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Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study

PURPOSE: The rise in morbid obesity presents diagnostic challenges in computed tomography (CT), magnetic resonance imaging (MRI), and endoscopy. Research on the availability of these procedures for people with extreme obesity is limited. We aimed to analyse the accessibility of CT, MRI, and endoscop...

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Autores principales: Kamiński, Mikołaj, Kaczmarek, Ada, Wieczorek, Tobiasz, Kierzek, Michalina, Kręgielska-Narożna, Matylda, Bogdański, Paweł
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660139/
https://www.ncbi.nlm.nih.gov/pubmed/38020502
http://dx.doi.org/10.5114/pjr.2023.132171
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author Kamiński, Mikołaj
Kaczmarek, Ada
Wieczorek, Tobiasz
Kierzek, Michalina
Kręgielska-Narożna, Matylda
Bogdański, Paweł
author_facet Kamiński, Mikołaj
Kaczmarek, Ada
Wieczorek, Tobiasz
Kierzek, Michalina
Kręgielska-Narożna, Matylda
Bogdański, Paweł
author_sort Kamiński, Mikołaj
collection PubMed
description PURPOSE: The rise in morbid obesity presents diagnostic challenges in computed tomography (CT), magnetic resonance imaging (MRI), and endoscopy. Research on the availability of these procedures for people with extreme obesity is limited. We aimed to analyse the accessibility of CT, MRI, and endoscopy procedures for people with extreme obesity in a significant sample of facilities serving in the Polish public healthcare system. MATERIAL AND METHODS: A telephone-based survey was conducted on healthcare facilities offering CT, MRI, or endoscopy procedures, identified using the Polish National Health Fund (NFZ) API. A refined questionnaire was utilized after a pilot study to collect details on the equipment’s weight and diameter capacities, among other parameters. Of the initial 312 facilities sampled, 195 were eligible and successfully contacted, representing 9.4% of the facilities offering the procedures in the NFZ database. RESULTS: Of the 195 facilities, 86.4% of CT departments knew their scanner’s maximum weight, 57.6% its diameter; 76.5% of MRI departments recognized their scanner’s weight, and 59.2% its diameter, while 77.3% of endoscopy departments were aware of their maximum weight capacity. Approximately 28% of CT, 5% of MRI, and 39% of endoscopy departments could perform the procedure if the patient’s weight was over 200 kg. Facilities knowledgeable about CT’s maximum diameter and MRI’s maximum weight often provided private CT/MRI services. CONCLUSIONS: A significant proportion of Polish facilities providing CT, MRI, and endoscopic examinations in the Polish public healthcare system were unaware of their equipment’s weight and diameter limits. Merely 5% of the surveyed MRI facilities could potentially accommodate a patient weighing over 200 kg.
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spelling pubmed-106601392023-01-01 Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study Kamiński, Mikołaj Kaczmarek, Ada Wieczorek, Tobiasz Kierzek, Michalina Kręgielska-Narożna, Matylda Bogdański, Paweł Pol J Radiol Original Paper PURPOSE: The rise in morbid obesity presents diagnostic challenges in computed tomography (CT), magnetic resonance imaging (MRI), and endoscopy. Research on the availability of these procedures for people with extreme obesity is limited. We aimed to analyse the accessibility of CT, MRI, and endoscopy procedures for people with extreme obesity in a significant sample of facilities serving in the Polish public healthcare system. MATERIAL AND METHODS: A telephone-based survey was conducted on healthcare facilities offering CT, MRI, or endoscopy procedures, identified using the Polish National Health Fund (NFZ) API. A refined questionnaire was utilized after a pilot study to collect details on the equipment’s weight and diameter capacities, among other parameters. Of the initial 312 facilities sampled, 195 were eligible and successfully contacted, representing 9.4% of the facilities offering the procedures in the NFZ database. RESULTS: Of the 195 facilities, 86.4% of CT departments knew their scanner’s maximum weight, 57.6% its diameter; 76.5% of MRI departments recognized their scanner’s weight, and 59.2% its diameter, while 77.3% of endoscopy departments were aware of their maximum weight capacity. Approximately 28% of CT, 5% of MRI, and 39% of endoscopy departments could perform the procedure if the patient’s weight was over 200 kg. Facilities knowledgeable about CT’s maximum diameter and MRI’s maximum weight often provided private CT/MRI services. CONCLUSIONS: A significant proportion of Polish facilities providing CT, MRI, and endoscopic examinations in the Polish public healthcare system were unaware of their equipment’s weight and diameter limits. Merely 5% of the surveyed MRI facilities could potentially accommodate a patient weighing over 200 kg. Termedia Publishing House 2023-10-13 /pmc/articles/PMC10660139/ /pubmed/38020502 http://dx.doi.org/10.5114/pjr.2023.132171 Text en © Pol J Radiol 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Paper
Kamiński, Mikołaj
Kaczmarek, Ada
Wieczorek, Tobiasz
Kierzek, Michalina
Kręgielska-Narożna, Matylda
Bogdański, Paweł
Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title_full Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title_fullStr Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title_full_unstemmed Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title_short Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study
title_sort availability of ct, mri, and endoscopy procedures for polish individuals with morbid obesity: cross-sectional telephone survey study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660139/
https://www.ncbi.nlm.nih.gov/pubmed/38020502
http://dx.doi.org/10.5114/pjr.2023.132171
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