Communicating Radiation Risk to Patients: Experiences Among Radiographers in Norway

Reitan, Anita F.; Sanderud, Audun

doi:10.1016/j.jmir.2020.06.011

Cited by 9 publications

(3 citation statements)

References 8 publications

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“…The consensus is, “all radiographic imaging must be justified” ( https://www.icrp.org/docs/ICRP_Publication_103-Annals_of_the_ICRP_37(2-4)-Free_extract.pdf ). There is an urgent need to improve the awareness of radiation dosing and communicating its risk with children's families ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation

et al. 2021

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Background: Risks of diagnostic radiation have become more notable lately, particularly in young children with chronic medical conditions. This study reports on the cumulative radiation from chest radiographs in children with asthma. Its main purpose was to review our current practice and suggest minimizing the use of chest radiographs.Methods: The study was retrospective and conducted at a pediatric tertiary center. Eligibility criteria included children 2–15 y, admitted between January 2017 and December 2018 for asthma management.Results: Of the 643 children admitted as “asthma exacerbation,” 243 [40% females; age (mean ± SD) 5.4±3.3 y] met the study criteria for inclusion. Ninety-two (38%) children had a temperature of 38.8±0.7°C on the day of admission. Antibiotics were prescribed for 148 (61%) children, mainly for presumed pneumonia. Chest radiographs were requested for 214 (88%) children, mainly on the day of admission. Only 38 (18%) chest radiographs showed focal/multifocal pneumonia justifying antibiotic use. Significant predictors for requesting chest radiographs were antibiotic use for presumed pneumonia, lower oxygen saturation at presentation, and a requested blood culture. The rate of chest radiographs per year was negatively related to the child's age; the younger the child the higher the rate (model coefficient −0.259, P < 0.001). For children < 5 y, the rate of chest radiographs was 1.39 ± 1.21/y and radiation dose 0.028 ± 0.025 mSv/y. The corresponding rates for children ≥5 y were 0.78 ± 0.72/y and 0.008 ± 0.007 mSv/y, respectively (P < 0.001).Conclusion: Chest radiographs were commonly requested for children with asthma, especially younger children. Prospective studies are necessary to measure the impact of this practice on the children's health.

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Section: Introductionmentioning

confidence: 99%

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation

et al. 2021

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“…Consequently, there is a need to increase knowledge of radiation dose and the risks involved, as well as communication between radiologists working in clinical practice. This may cause radiographers to be confident and typically able to provide adequate information [25].…”

Section: Introductionmentioning

confidence: 99%

Patient Awareness and Knowledge Level for Radiation in Different Radiology Modalities in Hospitals

Shakhreet

2021

JSRR

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Aims: Understanding the knowledge gaps among the public regarding radiation protection of each modality has helped to assess the community awareness and perception, which reflects our urgent need for more education for the public. This project aims to evaluate the knowledge levels of patients undergoing medical imaging procedures is regarding the risk and benefits by providing sufficient information regarding their specific medical imaging technique upon examination. Study Design: A prospective study with a special questionnaire to collect data. Place and Duration of Study: Subjects: Different departments of Radiology in different hospitals, Jeddah, Saudi Arabia, for 3 months. Methodology: The survey was conducted in Jeddah, Saudi Arabia, to include four major hospitals. The sample of the study included 500 patients (125 for each hospital). Patients are aged 18 years and over were referred by physicians for a radiological examination, including different radiologic modalities. Results: It was found that 52% of patients were provided the information about radiology examination. The mean scores of questions ranged from 69% to 76%. So, there was a strong positive correlation between the radiology examination information received by patients and the radiation questions' score. Conclusion: The majority of patients who visited the radiology departments in Jeddah's hospitals did not receive sufficient information about radiation awareness when starting the radiology examination, which in turn reflects their level of general knowledge of radiation risks.

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“…The consensus is that requesting a radiographic imaging requires thoughtful considerations. As wisely stated, there is an urgent need to improve the awareness of radiation dosing, and communicating its risk with children's families [8][9].…”

Section: Introductionmentioning

confidence: 99%

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labelled as Asthma Exacerbation

Beyyumi

Tawil

AlDhanhani

et al. 2021

Preprint

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Background: Risks of cancer have become more notable lately, especially for young children with a chronic condition such as atopy. This study reports on cumulative radiation from chest radiographs in children with asthma. Its main aims were to consider our current practice, and suggest minimizing chest radiograph use in this vulnerable people. Methods: The study was retrospective and conducted at tertiary center. Eligibility criteria included children 2-15 y who were admitted between January-2017 and December-2018 for asthma management. Results: Of 643 children who were admitted as ‘asthma exacerbation’, 243 (40% females; age [mean±SD] 5.4±3.3 y) met the study criteria for inclusion. Ninety-two (38%) children had temperature 38.8±0.7oC on the day of admission. Antibiotics were prescribed for 148 (61%) children, mainly for presumed pneumonia. Chest radiographs were requested for 214 (88%) children, mainly on the day of admission. Only 38 (18%) chest radiographs showed focal/multifocal pneumonia justifying antibiotic use. Significant predictors for requesting chest radiographs were antibiotic use for presumed pneumonia, lower oxygen saturation at presentation, and requesting blood culture. Rate of chest radiographs per year was negatively related to child’s age; the younger the child the higher the rate (model coefficient -0.259, P<0.001). For children <5 y, rate of chest radiographs was 1.39±1.21/y and radiation dose 0.028±0.025 mSV/y. The corresponding rates for children ≥5 y were 0.78±0.72/y and 0.008±0.007 mSV/y, respectively (P<0.001). Conclusion: Chest radiographs were commonly requested for children with asthma, especially the young ones. Prospective studies are necessary to measure the impact of this practice on their health.

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Communicating Radiation Risk to Patients: Experiences Among Radiographers in Norway

Cited by 9 publications

References 8 publications

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation

Patient Awareness and Knowledge Level for Radiation in Different Radiology Modalities in Hospitals

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labelled as Asthma Exacerbation

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