Lumbreras B, Vilar J, González-Álvarez I, Guilabert M, Parker LA, Pastor-Valero M, Domingo ML, Fernández-Lorente MF, Hernández-Aguado I. Evaluation of clinicians' knowledge and practices regarding medical radiological exposure: findings from a mixed-methods investigation (survey and qualitative study).
BMJ Open 2016;
6:e012361. [PMID:
27799242 PMCID:
PMC5093629 DOI:
10.1136/bmjopen-2016-012361]
[Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 08/26/2016] [Accepted: 09/13/2016] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES
To assess the impact of initiatives aiming to increase clinician awareness of radiation exposure; to explore the challenges they face when communicating with patients; to study what they think is the most appropriate way of communicating the long-term potential risks of medical radiological exposure to patients.
DESIGN
A quantitative and qualitative evaluation through a survey and focal groups.
SETTING
San Juan Hospital and Dr Peset Hospital (Southeast Spain) and clinicians from Spanish scientific societies.
PARTICIPANTS
The surveys were answered (a) in person (216: all the radiologists (30), urologists (14) and surgeons (44) working at both participant hospitals; a sample of general practitioners from the catchment area of one hospital (45), and a consecutive sample of radiologists attending a scientific meeting (60)) or (b) electronically through Spanish scientific societies (299: radiologists (45), pneumologists (123), haematologists (75) and surgeons (40)). Clinicians were not randomly selected and thus the results are limited by the diligence of the individuals filling out the survey.
PRIMARY AND SECONDARY OUTCOME MEASURES
Clinicians' knowledge and practices regarding medical radiological exposure, and what they considered most appropriate for communicating information to patients.
RESULTS
Nearly 80% of the clinicians surveyed had never heard of the European recommendations. Fewer than 20% of the clinicians surveyed identified correctly the radiation equivalence dose of intravenous urography or barium enema. It was reported by 31.7% that they inform patients about the long-term potential risks of ionising radiation. All participants agreed that the most appropriate way to present information is a table with a list of imaging tests and their corresponding radiation equivalence dose in terms of chest X-rays and background radiation exposure.
CONCLUSIONS
Medical radiological exposure is frequently underestimated and rarely explained to patients. With a clear understanding of medical radiological exposure and proper communication tools, clinicians will be able to accurately inform patients.
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