ArticlePediatric radiology2009
What physicians think about the need for informed consent for communicating the risk of cancer from low-dose radiation.
Article in Pediatric radiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- The why, who, how, and what of communicating CT radiation risks to patients and healthcare providers.Abdominal radiology (New York) · 2023Review
- Article
- Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Computed Tomography Risk Disclosure in the Emergency Department: A Survey of Pediatric Emergency Medicine Fellowship Program Leaders.The western journal of emergency medicine · 2018Article
- Practices and attitudes towards radiation risk disclosure for computed tomography: survey of emergency medicine residency program directors.Emergency radiology · 2017Article
- Duty to Inform and Informed Consent in Diagnostic Radiology: How Ethics and Law can Better Guide Practice.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2016Article
- Emergency Department Patients' Perceptions of Radiation From Medical Imaging.WMJ : official publication of the State Medical Society of Wisconsin · 2016Article
- Written Informed Consent for Computed Tomography of the Abdomen/Pelvis is Associated with Decreased CT Utilization in Low-Risk Emergency Department Patients.The western journal of emergency medicine · 2015Observational
- The communication of the radiation risk from CT in relation to its clinical benefit in the era of personalized medicine: part 2: benefits versus risk of CT.Pediatric radiology · 2014Article
- Invited Commentary: "Event-based versus process-based informed consent to address scientific evidence and uncertainties in ionising medical imaging" by Recchia et al.Insights into imaging · 2013Article
- Radiation dose from medical imaging: a primer for emergency physicians.The western journal of emergency medicine · 2012Article
- Improving health literacy: informed decision-making rather than informed consent for CT scans in children.Pediatric radiology · 2009Article
- Informed consent in inflammatory bowel disease: a necessity in real-world clinical practice.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Institute of Environmental Health Sciences, a subsidiary of the Food and Drug Administration, has declared that X-ray radiation at low doses is a human carcinogen.
objectiveThe purpose of our study was to determine if informed consent should be obtained for communicating the risk of radiation-induced cancer from radiation-based imaging. MATERIALS AND
methodsInstitutional review board approval was obtained for the prospective survey of 456 physicians affiliated with three tertiary hospitals by means of a written questionnaire. Physicians were asked to state their subspecialty, number of years in practice, frequency of referral for CT scanning, level of awareness about the risk of radiation-induced cancer associated with CT, knowledge of whether such information is provided to patients undergoing CT, and opinions about the need for obtaining informed consent as well as who should provide information about the radiation-induced cancer risk to patients. Physicians were also asked to specify their preference among different formats of informed consent for communicating the potential risk of radiation-induced cancer. Statistical analyses were performed using the chi-squared test.
resultsMost physicians stated that informed consent should be obtained from patients undergoing radiation-based imaging (71.3%, 325/456) and the radiology department should provide information about the risk of radiation-induced cancer to these patients (54.6%, 249/456). The informed consent format that most physicians agreed with included modifications to the National Institute of Environmental Health Services report on cancer risk from low-dose radiation (20.2%, 92/456) or included information on the risk of cancer from background radiation compared to that from low-dose radiation (39.5%, 180/456).
conclusionMost physicians do not know if patients are informed about cancer risk from radiation-based imaging in their institutions. However, they believe that informed consent for communicating the risk of radiation-induced cancer should be obtained from patients undergoing radiation-based imaging.
Indexed as
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19557405What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.