity undertaken, RP training, and the use of protective measures, and personal dosimetry. Seventeen percent responded, and 238 surveys were eventually validated for study.
Results: Sixty-three percent of the respondents had received no type of RP training, 25% had first level accreditation, and only 12% second level. Fifty-seven percent, 27%, and 2% of the urologists used flap, wrist and crystalline dosimetry respectively. Use of radiation protection measures was insufficient. Fifty-three percent of the urologists at greatest risk of exposure had had no training in RP, 30% did not use flap dosimetry, and 40% used neither an apron or thyroid collar during the endourological procedures.
Conclusions: RP training, dosis monitoring, and the use of ionising radiation protective measures are insufficient, even by practitioners most exposed to radiation. It is essential that these serious shortcomings in RP are corrected, at the level of the individual, in urology departments, scientific societies, and the health authorities.
(Copyright © 2018 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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