Evidence map›Paper›PMID 30898834›Full record

ArticleBMJ open2019

Radiation protection effect of mobile shield barrier for the medical personnel during endoscopic retrograde cholangiopancreatography: a quasi-experimental prospective study.

Kwang Hyun Chung, Young Sook Park, Sang Bong Ahn, Byoung Kwan Son

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Guideline
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  9. Is It Safe to Use a Lead Screen During Hip Arthroscopy?Arthroscopy, sports medicine, and rehabilitation · 2021
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  11. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kwang Hyun ChungDepartment of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-8376-3921
Young Sook ParkDepartment of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Republic of Korea.
Sang Bong AhnDepartment of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Republic of Korea.
Byoung Kwan SonDepartment of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-9299-5476
Eulji University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effectiveness of radiation protection offered by a newly designed mobile shield barrier for medical personnel during endoscopic retrograde cholangiopancreatography (ERCP).

designQuasi-experimental prospective study.

settingERCP procedures conducted between October 2016 and June 2017 at a single secondary referral hospital that performs approximately 250 therapeutic ERCP procedures annually.

interventionsThe mobile shield barrier was a custom-made 2 mm Pb shielding plate (width: 120 cm, height: 190 cm) with a 0.5 mm Pb window (width: 115 cm, height: 60 cm) on its upper part was used. Four wheels were attached to the bottom to allow easy moving. PRIMARY AND SECONDARY OUTCOME MEASURES: The radiation doses were measured during ERCP using personal thermoluminescence dosimetry (TLD) badges on both sides of the mobile shield barrier (patient's side: TLD1 and medical staff's side: TLD2). The radiation doses were also measured on the outer surface of the thyroid shield of the endoscopist (TLD3), and on the chest area inside the protective apron of the endoscopist (TLD4) and the main assistant (TLD5). The TLD was changed and reported once every 3 months. The radiation dose measured by TLD badges were compared.

resultsDuring the study period, a total of 128 ERCP procedures were performed. The mean fluoroscopy time per procedure was 244.9±257.0 s and the mean number of digital radiographs per procedure was 3.7±1.0. TLD1 (outside the barrier) had a mean radiation dose of 26.85±3.47 mSv and all the other TLDs (inside the barrier) had less than 1 mSv (p<0.001). In the post hoc analysis, the difference between TLD1 and others showed a statistical significance; however, there were no significant differences between the TLDs inside the barrier.

conclusionOur mobile shield barrier was useful to reduce the radiation exposure of medical personnel during ERCP.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeHealth PersonnelProtective DevicesAgedAged, 80 and overFemaleHumansMaleMiddle AgedOccupational ExposureProspective StudiesRadiation ExposureRadiation MonitoringRadiation Protectioncholangiopancreatography, endoscopic retrogradeendoscopyoccupational radiation doseprotective devicesradiation protectionthermoluminescence dosimetry

Identifiers

PMID30898834
PMCPMC6527993
OpenAlexW2925133630

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.