Evidence map›Paper›PMID 31769743›Full record

ArticleRadiology2020

Occupational Doses to Medical Staff Performing or Assisting with Fluoroscopically Guided Interventional Procedures.

David Borrego, Cari M Kitahara, Stephen Balter, Craig Yoder

Abstract read
In one paragraph

Article in Radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. AAPM Medical Physics Practice Guideline 12.a: Fluoroscopy dose management.Journal of applied clinical medical physics · 2022
    Guideline
  3. Trial
  4. Article
  5. Article
  6. X-ray scatter in projection radiography.Radiation protection dosimetry · 2024
    Article
  7. Fluoroscopic Procedure-Room Scatter-Dose Reduction Using a Region-of-Interest (ROI) Attenuator.Proceedings of SPIE--the International Society for Optical Engineering · 2024
    Article
  8. Aegrescit medendo: orthopedic disability in electrophysiology - call for fluoroscopy elimination-review and commentary.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  9. Article
  10. Article
  11. Eye protection in interventional procedures.The British journal of radiology · 2021
    Review
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

David BorregoFrom the Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, Bethesda, MD 20892-9778 (D.B., C.M.K.); Departments of Radiology and Medicine, Columbia University Medical Center, New York, NY (S.B.); and Independent consultant, Weddington, NC (C.Y.).ORCID 0000-0001-9868-5113
Cari M KitaharaFrom the Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, Bethesda, MD 20892-9778 (D.B., C.M.K.); Departments of Radiology and Medicine, Columbia University Medical Center, New York, NY (S.B.); and Independent consultant, Weddington, NC (C.Y.).ORCID 0000-0001-6416-4432
Stephen BalterFrom the Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, Bethesda, MD 20892-9778 (D.B., C.M.K.); Departments of Radiology and Medicine, Columbia University Medical Center, New York, NY (S.B.); and Independent consultant, Weddington, NC (C.Y.).
Craig YoderFrom the Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, Bethesda, MD 20892-9778 (D.B., C.M.K.); Departments of Radiology and Medicine, Columbia University Medical Center, New York, NY (S.B.); and Independent consultant, Weddington, NC (C.Y.).

Funding

Studies of Populations Exposed to Occupational Sources of RadiationZIACP010133 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI KITAHARA, CARI · 2009 to 2025
$34.2M
6 · The paper itself

Abstract

Background Staff who perform fluoroscopically guided interventional (FGI) procedures are among the most highly radiation-exposed groups in medicine. However, there are limited data on monthly or annual doses (or dose trends over time) for these workers. Purpose To summarize occupational badge doses (lens dose equivalent and effective dose equivalent values) for medical staff performing or assisting with FGI procedures in 3 recent years after accounting for uninformative values and one- versus two-badge monitoring protocol. Materials and Methods Badge dose entries of medical workers believed to have performed or assisted with FGI procedures were retrospectively collected from the largest dosimetry provider in the United States for 49 991, 81 561, and 125 669 medical staff corresponding to years 2009, 2012, and 2015, respectively. Entries judged to be uninformative of occupational doses to FGI procedures staff were excluded. Monthly and annual occupational doses were described using summary statistics. Results After exclusions, 22.2% (153 033 of 687 912) of the two- and 32.9% (450 173 of 1 366 736) of the one-badge entries were judged to be informative. There were 335 225 and 916 563 of the two- and one-badge entries excluded, respectively, with minimal readings in the above-apron badge. Among the two-badge entries, 123 595 were incomplete and 76 059 had readings indicating incorrect wear of the badges. From 2009 to 2015 there was no change in lens dose equivalent values among workers who wore one badge (

Indexed as

Radiation DosageFluoroscopyHumansMedical StaffOccupational ExposureRadiation ExposureRadiation ProtectionRadiography, InterventionalRetrospective Studies

Identifiers

PMID31769743
PMCPMC6996708

What OpenQuestion holds

Textmetadata
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.