Radiation safety and knowledge: an international survey of 708 interventional pain physicians.

Autor:	Provenzano DA; Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania, USA davidprovenzano@hotmail.com., Florentino SA; Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania, USA.; University of Rochester School of Medicine & Dentistry, Rochester, New York, USA., Kilgore JS; Washington and Jefferson College, Washington, Pennsylvania, USA., De Andres J; Anesthesiology Critical Care and Pain Management, Valencia University Medical School and General University Hospital, Valencia, Spain., Sitzman BT; Advanced Pain Therapy, Hattiesburg, Mississippi, USA., Brancolini S; Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA., Lamer TJ; Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA., Buvanendran A; Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA., Carrino JA; Radiology and Imaging, Hospital for Special Surgery, New York, New York, USA., Deer TR; Spine and Nerve Center of the Virginias, West Virginia University - Health Sciences Campus, Morgantown, West Virginia, USA., Narouze S; Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio, USA.
Jazyk:	angličtina
Zdroj:	Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2021 Jun; Vol. 46 (6), pp. 469-476. Date of Electronic Publication: 2021 Mar 09.
DOI:	10.1136/rapm-2020-102002
Abstrakt:	Introduction: Interventional pain procedures have increased in complexity, often requiring longer radiation exposure times and subsequently higher doses. The practicing physician requires an in-depth knowledge and evidence-based knowledge of radiation safety to limit the health risks to themselves, patients and healthcare staff. The objective of this study was to examine current radiation safety practices and knowledge among interventional pain physicians and compare them to evidence-based recommendations. Materials and Methods: A 49-question survey was developed based on an extensive review of national and international guidelines on radiation safety. The survey was web-based and distributed through the following professional organizations: Association of Pain Program Directors, American Academy of Pain Medicine, American Society of Regional Anesthesia and Pain Medicine, European Society of Regional Anesthesia and Pain Therapy, International Neuromodulation Society, and North American Neuromodulation Society. Responses to radiation safety practices and knowledge questions were evaluated and compared with evidence-based recommendations. An exploratory data analysis examined associations with radiation safety training/education, geographical location, practice type, self-perceived understanding, and fellowship experience. Results: Of 708 responding physicians, 93% reported concern over the health effects of radiation, while only 63% had ever received radiation safety training/education. Overall, ≥80% physician compliance with evidence-based radiation safety practice recommendations was demonstrated for only 2/15 survey questions. Physician knowledge of radiation safety principles was low, with 0/10 survey questions having correct response rates ≥80%. Conclusion: We have identified deficiencies in the implementation of evidence-based practices and knowledge gaps in radiation safety. Further education and training are warranted for both fellowship training and postgraduate medical practice. The substantial gaps identified should be addressed to better protect physicians, staff and patients from unnecessary exposure to ionizing radiation during interventional pain procedures. Competing Interests: Competing interests: Conflict statements were provided. However, the conflicts are not related to the manuscript. (© American Society of Regional Anesthesia & Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu