Increased cancer risk among surgeons in an orthopaedic hospital

Mastrangelo, Giuseppe; Fedeli, Ugo; Fadda, Emanuela; Giovanazzi, Angelo; Scoizzato, Luca; Saia, B

doi:10.1093/occmed/kqi048

Cited by 294 publications

(218 citation statements)

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“…However, the total surgical Recent studies have demonstrated significant increases in malignancy rates caused by exposure to X-ray radiation in surgeons who perform orthopedic, urological or neurosurgery procedures (7,18,21,22,29). In spite of the reductions in the risk of radiation exposure by the use of lead-containing vests and lead panels in the operating room, the risk can never be reduced to zero.…”

Section: Resultsmentioning

confidence: 99%

Robotic spine surgery: a preliminary report

Önen¹,

Şi̇mşek²,

Naderi³

2014

Turkish Neurosurgery

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AIM: Robotic spine surgery techniques provide reduced pedicle screw malposition and radiation exposure during surgery. The aim of this study is to review clinical and radiological results of robotic spine surgery. MATERIAL and METHODS:The preoperative, intraoperative and postoperative data for 27 patients were reviewed. To reveal the effect of a learning curve, the cases were divided into two groups: Group A and Group B The clinical data and radiological data were compared with the values obtained from preoperative planning. RESULTS:The patients consisted of 23 females and 4 males. A total of 136 screws were placed in the 27 cases. The accuracy rate of the screw positions was 98.5%. The overall mean procedure duration was 73.2 minutes for Group A and 46.1 minutes for Group B. The overall mean x-ray exposure time per screw was 1.3 seconds, 1.8 seconds for Group A and 0.9 seconds for Group B. Postoperative imaging revealed that 126 screws were perfect, screw malposition of <2mm was observed for 8 screws, and malposition of >2mm was observed for 2 screws. CONCLUSION:Robotic spine surgery provides a high degree of accuracy for pedicle screw placement and allows for reduced radiation exposure.

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Section: Resultsmentioning

confidence: 99%

Robotic spine surgery: a preliminary report

Önen¹,

Şi̇mşek²,

Naderi³

2014

Turkish Neurosurgery

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“…Mastrangelo et al [12] suggested that orthopaedic surgeons in a hospital with poor radiation protection had a substantially greater incidence of cancer. The concern regarding the effects of radiation exposure has led to the use of ALARA (as low as reasonably achievable) techniques with healthcare workers [7].…”

Section: Introductionmentioning

confidence: 99%

A Radiation Safety Training Program Results in Reduced Radiation Exposure for Orthopaedic Residents Using the Mini C-arm

Gendelberg

Hennrikus

Slough

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Fluoroscopy during fracture reduction allows a physician to assess fractures and immediately treat a pediatric patient. However, concern regarding the effects of radiation exposure has led us to find ways to keep radiation exposures as low as reasonably achievable. One potentially simple way, which to our knowledge has not been explored, to decrease radiation exposure is through formal education before mini C-arm use. Questions/purposes We questioned whether a radiation safety educational program decreases radiation (1) time and (2) exposure among residents and patients.Patients and Methods This is a retrospective study in which second-year residents underwent a 3-hour educational program regarding mini C-arm use and radiation safety taught by our institution's health physics department. We evaluated the records of all patients who underwent a pediatric both-bone forearm or distal radius fracture reduction in the emergency department 3 months before the educational program or after the program. To be included in the study, records included simple both-bone forearm fractures, simple distal radius fractures, and patient age younger than 18 years, and could not include patients with multiple fractures in the same limb. This resulted in study groups of 53 and 45 patients' records in the groups before and after the educational session, respectively. Radiation emission from the mini C-arm between both groups were compared. Results Exposure time with the mini C-arm was longer in patients treated before the educational intervention than in those treated after the intervention (patients with both-bone forearm fractures: mean = 41.2, SD = 24.7, 95% CI, 23.14-59.26 vs mean = 28.9, SD = 14.4, 95% CI, 15.91-41.89, p = 0.066; patients with distal radius fractures: mean = 38.1, SD = 26.1, 95% CI, 25.1-51.1 vs mean = 26.7, SD = 15.8, 95% CI, p = 0.042). Calculated radiation exposure with the mini C-arm was larger in patients treated before the educational intervention than in those treated after the intervention (patients with both-bone forearm fractures: mean = 90.9, SD = 60.9, 95% CI, 51.06-130.74 vs mean = 30.4, SD = 18.5, 95% CI, 16.73-44.07, p \ 0.001; patients with distal radius fractures: mean = 83.1, SD = 58.9, 95% CI, 54.75-111.45 vs mean = 32.6, SD = 26.4, 95% CI, 20.07-45.13, p \ 0.001). Conclusions A radiation-safety program resulted in decreased radiation exposure to residents and patients, and

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“…The delayed radiation exposure effect from this type of exposure is not trivial [25,28,34]. In 2005, Mastrangelo [19] reported orthopaedic surgeons have a fivefold increase in their lifetime of cancer rates compared with nonorthopaedic surgeons in a hospital setting.…”

Section: Introductionmentioning

confidence: 99%