ArticlePatient safety in surgery2020
The hidden risk of ionizing radiation in the operating room: a survey among 258 orthopaedic surgeons in Brazil.
Article in Patient safety in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 25 citations in OpenAlex.
- Evaluating radiation protection knowledge and practices in operating room personnel: a cross-sectional study.Scientific reports · 2026Article
- Radiation Protection Compliance in Fluoroscopy-Assisted Procedures: A Prospective Audit in Operating Theatres.Cureus · 2025Article
- A tension system for angular correction of bent intramedullary nails: in vitro analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Radiation Protection in the Orthopedics Department: Insights From a Cross-Sectional Study.Cureus · 2024Article
- Knowledge, Attitude, and Practices Regarding Radiation and its Hazards Among Orthopaedic Surgeons in India: A Questionnaire-Based Study.Indian journal of orthopaedics · 2024Article
- [Imaging after trauma in clinics and practice for children and adolescents : Part 1 of the results of a nationwide online survey of the Pediatric Traumatology Section of the German Trauma Society].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Knowledge and practice of radiation protection in the operating theater among orthopedic surgeons.Journal of medical imaging (Bellingham, Wash.) · 2022Article
- Perception of Orthopedics Surgeons about the Risks of Radiation Exposure in Fluoroscopy.Revista brasileira de ortopedia · 2022Article
- Radiation in orthopaedics (RIO) study: a national survey of UK orthopaedic surgeons.The British journal of radiology · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aims to assess orthopaedic surgeon knowledge in Brazil about ionizing radiation and its health implications on surgical teams and patients.
methodsA 15-question survey on theoretical and practical concepts of ionizing radiation was administered during the 23rd Brazilian Orthopaedic Trauma Association annual meeting. The survey addressed issues within orthopedic surgery, such as radiation safety concepts, protection, exposure, as well as the participant gender. Participants were either orthopedic surgeons or orthopedic surgery residents working at institutions in Brazil.
resultsOne thousand surveys were distributed at the moment of the meeting registration, and 258 were answered completely (25.8% response rate). Only 5.8% of participants used basic radiation protection equipment; 47.3% used a dosimeter; 2.7% reached the annual maximum permissible radiation dose; 10.5% knew the period of increased risk to fetal gestation; 5.8% knew the maximum permissible radiation dose during pregnancy; 58.5% knew that the hands, eyes, and thyroid are the most exposed areas and at greater risk of radiation-related lesions; 25.2% knew the safe distance from a radiation-emitting tube is 3 m or more; 44.2% knew the safest positioning of the radiation-emitting tube; 25.2% knew that smaller tubes emit greater radiation at the entrance dose to magnify the image; and 55.4% knew that the surgery team receives more scattered radiation in surgical procedures performed on obese patients.
conclusionThis study revealed inadequate theoretical and practical knowledge about radiation exposure among orthopaedic surgeons in Brazil. Only a minority of orthopaedic surgeons used basic radiation protection equipment. No significant differences in knowledge were found when comparing all orthopedic surgery specialties. Our findings indicate an urgent need for education to increase knowledge among orthopaedic surgeons about the hazards of ionizing radiation. Personal protection and implementation of the ALARA (as low as reasonably achievable) protocol in daily practice are important behaviors to prevent the harmful effects of ionizing radiation.
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