US Emergency Department Trends in Imaging for Pediatric Nontraumatic Abdominal Pain

Niles, Lauren; Goyal, Monika K.; Badolato, Gia M.; Chamberlain, James M.; Cohen, Joanna S.

doi:10.1542/peds.2017-0615

Cited by 35 publications

(22 citation statements)

References 20 publications

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“…Computed tomography scan usage certainly rose into 2007, but the rates are unclear afterwards (Larson et al 2011). Recent studies are piecemeal and often department specifi c, but it appears that usage has leveled off or decreased recently (Niles et al 2017).…”

Section: Some Helpful Advancesmentioning

confidence: 99%

Medical Overtesting and Racial Distrust

Golemon¹

2019

Kennedy Institute of Ethics Journal

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Section: Some Helpful Advancesmentioning

confidence: 99%

Medical Overtesting and Racial Distrust

Golemon¹

2019

Kennedy Institute of Ethics Journal

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“…Epidemiologic studies have shown that in utero exposure to radiation is associated with higher incidence of pediatric cancers, but data related to rates of pediatric and adult cancers are relatively scarce [60]. In recent years, CT scanning has become the favored imaging modality in many clinical scenarios and is likely to see even further increases in use going forward [61][62][63]. As such, CT utilization in pediatrics has increased markedly over the last 20 years.…”

Section: Patient Exposure To Radiationmentioning

confidence: 99%

Fundamentals of Medical Radiation Safety: Focus on Reducing Short-Term and Long-Term Harmful Exposures

Alers¹,

Salen²,

Yellapu³

et al. 2019

Vignettes in Patient Safety - Volume 4 [Working Title]

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This chapter provides an overview of key topics in the area of radiation safety. Three clinical vignettes will serve to frame the review of the literature around both diagnostic radiation exposure and the risk of radioisotope contamination. Advancement in medical technology is rarely innocuous, and the use of radiation as both means to diagnose and treat certain conditions is not an exception. It is very important for clinicians to review the basics of harmful medical radiation exposure since, although seldom encountered, treatment, and outcomes are time sensitive. The advent of newer technology and the widespread availability of equipment will only serve to increase the prevalence of potentially harmful medical radiation exposure. Moreover, this chapter aims to explore current multidisciplinary endeavors to provide safe and efficient use of radiation in medicine. Solely relying on the medical profession for development of safeguards against harmful medical radiation exposure would be an impossible task. This is why it is crucial for professionals such as health physicists, radiation safety enforcement officers, and policy-makers at the state, national, and international level to establish consensus guidelines aimed toward safe, reliable utilization of radiation in medicine. Part of this interdisciplinary approach needs to focus on accurate education of patients. A thorough assessment of acute radiation syndrome, including diagnosis, treatment, and prognostic indicators is also part of this chapter. Furthermore, principles of screening for, and protection from, radiation contamination are outlined. Finally, areas for further research are identified throughout the chapter. The discussion takes into account both US-based and International research and practice guidelines.

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“…There are data to suggest an association between hospital type and pediatric mortality for critically ill children, even though this outcome measure is confounded by overall low pediatric mortality rates . The evidence for substantial variability among EDs in the rates of computed tomographic imaging in pediatric trauma and children with abdominal pain is more robust. While the clinical outcomes are comparable between general and pediatric EDs, the rates of unnecessary exposure to ionizing radiation are different and constitute a higher risk to children in the general ED setting.…”

Section: Current State Of Pemmentioning

confidence: 99%

Executive Summary: The 2018 Academic Emergency Medicine Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps

Ishimine

Adelgais

Barata

et al. 2018

Academic Emergency Medicine

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Emergency care providers share a compelling interest in developing an effective patient-centered, outcomesbased research agenda that can decrease variability in pediatric outcomes. The 2018 Academic Emergency Medicine Consensus Conference "Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps (AEMCC)" aimed to fulfill this role. This conference convened major thought leaders and stakeholders to introduce a research, scholarship, and innovation agenda for pediatric emergency care specifically to reduce health outcome gaps. Planning committee and conference participants included emergency physicians, pediatric emergency physicians, pediatricians, and researchers with expertise in research dissemination and translation, as well as comparative effectiveness, in collaboration with patients, patient and family advocates from national advocacy organizations, and trainees. Topics that were explored and deliberated through subcommittee breakout sessions led by content experts included 1) pediatric emergency medical services research, 2) pediatric emergency medicine (PEM) research network collaboration, 3) PEM education for emergency medicine providers, 4) workforce development for PEM, and 5) enhancing collaboration across emergency departments (PEM practice in non-children's hospitals). The work product of this conference is a research agenda that aims to identify areas of future research, innovation, and scholarship in PEM.

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US Emergency Department Trends in Imaging for Pediatric Nontraumatic Abdominal Pain

Cited by 35 publications

References 20 publications

Medical Overtesting and Racial Distrust

Medical Overtesting and Racial Distrust

Fundamentals of Medical Radiation Safety: Focus on Reducing Short-Term and Long-Term Harmful Exposures

Executive Summary: The 2018 Academic Emergency Medicine Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps

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