Evidence map›Paper›PMID 33204353›Full record

ArticleJournal of children's orthopaedics2020

Irradiation level related to intraoperative imaging device in paediatric elastic stable intramedullary nailing: preliminary prospective study on 51 patients using PCXMC software.

Marc Prod'homme, Pierre-Louis Docquier, Othmane Miri, Marta Sans-Merce, Anne Tabard-Fougère, Dimitri Ceroni, Pierre Lascombes

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Marc Prod'hommeUniversity Hospital of Geneva, Paediatric Orthopaedics, Geneva, Switzerland.
Pierre-Louis DocquierUniversity Hospital St-Luc, Paediatric Orthopaedics, Brussels, Belgium.
Othmane MiriUniversity Hospital St-Luc, Paediatric Orthopaedics, Brussels, Belgium.
Marta Sans-MerceUniversity Hospital of Geneva, Radiology, Geneva, Switzerland.
Anne Tabard-FougèreUniversity Hospital of Geneva, Paediatric Orthopaedics, Geneva, Switzerland.
Dimitri CeroniUniversity Hospital of Geneva, Paediatric Orthopaedics, Geneva, Switzerland.
Pierre LascombesUniversity Hospital of Geneva, Paediatric Orthopaedics, Geneva, Switzerland.
University Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiation-induced cancers due to imaging devices concern above all the growing child, however, to date, intraoperative irradiation doses are not well-documented in children. The goal of the study was to evaluate the intraoperative doses received by patients operated with the use of a C-arm in traumatology, as well as the lifetime attributable risk of cancer death (LAR) related to the irradiation of the imaging device.

methodsFrom 1 April 2017 to 31 March 2019, we started a multicentre study and prospectively recruited all consecutive children who needed elastic stable intramedullary nailing (ESIN) for long-bone fracture. We collected demographic and operative data, with dose reports including duration and doses. The main outcome was the effective dose (ED) in millisievert (mSv), calculated with PCXMC software, and the secondary outcome was the LAR expressed as a percentage.

resultsIn all, 51 patients operated on using 2D C-arm imaging were included in this study. The mean ED was 0.085 mSv (sd 0.10; 0.002 to 0.649). Overall LAR was 6.5 x 10

conclusionTreatment of long-bone fractures by ESIN found a low level of effective doses with utilization of the C-arm device in current practice. Further studies on a larger sample are needed to confirm these results. LEVEL OF EVIDENCE: II.

Indexed as

elastic stable intramedullary nailingimaging deviceirradiationpaediatric traumaPCXMC

Identifiers

PMID33204353
PMCPMC7666792
OpenAlexW3051471240

What OpenQuestion holds

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Registered trials

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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.