Cargando…

Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review

With an increasing use of intraoperative fluoroscopy in operating rooms worldwide, the topic of radiation exposure has become a major concern among hospital staff, doctors and patients alike. Since fluoroscopy has become an integral part in orthopedic intraoperative management, we sought to identify...

Descripción completa

Detalles Bibliográficos
Autores principales: Malik, Azeem Tariq, Rai, Hamid Hussain, Lakdawala, Riaz Hussain, Noordin, Shahryar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452094/
https://www.ncbi.nlm.nih.gov/pubmed/30996838
http://dx.doi.org/10.4081/or.2019.7667
_version_ 1783409260378456064
author Malik, Azeem Tariq
Rai, Hamid Hussain
Lakdawala, Riaz Hussain
Noordin, Shahryar
author_facet Malik, Azeem Tariq
Rai, Hamid Hussain
Lakdawala, Riaz Hussain
Noordin, Shahryar
author_sort Malik, Azeem Tariq
collection PubMed
description With an increasing use of intraoperative fluoroscopy in operating rooms worldwide, the topic of radiation exposure has become a major concern among hospital staff, doctors and patients alike. Since fluoroscopy has become an integral part in orthopedic intraoperative management, we sought to identify whether surgeon grade or experience plays a role in the amount of radiation used and consequently exposed. We performed a systematic review examining the association between surgeon experience and radiation exposure using primary outcome measures (radiation dose and total screening time/fluoroscopy time). To be included in the review, the study population had to compare varying surgeon experience levels and their effect on the primary outcomes. A total of eighteen studies were included in the review. The studies were a mix of prospective and retrospective studies with low to moderate quality as evaluated by the MINORs criteria. Studies were variable in defining surgeon experience levels and in the type of operations being performed. Majority of the studies showed that inexperienced surgeons/trainees had a higher total fluoroscopy time and a higher mean radiation exposure as compared to experienced surgeons. We conclude that higher surgeon experience significantly reduces usage of fluoroscopy and the consequent radiation exposure in orthopedic procedures. Introduction of strict radiation guidelines involving limited usage of fluoroscopy and supervision of trainees may be beneficial in controlling radiation exposure in the future.
format Online
Article
Text
id pubmed-6452094
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher PAGEPress Publications, Pavia, Italy
record_format MEDLINE/PubMed
spelling pubmed-64520942019-04-17 Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review Malik, Azeem Tariq Rai, Hamid Hussain Lakdawala, Riaz Hussain Noordin, Shahryar Orthop Rev (Pavia) Review With an increasing use of intraoperative fluoroscopy in operating rooms worldwide, the topic of radiation exposure has become a major concern among hospital staff, doctors and patients alike. Since fluoroscopy has become an integral part in orthopedic intraoperative management, we sought to identify whether surgeon grade or experience plays a role in the amount of radiation used and consequently exposed. We performed a systematic review examining the association between surgeon experience and radiation exposure using primary outcome measures (radiation dose and total screening time/fluoroscopy time). To be included in the review, the study population had to compare varying surgeon experience levels and their effect on the primary outcomes. A total of eighteen studies were included in the review. The studies were a mix of prospective and retrospective studies with low to moderate quality as evaluated by the MINORs criteria. Studies were variable in defining surgeon experience levels and in the type of operations being performed. Majority of the studies showed that inexperienced surgeons/trainees had a higher total fluoroscopy time and a higher mean radiation exposure as compared to experienced surgeons. We conclude that higher surgeon experience significantly reduces usage of fluoroscopy and the consequent radiation exposure in orthopedic procedures. Introduction of strict radiation guidelines involving limited usage of fluoroscopy and supervision of trainees may be beneficial in controlling radiation exposure in the future. PAGEPress Publications, Pavia, Italy 2019-03-12 /pmc/articles/PMC6452094/ /pubmed/30996838 http://dx.doi.org/10.4081/or.2019.7667 Text en ©Copyright A.T. Malik et al., 2019 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Malik, Azeem Tariq
Rai, Hamid Hussain
Lakdawala, Riaz Hussain
Noordin, Shahryar
Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title_full Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title_fullStr Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title_full_unstemmed Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title_short Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review
title_sort does surgeon experience influence the amount of radiation exposure during orthopedic procedures? a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452094/
https://www.ncbi.nlm.nih.gov/pubmed/30996838
http://dx.doi.org/10.4081/or.2019.7667
work_keys_str_mv AT malikazeemtariq doessurgeonexperienceinfluencetheamountofradiationexposureduringorthopedicproceduresasystematicreview
AT raihamidhussain doessurgeonexperienceinfluencetheamountofradiationexposureduringorthopedicproceduresasystematicreview
AT lakdawalariazhussain doessurgeonexperienceinfluencetheamountofradiationexposureduringorthopedicproceduresasystematicreview
AT noordinshahryar doessurgeonexperienceinfluencetheamountofradiationexposureduringorthopedicproceduresasystematicreview