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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 546-551
DOI: 10.1055/s-0042-1748968
Artigo Original
Trauma

Perception of Orthopedics Surgeons about the Risks of Radiation Exposure in Fluoroscopy[*]

Article in several languages: português | English
Helia Bittar Barbosa 
Escola Politécnica, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil
,
Ana Maria Marques da Silva 
Escola Politécnica, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil
2   Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil
› Author Affiliations Source of Funding This study received no financial support from public, commercial, or non-profit sources.
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Abstract

Objective The present study aims to understand the perceptions of orthopedists and traumatologists regarding the risk of exposure to ionizing radiation in fluoroscopy procedures.

Methods An objective, structured, self-administered questionnaire with sociodemographic, professional, and occupational variables was developed, available through an invitation sent to orthopedist physicians whose contacts were made publicly available.

Results A total of 141 questionnaires were answered and analyzed. Most respondents (99%) use fluoroscopy in their surgeries, and only 34.8% of the participants feel safe with the use of the equipment. It was observed that the knowledge about ionizing radiation is inadequate, because 22.6% of the participants are unaware of the type of radiation emitted in fluoroscopy and its biological effects. In addition, 52% of the participants did not know or do not understand the principles of radiological protection and their relationship with surgical practices.

Conclusion We concluded that the radiological protection of most orthopedists in surgical procedures is inadequate, and initial and continued training programs of professionals are necessary, bringing health benefits to orthopedists and their patients.

Keywords

radiation, ionizing - X-rays - risk assessment - radiation exposure - orthopedic - surveys and questionnaires

* Work developed at the Escola Politécnica, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil


Supplementary Material



Publication History

Received: 09 May 2021

Accepted: 31 August 2021

Article published online:
14 July 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Conselho Nacional de Energia Nuclear.. Diretrizes Básicas de Proteção Radiológica. Brasília, DF: Diário Oficial da União; 2013
    Google Scholar
  • 2 Chow R, Beaupre LA, Rudnisky CJ, Otto D, Clark M. Surgeons' perception of fluoroscopic radiation hazards to vision. Am J Orthop 2013; 42 (11) 505-510
    PubMedGoogle Scholar
  • 3 Falavigna A, Ramos MB, Iutaka AS. et al. Knowledge and Attitude Regarding Radiation Exposure Among Spine Surgeons in Latin America. World Neurosurg 2018; 112: e823-e829
    CrossrefPubMedGoogle Scholar
  • 4 Fan G, Wang Y, Guo C, Lei X, He S. Knowledge deficiency of work-related radiation hazards associated with psychological distress among orthopedic surgeons: A cross-sectional study. Medicine (Baltimore) 2017; 96 (21) e6682
    CrossrefPubMedGoogle Scholar
  • 5 Fidan F, Çetin MÜ, Kazdal C, Kılıç F, Özkaya U. Behaviour and knowledge skill levels of orthopedic surgeons about radiation safety and fluoroscopy use: A survey analysis. Acta Orthop Traumatol Turc 2019; 53 (04) 301-305
    CrossrefPubMedGoogle Scholar
  • 6 Kaplan FTD, Patel AA, Patel AA. Radiation Exposure Safety Patterns with the Use of Intraoperative Fluoroscopy. Bull Hosp Jt Dis (2013) 2018; 76 (03) 183-191
    PubMedGoogle Scholar
  • 7 Pires RE, Reis IGN, de Faria ÂRV, Giordano V, Labronici PJ, Belangero WD. The hidden risk of ionizing radiation in the operating room: a survey among 258 orthopaedic surgeons in Brazil. Patient Saf Surg 2020; 14: 16
    CrossrefPubMedGoogle Scholar
  • 8 Callegari-Jacques SM. Bioestatística: princípios e aplicações. Porto Alegre: Artmed; 2007
    Google Scholar
  • 9 Pagano M, Gauvreau K. Princípios de bioestatística. São Paulo: Cengage Learning; 2004
    Google Scholar
  • 10 Torres-Torres M, Mingo-Robinet J, Moreno Barrero M, Rivas Laso JÁ, Burón Álvarez I, González Salvador M. Radiation safety in orthopaedic operating theatres. What is the current situation?. Rev Esp Cir Ortop Traumatol 2014; 58 (05) 309-313
    PubMedGoogle Scholar
  • 11 Matityahu A, Duffy RK, Goldhahn S, Joeris A, Richter PH, Gebhard F. The Great Unknown-A systematic literature review about risk associated with intraoperative imaging during orthopaedic surgeries. Injury 2017; 48 (08) 1727-1734
    CrossrefPubMedGoogle Scholar
  • 12 Moore B, vanSonnenberg E, Casola G, Novelline RA. The relationship between back pain and lead apron use in radiologists. AJR Am J Roentgenol 1992; 158 (01) 191-193
    CrossrefPubMedGoogle Scholar
  • 13 Brasil.. Ministério da Educação, Conselho Nacional de Educação, Câmara de Educação Superior. Norma Regulamentadora n° 6.. Diário Oficial da União, Brasília (DF); 1978: 22-24
    Google Scholar
  • 14 Agência Nacional de Vigilância Sanitária.. Resolução RDC n°330. Brasília: Diário Oficial da União; 20 de dezembro de 2019: 29-31
    Google Scholar
  • 15 Gendelberg D, Hennrikus WL, Sawyer C, Armstrong D, King S. Decreased Radiation Exposure Among Orthopedic Residents Is Maintained When Using the Mini C-Arm After Undergoing Radiation Safety Training. Orthopedics 2017; 40 (05) e788-e792
    CrossrefPubMedGoogle Scholar