ArticleOrthopedic reviews2019
Does surgeon experience influence the amount of radiation exposure during orthopedic procedures? A systematic review.
Article in Orthopedic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
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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
16 citing papers in PubMed, 27 citations in OpenAlex.
- The shield multicentre collaborative: A study of hand surgeons' intraoperative radiation exposure and techniques to limit dosing.Journal of hand and microsurgery · 2025Article
- A survey of UK standards of radiation protection amongst orthopaedic surgeons.The British journal of radiology · 2025Article
- Radiation in the Orthopedic Operating Room: What We Know, What We Do, and What Needs Attention.Cureus · 2025Review
- Article
- Exploring surgeon behavioural factors impacting the quality of care: protocol for a scoping review.BMJ open · 2025Article
- Radiation safety practices in neurosurgery: Exploring education gaps and concerns among physicians and trainees.Surgical neurology international · 2025Article
- Intraoperative fluoroscopy skills in distal radius fracture surgery: valid and reliable assessment on a novel immersive virtual reality simulator.Acta orthopaedica · 2024Article
- [Detection of ionizing radiation in operating room and hospital areas].Revista medica del Instituto Mexicano del Seguro Social · 2024Article
- Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator.BJUI compass · 2023Article
- THE USE OF ADHESIVE RADIOPAQUE GRIDS IN GENICULAR NERVE BLOCK BY RADIOSCOPY.Acta ortopedica brasileira · 2023Article
- Radiation Exposure during Fluoroscopy-Guided Ozone Chemonucleolysis for Lumbar Disc Herniation.Journal of clinical medicine · 2022Review
- Investigation of radiation dose around C-arm fluoroscopy and relevant cancer risk to operating room staff.Radiation and environmental biophysics · 2022Article
- K-wire Made Easy by Premarking Wire Trajectory on the Skin in Management of Finger Fractures.Plastic and reconstructive surgery. Global open · 2021Article
- The use of ionising radiation in orthopaedic surgery: principles, regulations and managing risk to surgeons and patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Review
- An Observational Survey of Nail and Skin of Spine Surgeons-Possible Damage by Occupational Ionizing Radiation Exposure.Spine surgery and related research · 2021Article
- Accuracy of robot-assisted versus conventional freehand pedicle screw placement in spine surgery: a systematic review and meta-analysis of randomized controlled trials.Annals of translational medicine · 2020Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
With an increasing use of intraoperative fluoroscopy in operating rooms worldwide, the topic of radiation exposure has become a major concern among hospital staff, doctors and patients alike. Since fluoroscopy has become an integral part in orthopedic intraoperative management, we sought to identify whether surgeon grade or experience plays a role in the amount of radiation used and consequently exposed. We performed a systematic review examining the association between surgeon experience and radiation exposure using primary outcome measures (radiation dose and total screening time/fluoroscopy time). To be included in the review, the study population had to compare varying surgeon experience levels and their effect on the primary outcomes. A total of eighteen studies were included in the review. The studies were a mix of prospective and retrospective studies with low to moderate quality as evaluated by the MINORs criteria. Studies were variable in defining surgeon experience levels and in the type of operations being performed. Majority of the studies showed that inexperienced surgeons/trainees had a higher total fluoroscopy time and a higher mean radiation exposure as compared to experienced surgeons. We conclude that higher surgeon experience significantly reduces usage of fluoroscopy and the consequent radiation exposure in orthopedic procedures. Introduction of strict radiation guidelines involving limited usage of fluoroscopy and supervision of trainees may be beneficial in controlling radiation exposure in the future.
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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.