SynthesisEuropean journal of medical research2012
Radiation exposure of eyes, thyroid gland and hands in orthopaedic staff: a systematic review.
Synthesis in European journal of medical research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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
29 citing papers in PubMed, 88 citations in OpenAlex.
- Article
- Learning adaptation experiences of circulating nurses in robot-assisted femoral neck fracture surgery from a learning-curve perspective: a qualitative study.Journal of robotic surgery · 2026Article
- Radiation Protection Compliance in Fluoroscopy-Assisted Procedures: A Prospective Audit in Operating Theatres.Cureus · 2025Article
- Evaluation of X-ray Personal protective equipment for Orthopaedic Surgeons in theatrE (EXPOSEd) study : a national survey of Trauma & Orthopaedic surgeons.Bone & joint open · 2025Article
- Radiation safety practices in neurosurgery: Exploring education gaps and concerns among physicians and trainees.Surgical neurology international · 2025Article
- A standardised communication tool reduces radiation exposure associated with intraoperative fluoroscopy.Irish journal of medical science · 2024Article
- The use of electronic conductivity devices can effectively reduce radiation exposure in vertebral body tethering.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Knowledge and practice of radiation protection in the operating theater among orthopedic surgeons.Journal of medical imaging (Bellingham, Wash.) · 2022Article
- Underestimation of Radiation Doses by Compliance of Wearing Dosimeters among Fluoroscopically-Guided Interventional Medical Workers in Korea.International journal of environmental research and public health · 2022Article
- Gonad irradiation from fluoroscopy during upper limb orthopaedic procedures in a UK District General Hospital.The British journal of radiology · 2022Article
- A Preliminary Survey of Women Orthopaedic Surgeons on Awareness of Radiation Safety Practice and Breast Cancer Risk in India.Indian journal of orthopaedics · 2022Article
- Radiation in orthopaedics (RIO) study: a national survey of UK orthopaedic surgeons.The British journal of radiology · 2021Article
- Is It Safe to Use a Lead Screen During Hip Arthroscopy?Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Image-Guided Robotic K-Wire Placement for Orthopaedic Trauma Surgery.Proceedings of SPIE--the International Society for Optical Engineering · 2020Article
- Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea.Journal of occupational medicine and toxicology (London, England) · 2020Article
- Radiation Dose to the Eye Lens Through Radiological Imaging Procedures at the Surgical Workplace During Trauma Surgery.International journal of environmental research and public health · 2019Article
- Radiation safety education as a component of orthopedic training.Orthopedic reviews · 2019Article
- Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review.Orthopedic reviews · 2019Article
- Intra-operative imaging in trauma surgery.EFORT open reviews · 2018Article
- Radiation exposure for intraoperative 3D scans in a hybrid operating room: how to reduce radiation exposure for the surgical team.International journal of computer assisted radiology and surgery · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious procedures, especially minimal invasive techniques using fluoroscopy, pose a risk of radiation exposure to orthopaedic staff. Anatomical sites such as the eyes, thyroid glands and hands are more vulnerable to radiation considering the limited use of personal protective devices in the workplace. The objective of the study is to assess the annual mean cumulative and per procedure radiation dose received at anatomical locations like eyes, thyroid glands and hands in orthopaedic staff using systematic review.
methodsThe review of literature was conducted using systematic search of the database sources like PUBMED and EMBASE using appropriate keywords. The eligibility criteria and the data extraction of literature were based on study design (cohort or cross-sectional study), study population (orthopaedic surgeons or their assistants), exposure (doses of workplace radiation exposure at hands/fingers, eye/forehead, neck/thyroid), language (German and English). The literature search was conducted using a PRISMA checklist and flow chart.
resultsForty-two articles were found eligible and included for the review. The results show that radiation doses for the anatomical locations of eye, thyroid gland and hands were lower than the dose levels recommended. But there is a considerable variation of radiation dose received at all three anatomical locations mainly due to different situations including procedures (open and minimally invasive), work experience (junior and senior surgeons),distance from the primary and secondary radiation, and use of personal protective equipments (PPEs). The surgeons receive higher radiation dose during minimally invasive procedures compared to open procedures. Junior surgeons are at higher risk of radiation exposure compared to seniors. PPEs play a significant role in reduction of radiation dose.
conclusionsAlthough the current radiation precautions appear to be adequate based on the low dose radiation, more in-depth studies are required on the variations of radiation dose in orthopaedic staff, at different anatomical locations and situations.
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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.