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

Published on Mar 9, 2021in Regional Anesthesia and Pain Medicine6.288
· DOI :10.1136/RAPM-2020-102002
David A. Provenzano20
Estimated H-index: 20
Samuel Ambrose Florentino2
Estimated H-index: 2
(UR: University of Rochester)
+ 8 AuthorsSamer Narouze39
Estimated H-index: 39
(Western Reserve Hospital)
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.
#1Donald A. Cool (EPRI: Electric Power Research Institute)H-Index: 3
#2K R KaseH-Index: 1
Last. John D. Boice (Vandy: Vanderbilt University)H-Index: 108
view all 3 authors...
NCRP Report No. 180, 'Management of Exposure to Ionizing Radiation: Radiation Protection Guidance for the United States (2018)' was developed by Council Committee 1. The report builds and expands upon previous recommendations of NCRP and ICRP, covering exposure to radiation and radioactive materials for five exposure categories: occupational, public, medical, emergency workers, and nonhuman biota. Actions to add, increase, reduce or remove a source of exposure to humans require justification. Op...
James L. Januzzi, Jr, MD, FACC Luis C. Afonso, MBBS, FACC Brendan Everett, MD, FACC Adrian F. Hernandez, MD, MHS, FACC William Hucker, MD, PhD Hani Jneid, MD, FACC Dharam Kumbhani, MD, SM, FACC Joseph Edward Marine, MD, FACC Pamela Bowe Morris, MD, FACC Robert N. Piana, MD, FACC Karol E.
#1Roman A. Hayda (Brown University)H-Index: 20
#2Raymond Y. HsuH-Index: 7
Last. Joseph A. GilH-Index: 16
view all 4 authors...
Orthopaedic surgeons are routinely exposed to intraoperative radiation and, therefore, follow the principle of “as low as reasonably achievable” with regard to occupational safety. However, standardized education on the long-term health effects of radiation and the basis for current radiation exposu
Abstract: In recent publications, such as Publications 117 and 120, the Commission provided practical advice for physicians and other healthcare personnel on measures to protect their patients and themselves during interventional procedures. These measures can only be effective if they are encompassed by a framework of radiological protection elements, and by the availability of professionals with responsibilities in radiological protection. This framework includes a radiological protection prog...
#1Anthony R. ArtinoH-Index: 43
#2Steven J. DurningH-Index: 57
Last. David P. SklarH-Index: 33
view all 3 authors...
Background Spine surgeons are exposed to high amounts of radiation from fluoroscopic procedures during their lifetime. In this study, we evaluated spine surgeons' knowledge of and attitude regarding radiation exposure during spine surgery. Methods We developed a questionnaire including questions about surgeons' characteristics and knowledge of and attitude regarding radiation exposure during spine surgery. A survey was performed with the members of AOSpine Latin America. The main variables studi...
#1Tae Hee Kim (Konkuk University)H-Index: 1
#2Seung Wan Hong (Konkuk University)H-Index: 3
Last. Jae-Hun Kim (Konkuk University)H-Index: 13
view all 5 authors...
BACKGROUND: C-arm fluoroscopy equipment is important for interventional pain management and can cause radiation injury to physicians and patients. We compared radiation safety education and efforts to reduce the radiation exposure of pain specialists. METHODS: A survey of 49 pain specialists was conducted anonymously in 2016. The questionnaire had 16 questions. That questionnaire was about radiation safety knowledge and efforts to reduce exposure. We investigated the correlation between radiatio...
#1Gordon Pennycook (Yale University)H-Index: 47
#2Robert M. Ross (Macquarie University)H-Index: 14
Last. Jonathan A. Fugelsang (UW: University of Waterloo)H-Index: 47
view all 4 authors...
The Dunning–Kruger effect refers to the observation that the incompetent are often ill-suited to recognize their incompetence. Here we investigated potential Dunning–Kruger effects in high-level reasoning and, in particular, focused on the relative effectiveness of metacognitive monitoring among particularly biased reasoners. Participants who made the greatest numbers of errors on the cognitive reflection test (CRT) overestimated their performance on this test by a factor of more than 3. Overest...
#1Andrea L. Nicol (KU: University of Kansas)H-Index: 8
#2Honorio T. Benzon (NU: Northwestern University)H-Index: 33
Last. Benjamin P. Liu (NU: Northwestern University)H-Index: 8
view all 3 authors...
Cited By2
#1Ryan S D'Souza (Mayo Clinic)H-Index: 11
#2Ashley A. Peterson (Mayo Clinic)H-Index: 3
Last. Oludare O Olatoye (Mayo Clinic)H-Index: 3
view all 5 authors...
#1Alaa Abd-Elsayed (UW: University of Wisconsin-Madison)H-Index: 12
Interventional pain physicians are exposed to radiation while performing different procedures. Provenzano et al [1][1] conducted a study that aimed at examining the current safety practices and knowledge among interventional pain physicians. Study findings indicated lack of both knowledge and
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.