Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea
Abstract Background The use of fluoroscopically-guided interventional (FGI) procedures by orthopedic surgeons has been increasing. This study aimed to investigate the occupational radiation exposure among orthopedic surgeons in South Korea. Methods A nationwide survey of orthopedic surgeons was cond...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Journal of Occupational Medicine and Toxicology |
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| Online Access: | http://link.springer.com/article/10.1186/s12995-020-00276-x |
| _version_ | 1798041644887441408 |
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| author | Seonghoon Kang Eun Shil Cha Ye Jin Bang Teresa W. Na Dalnim Lee Sang Youn Song Won Jin Lee |
| author_facet | Seonghoon Kang Eun Shil Cha Ye Jin Bang Teresa W. Na Dalnim Lee Sang Youn Song Won Jin Lee |
| author_sort | Seonghoon Kang |
| collection | DOAJ |
| description | Abstract Background The use of fluoroscopically-guided interventional (FGI) procedures by orthopedic surgeons has been increasing. This study aimed to investigate the occupational radiation exposure among orthopedic surgeons in South Korea. Methods A nationwide survey of orthopedic surgeons was conducted in South Korea in October 2017. The dosimetry data of the participants were obtained from the National Dosimetry Registry. The orthopedic surgeons were categorized by job specialty [spine or trauma specialists, other orthopedic specialists, and residents], and descriptive statistics for the demographics and work-related characteristics were presented. Multivariable logistic regression analysis was used to evaluate the risk factors for the orthopedic surgeons who were not linked with the dosimetry data. Results Among the total participants (n = 513), 40.5% of the orthopedic surgeons spent more than 50% of their time working with the FGI procedures when compared with their overall work. The average frequency of the FGI procedures among the orthopedic surgeons was 12.3 days per month. Less than 30% of the participants were regularly provided with radiation monitoring badges. The proportion of subjects who always wore lead aprons and thyroid shields were 52 and 29%, respectively. The residents group experienced more unfavorable working conditions of radiation exposure than the other specialists. The dosimetry data were not significantly linked among the residents (odds ratio [OR] 2.10, 95% confidence interval [CI] 1.11–3.95) and orthopedic surgeons working at small hospitals (OR 4.76, 95% CI 1.05–21.51). Conclusions Although orthopedic surgeons often performed FGI procedures, they wore protective gear less frequently, and a large proportion of orthopedic surgeons were not monitored by the national radiation dosimetry system. As the number of radiation procedures performed by the orthopedic surgeons increases, more intensive approaches are needed to reduce radiation exposure, especially for spine and trauma surgeons. |
| first_indexed | 2024-04-11T22:24:25Z |
| format | Article |
| id | doaj.art-258785537bbd48dd8f8235861e02f7a7 |
| institution | Directory Open Access Journal |
| issn | 1745-6673 |
| language | English |
| last_indexed | 2024-04-11T22:24:25Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Occupational Medicine and Toxicology |
| spelling | doaj.art-258785537bbd48dd8f8235861e02f7a72022-12-22T03:59:50ZengBMCJournal of Occupational Medicine and Toxicology1745-66732020-08-011511910.1186/s12995-020-00276-xRadiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South KoreaSeonghoon Kang0Eun Shil Cha1Ye Jin Bang2Teresa W. Na3Dalnim Lee4Sang Youn Song5Won Jin Lee6Department of Occupational and Environmental Medicine, COMWEL Ansan Hospital, Korea Workers’ Compensation & Welfare ServiceDepartment of Preventive Medicine, Korea University College of MedicineDepartment of Epidemiology and Health Informatics, Graduate School of Public Health, Korea UniversityDepartment of Epidemiology and Health Informatics, Graduate School of Public Health, Korea UniversityDepartment of Epidemiology and Health Informatics, Graduate School of Public Health, Korea UniversityDepartment of Orthopedic Surgery, Gyeongsang National University HospitalDepartment of Epidemiology and Health Informatics, Graduate School of Public Health, Korea UniversityAbstract Background The use of fluoroscopically-guided interventional (FGI) procedures by orthopedic surgeons has been increasing. This study aimed to investigate the occupational radiation exposure among orthopedic surgeons in South Korea. Methods A nationwide survey of orthopedic surgeons was conducted in South Korea in October 2017. The dosimetry data of the participants were obtained from the National Dosimetry Registry. The orthopedic surgeons were categorized by job specialty [spine or trauma specialists, other orthopedic specialists, and residents], and descriptive statistics for the demographics and work-related characteristics were presented. Multivariable logistic regression analysis was used to evaluate the risk factors for the orthopedic surgeons who were not linked with the dosimetry data. Results Among the total participants (n = 513), 40.5% of the orthopedic surgeons spent more than 50% of their time working with the FGI procedures when compared with their overall work. The average frequency of the FGI procedures among the orthopedic surgeons was 12.3 days per month. Less than 30% of the participants were regularly provided with radiation monitoring badges. The proportion of subjects who always wore lead aprons and thyroid shields were 52 and 29%, respectively. The residents group experienced more unfavorable working conditions of radiation exposure than the other specialists. The dosimetry data were not significantly linked among the residents (odds ratio [OR] 2.10, 95% confidence interval [CI] 1.11–3.95) and orthopedic surgeons working at small hospitals (OR 4.76, 95% CI 1.05–21.51). Conclusions Although orthopedic surgeons often performed FGI procedures, they wore protective gear less frequently, and a large proportion of orthopedic surgeons were not monitored by the national radiation dosimetry system. As the number of radiation procedures performed by the orthopedic surgeons increases, more intensive approaches are needed to reduce radiation exposure, especially for spine and trauma surgeons.http://link.springer.com/article/10.1186/s12995-020-00276-xFluoroscopyHealth professionalOccupational exposureOrthopedicsRadiation |
| spellingShingle | Seonghoon Kang Eun Shil Cha Ye Jin Bang Teresa W. Na Dalnim Lee Sang Youn Song Won Jin Lee Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea Journal of Occupational Medicine and Toxicology Fluoroscopy Health professional Occupational exposure Orthopedics Radiation |
| title | Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea |
| title_full | Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea |
| title_fullStr | Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea |
| title_full_unstemmed | Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea |
| title_short | Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea |
| title_sort | radiation exposure and fluoroscopically guided interventional procedures among orthopedic surgeons in south korea |
| topic | Fluoroscopy Health professional Occupational exposure Orthopedics Radiation |
| url | http://link.springer.com/article/10.1186/s12995-020-00276-x |
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