Skip to main content
Top
Published in: Italian Journal of Pediatrics 1/2015

Open Access 01-12-2015 | Research

Radiation risks knowledge in resident and fellow in paediatrics: a questionnaire survey

Authors: Sergio Salerno, Paola Marchese, Andrea Magistrelli, Paolo Tomà, Domenica Matranga, Massimo Midiri, Alberto G Ugazio, Giovanni Corsello

Published in: Italian Journal of Pediatrics | Issue 1/2015

Login to get access

Abstract

Background

Analyse through a multi-choice anonymous questionnaire the knowledge’s level in paediatric residents and fellows in two different main Italian hospital, looking mainly to the information to patients and relatives related to risks of ionizing radiation used in common radiological investigations in children.

Methods

65 multi choice questionnaires were distributed to paediatric residents and fellows of two different hospitals, an University Hospital (A.O.U.P. “P. Giaccone”- University of Palermo) and a national reference centre for paediatrics (Ospedale Pediatrico Bambino Gesù - Rome). The questionnaire included twelve multiple-choice questions with the aim of analyzing the knowledge about ionizing radiation related risks in infants and children who undergo common diagnostic radiology investigations. The data obtained were processed using software Stata/MP version 11.2. In order to measure the level of expertise of each interviewee a binary indicator was built. The value 1 was assigned if the percentage of correct answers exceeds the median of the distribution and 0 for values not exceeding the median. The association between the level of competence and demographic characteristics (gender, age) and training experience was measured by means of α2 test.

Results

51/65 questionnaires were completed, returned and analysed (87.7%). Only 18 surveyed (35%), (95% IC = [22%-48%]) can be defined as competent in radiation risk knowledge for common radiological investigations, considering the percentage of correct answers at least of 50% (sufficient knowledge was given with a minimum score of 8 correct answers out of 12).

Conclusions

The study demonstrates an urgent need to implement the radiation protection knowledge in the training programme of paediatricians, that improve if just a short targeted training is performed.
Literature
1.
go back to reference Larson DB, Johnson LW, Schnell BM, Goske MJ, Salisbury SR, Forman HP. Rising use of CT in child visits to emergency department in the United States, 1995–2008. Radiology. 2011;259(3):793–801.CrossRefPubMed Larson DB, Johnson LW, Schnell BM, Goske MJ, Salisbury SR, Forman HP. Rising use of CT in child visits to emergency department in the United States, 1995–2008. Radiology. 2011;259(3):793–801.CrossRefPubMed
2.
go back to reference Linet MS, Kim KP, Rajaraman P. Children’s exposure to diagnostic medical radiation and cancer risk: epidemiologic and dosimetric considerations. Pediatr Radiol. 2009;39 Suppl 1:S4.CrossRefPubMedCentralPubMed Linet MS, Kim KP, Rajaraman P. Children’s exposure to diagnostic medical radiation and cancer risk: epidemiologic and dosimetric considerations. Pediatr Radiol. 2009;39 Suppl 1:S4.CrossRefPubMedCentralPubMed
3.
go back to reference IMV Medical Information Division. Benchmark report: CT 2013. Des Plaines, Illinois USA: IMV; 2013. IMV Medical Information Division. Benchmark report: CT 2013. Des Plaines, Illinois USA: IMV; 2013.
4.
go back to reference Golding SJ, Shrimpton PC. Radiation dose in CT: are we meeting the challenge? Br J Radiol. 2002;67:751–4. Golding SJ, Shrimpton PC. Radiation dose in CT: are we meeting the challenge? Br J Radiol. 2002;67:751–4.
5.
7.
go back to reference Pierce DA, Preston DL. Radiation-related cancer risks at low doses among atomic bomb survivors. Radiat Res. 2000;154:178–86.CrossRefPubMed Pierce DA, Preston DL. Radiation-related cancer risks at low doses among atomic bomb survivors. Radiat Res. 2000;154:178–86.CrossRefPubMed
8.
go back to reference Little MP, Hoel DG, Molitor J, Boice JD, Wakeford Muirhead CR. New models for evaluation of radiation-induced lifetime cancer risk and its uncertainty employed in the UNSCEAR 2006 report. Radiat Res. 2008;169:660–76.CrossRefPubMed Little MP, Hoel DG, Molitor J, Boice JD, Wakeford Muirhead CR. New models for evaluation of radiation-induced lifetime cancer risk and its uncertainty employed in the UNSCEAR 2006 report. Radiat Res. 2008;169:660–76.CrossRefPubMed
10.
go back to reference Scanff P, Donadieu J, Pirard P, Aubert B. Population exposure to ionizing radiation from medical in France. Br J Radiol. 2008;81:204–13.CrossRefPubMed Scanff P, Donadieu J, Pirard P, Aubert B. Population exposure to ionizing radiation from medical in France. Br J Radiol. 2008;81:204–13.CrossRefPubMed
11.
go back to reference Brisse HJ, Aubert B. CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol. 2009;90:207–15.CrossRefPubMed Brisse HJ, Aubert B. CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol. 2009;90:207–15.CrossRefPubMed
12.
go back to reference Mettler Jr FA, Wiest PW, Locken JA, Kelsey CA. CT scanning: patterns of use and dose. J Radiol Prot. 2000;20:353–9.CrossRefPubMed Mettler Jr FA, Wiest PW, Locken JA, Kelsey CA. CT scanning: patterns of use and dose. J Radiol Prot. 2000;20:353–9.CrossRefPubMed
14.
go back to reference Granata C, Origgi D, Palorini F, Matranga D, Salerno S. Radiation dose from multidetector CT studies in children: results from the first Italian nationwide survey. Pediatr Radiol. 2014; doi:10.1007/s00247-014-3201-z. Granata C, Origgi D, Palorini F, Matranga D, Salerno S. Radiation dose from multidetector CT studies in children: results from the first Italian nationwide survey. Pediatr Radiol. 2014; doi:10.1007/s00247-014-3201-z.
16.
go back to reference Busey JM, Soine LA, Yager JR, Choi EShuman WP. Patient knowledge and understanding of radiation from diagnostic imaging. JAMA Intern Med. 2013;173:239–41.CrossRefPubMed Busey JM, Soine LA, Yager JR, Choi EShuman WP. Patient knowledge and understanding of radiation from diagnostic imaging. JAMA Intern Med. 2013;173:239–41.CrossRefPubMed
17.
go back to reference Thomas KE, Parnell-Parmley JE, Haidar S, Moineddin R, Charkot E, BenDavid G, et al. Assessment of radiation dose awareness among paediatrician. Pediatr Radiol. 2006;36:823–32.CrossRefPubMed Thomas KE, Parnell-Parmley JE, Haidar S, Moineddin R, Charkot E, BenDavid G, et al. Assessment of radiation dose awareness among paediatrician. Pediatr Radiol. 2006;36:823–32.CrossRefPubMed
18.
go back to reference Günalp M, Gülünay B, Polat O, Demirkan A, Gürler S, Akkaş M, et al. Ionising radiation awareness among resident doctors, interns, and radiographers in a university hospital emergency department. Radiol Med. 2014;119:440–7.CrossRefPubMed Günalp M, Gülünay B, Polat O, Demirkan A, Gürler S, Akkaş M, et al. Ionising radiation awareness among resident doctors, interns, and radiographers in a university hospital emergency department. Radiol Med. 2014;119:440–7.CrossRefPubMed
20.
go back to reference Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI, et al. The use of Computed Tomography in Pediatrics and the Associated Radiation Exposure and Estimated Cancer Risk. JAMA Pediatr. 2013;167:700–7.CrossRefPubMedCentralPubMed Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI, et al. The use of Computed Tomography in Pediatrics and the Associated Radiation Exposure and Estimated Cancer Risk. JAMA Pediatr. 2013;167:700–7.CrossRefPubMedCentralPubMed
21.
go back to reference Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, et al. Berrington de Gonzalez A. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380:499–505.CrossRefPubMedCentralPubMed Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, et al. Berrington de Gonzalez A. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380:499–505.CrossRefPubMedCentralPubMed
22.
go back to reference Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, et al. Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ. 2013;346:f2360.CrossRefPubMedCentralPubMed Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, et al. Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ. 2013;346:f2360.CrossRefPubMedCentralPubMed
23.
go back to reference Chodick G, Ronckers C, Ron E, Shalev V. The utilization of pediatric computed tomography in a large Israeli Health Maintenance Organization. Pediatr Radiol. 2006;36:485–90.CrossRefPubMed Chodick G, Ronckers C, Ron E, Shalev V. The utilization of pediatric computed tomography in a large Israeli Health Maintenance Organization. Pediatr Radiol. 2006;36:485–90.CrossRefPubMed
24.
go back to reference Menoch MJ, Hirsch DA, Khan NS, Simon HK, Sturm JJ. Trends in computed tomography utilization in the paediatric emergency department. Pediatrics. 2012;129:690–7.CrossRef Menoch MJ, Hirsch DA, Khan NS, Simon HK, Sturm JJ. Trends in computed tomography utilization in the paediatric emergency department. Pediatrics. 2012;129:690–7.CrossRef
25.
26.
go back to reference DECRETO LEGISLATIVO 9 maggio 2001, n 257.: Disposizioni integrative e correttive del decreto legislativo 26 maggio 2000, n.241, recante attuazione della direttiva 96/29/Euratom in materia di protezione sanitaria della popolazione e dei lavoratori contro i rischi derivanti dalle radiazioni ionizzanti. http://www.gazzettaufficiale.it. Accessed 14 March 2015. DECRETO LEGISLATIVO 9 maggio 2001, n 257.: Disposizioni integrative e correttive del decreto legislativo 26 maggio 2000, n.241, recante attuazione della direttiva 96/29/Euratom in materia di protezione sanitaria della popolazione e dei lavoratori contro i rischi derivanti dalle radiazioni ionizzanti. http://​www.​gazzettaufficial​e.​it. Accessed 14 March 2015.
27.
go back to reference Puri S, Hu R, Quazi RR, Voci S, Veazie P, Block R. Physicians’ and midlevel providers’ awareness of lifetime radiation attributable cancer risk associated with commonly performed CT studies: relationship to practice behavior. AJR Am J Roentgenol. 2012;199:1328–36.CrossRefPubMedCentralPubMed Puri S, Hu R, Quazi RR, Voci S, Veazie P, Block R. Physicians’ and midlevel providers’ awareness of lifetime radiation attributable cancer risk associated with commonly performed CT studies: relationship to practice behavior. AJR Am J Roentgenol. 2012;199:1328–36.CrossRefPubMedCentralPubMed
28.
go back to reference Gower-Thomes K, Lewis MH, Shiralkar S, Snow M, Galland RB, Rennie A. Doctors’ knowledge of radiation exposures is deficient. BMJ. 2002;324:919.CrossRef Gower-Thomes K, Lewis MH, Shiralkar S, Snow M, Galland RB, Rennie A. Doctors’ knowledge of radiation exposures is deficient. BMJ. 2002;324:919.CrossRef
29.
go back to reference Royal College of Radiologists and National Radiological Protection Board. Patient dose reduction in diagnostic radiology. Documents of the National Radiological Protection Board 1990;1: No 3. Royal College of Radiologists and National Radiological Protection Board. Patient dose reduction in diagnostic radiology. Documents of the National Radiological Protection Board 1990;1: No 3.
30.
go back to reference Foley SJ, Evanoff MJ, Rainford LA. A questionnaire survey reviewing radiologists’and clinical specialist radiographers’ knowledge of CT exposure parameters. Insights Imaging. 2013;4:637–46.CrossRefPubMedCentralPubMed Foley SJ, Evanoff MJ, Rainford LA. A questionnaire survey reviewing radiologists’and clinical specialist radiographers’ knowledge of CT exposure parameters. Insights Imaging. 2013;4:637–46.CrossRefPubMedCentralPubMed
31.
go back to reference Carpeggiani C, Kraft G, Caramella D, Semelka R, Picano E. Radioprotection (un)awareness in cardiologists, and how to improve it. Int J Cardiovasc Imaging. 2012;28(6):1369–74.CrossRefPubMed Carpeggiani C, Kraft G, Caramella D, Semelka R, Picano E. Radioprotection (un)awareness in cardiologists, and how to improve it. Int J Cardiovasc Imaging. 2012;28(6):1369–74.CrossRefPubMed
32.
go back to reference Walshe TM, Donagh C, Browne AM. Junior doctors’ knowledge of patient and staff radiation dose exposure and associated risks [abstract]. S819 RSNA, 29nov-4dic 2009; Chicago (USA). Walshe TM, Donagh C, Browne AM. Junior doctors’ knowledge of patient and staff radiation dose exposure and associated risks [abstract]. S819 RSNA, 29nov-4dic 2009; Chicago (USA).
33.
go back to reference Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008;81:725–9.CrossRefPubMed Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008;81:725–9.CrossRefPubMed
34.
go back to reference Heyer CM, Hansmann J, Peters SA, Lemburg SP. Paediatrician awareness of radiation dose and inherent risks in chest imaging studies–a questionnaire study. Europ J Radiol. 2010;76:288–93.CrossRef Heyer CM, Hansmann J, Peters SA, Lemburg SP. Paediatrician awareness of radiation dose and inherent risks in chest imaging studies–a questionnaire study. Europ J Radiol. 2010;76:288–93.CrossRef
35.
go back to reference Krille L, Hamer GP, Merzenich H, Zeeb H. Systematic review on physician’s knowledge about radiation doses and radiation risks of computed tomography. Europ J Radiol. 2010;76:36–41.CrossRef Krille L, Hamer GP, Merzenich H, Zeeb H. Systematic review on physician’s knowledge about radiation doses and radiation risks of computed tomography. Europ J Radiol. 2010;76:36–41.CrossRef
36.
go back to reference Brink JA, e Amis e. Image wisely: a campaign to increase awareness about adult radiation protection. Radiology. 2010;257:601–2.CrossRefPubMed Brink JA, e Amis e. Image wisely: a campaign to increase awareness about adult radiation protection. Radiology. 2010;257:601–2.CrossRefPubMed
37.
38.
go back to reference Lee CL, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician and radiologist awareness of radiation dose and possible risks. Radiology. 2004;231:393–8.CrossRefPubMed Lee CL, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician and radiologist awareness of radiation dose and possible risks. Radiology. 2004;231:393–8.CrossRefPubMed
39.
go back to reference Rehani MM, Berris T. International Atomic Energy Agency study with referring physicians on patient radiation exposure and its tracking: a prospective survey using a web-based questionnaire. BMJ. 2012;20:2. Rehani MM, Berris T. International Atomic Energy Agency study with referring physicians on patient radiation exposure and its tracking: a prospective survey using a web-based questionnaire. BMJ. 2012;20:2.
Metadata
Title
Radiation risks knowledge in resident and fellow in paediatrics: a questionnaire survey
Authors
Sergio Salerno
Paola Marchese
Andrea Magistrelli
Paolo Tomà
Domenica Matranga
Massimo Midiri
Alberto G Ugazio
Giovanni Corsello
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2015
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-015-0130-x

Other articles of this Issue 1/2015

Italian Journal of Pediatrics 1/2015 Go to the issue