Lazaros Tzelves1, Bhaskar Somani2, Thomas Knoll3, Guido Kamphuis4, Kemal Sarica5, C Seitz6, E Liatsikos7, Andreas Skolarikos8. 1. 2nd Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. lazarostzelves@gmail.com. 2. University Hospital Southampton NHS Trust, Southampton, UK. 3. Department of Urology Sindelfingen-Boeblingen Medical, Center Teaching Hospital University, Tuebingen, Germany. 4. Department of Urology, AMC Amsterdam, Amsterdam, The Netherlands. 5. Department of Urology, Kafkas University Medical School, Kars, Turkey. 6. Department of Urology, Medical University of Vienna, Währinger Gurtel 18-20, 1090, Vienna, Austria. 7. Department of Urology, University of Patras, Patras, Greece. 8. 2nd Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Abstract
PURPOSE: Fluoroscopy is valuable in modern endourology. We present the results of a survey where compliance to radiation safety measures was tested according to surgical exposure, and level of understanding of the radiation rules and risks associated with it. METHODS: A 52-item, anonymous questionnaire, structured by 6 ESUT/EULIS experts was distributed at 3 different endourological meetings during 2017-2018. Main aim was to evaluate level of knowledge on radiation physics and the protective measures taken against radiation exposure by participants. Fisher's exact test, Kruskal-Wallis test and ROC curve were used for statistical analysis. RESULTS: 211 responses were evaluated. Number of correct answers (median 7.00) differed significantly according to age (p = 0.001), working position (p = 0.005), working field (p < 0.001), number of semirigid (p < 0.001)/flexible URS (p < 0.001) and PNL (p < 0.001) performed per year. Physicians aged 50-60 years, consultants, academics and those who performed more procedures achieved higher scores. In our study 51.7% of responders used shields in the operating room, 89.6% wore lead aprons, 84.4% thyroid shields, while glasses and gloves were used by 14.7% and 8.1%, respectively. Age, working field and number of correct answers did not affect significantly the use of protection in contrast with endourology fellowship training, working position and lessons on radiation. Interestingly, residents, untrained endourologists and those who were provided with lessons on radiation were more compliant. CONCLUSIONS: Our study revealed that majority of modern urologists advocate radiation protection during endourology practice. Senior consultants and academic urologists performing a high volume of procedures seem to understand physics and rules of radiation use.
PURPOSE: Fluoroscopy is valuable in modern endourology. We present the results of a survey where compliance to radiation safety measures was tested according to surgical exposure, and level of understanding of the radiation rules and risks associated with it. METHODS: A 52-item, anonymous questionnaire, structured by 6 ESUT/EULIS experts was distributed at 3 different endourological meetings during 2017-2018. Main aim was to evaluate level of knowledge on radiation physics and the protective measures taken against radiation exposure by participants. Fisher's exact test, Kruskal-Wallis test and ROC curve were used for statistical analysis. RESULTS: 211 responses were evaluated. Number of correct answers (median 7.00) differed significantly according to age (p = 0.001), working position (p = 0.005), working field (p < 0.001), number of semirigid (p < 0.001)/flexible URS (p < 0.001) and PNL (p < 0.001) performed per year. Physicians aged 50-60 years, consultants, academics and those who performed more procedures achieved higher scores. In our study 51.7% of responders used shields in the operating room, 89.6% wore lead aprons, 84.4% thyroid shields, while glasses and gloves were used by 14.7% and 8.1%, respectively. Age, working field and number of correct answers did not affect significantly the use of protection in contrast with endourology fellowship training, working position and lessons on radiation. Interestingly, residents, untrained endourologists and those who were provided with lessons on radiation were more compliant. CONCLUSIONS: Our study revealed that majority of modern urologists advocate radiation protection during endourology practice. Senior consultants and academic urologists performing a high volume of procedures seem to understand physics and rules of radiation use.
Entities:
Keywords:
Fluoroscopy; Kidney stone disease; Lithiasis; Protective measures; Radiation; Ureteroscopy
Authors: K Perisinakis; J Damilakis; N Theocharopoulos; E Manios; P Vardas; N Gourtsoyiannis Journal: Circulation Date: 2001-07-03 Impact factor: 29.690
Authors: S A Pfister; A Deckart; S Laschke; S Dellas; U Otto; C Buitrago; J Roth; W Wiesner; G Bongartz; T C Gasser Journal: Eur Radiol Date: 2003-07-24 Impact factor: 5.315