ArticleThe British journal of radiology2021
Radiation in orthopaedics (RIO) study: a national survey of UK orthopaedic surgeons.
Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Comparison of clinical efficacy of robot-assisted and freehand core decompression in the treatment of osteonecrosis of the femoral head: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Evaluating radiation protection knowledge and practices in operating room personnel: a cross-sectional study.Scientific reports · 2026Article
- Suprapatellar versus infrapatellar tibial nailing: the ongoing debate.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Review
- Article
- Can a Teaching Programme Help Reduce Radiation Exposure During Extra-Capsular Proximal Femur Fracture Fixation?Cureus · 2025Article
- Evaluation of X-ray Personal protective equipment for Orthopaedic Surgeons in theatrE (EXPOSEd) study : a national survey of Trauma & Orthopaedic surgeons.Bone & joint open · 2025Article
- Effect of Occupational Radiation Exposure on Offspring Sex Ratio Amongst Male Orthopaedic Surgeons in India-A Cross-Sectional Study.Indian journal of orthopaedics · 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
- Factors associated with increased radiation exposure in the fixation of proximal femoral fractures.Annals of the Royal College of Surgeons of England · 2025Article
- Literacy in the Scope of Radiation Protection for Healthcare Professionals Exposed to Ionizing Radiation: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Comparative analysis of radiation exposure in robot-assisted total knee arthroplasty using popular robotic systems.Journal of robotic surgery · 2024Article
- Knowledge and practice of radiation protection in the operating theater among orthopedic surgeons.Journal of medical imaging (Bellingham, Wash.) · 2022Article
- Protecting the Orthopaedic Surgeon: An Institutional Review of Radiation Safety Practices, Knowledge, and Risks.JB & JS open accessReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOrthopaedic surgeons have a responsibility to minimise risks of ionising radiation to patients, themselves and staff. This study aims to establish the understanding of radiation practice, legislation and risk by orthopaedic surgeons.
methodsA nationwide online survey of UK-based orthopaedic surgeons was conducted. Participants answered 18 multiple-choice questions assessing level of radiation safety training, basic principles/knowledge of ionising radiation, relevant legislation and operating practice.
resultsA total of 406 surgeons completed the survey. 92% reported using intraoperative ionising radiation at least once per week. 38% received no formal training on radiation safety. Knowledge of basic principles of radiation and legislation was limited. There was variable knowledge when labelling an image intensifier machine and choosing its safest orientation. Poor uptake of radiation protection equipment was noted. Only 19% agreed they had adequate training in ionising radiation safety and 27% reported receiving adequate training in equipment emitting ionising radiation in the operating theatre.
conclusionMany orthopaedic surgeons in the UK do not believe they are adequately trained in radiation safety. There is a deficiency amongst practicing surgeons in basic knowledge, relevant legislation and practicalities of the use of ionising radiation in the operating room. This could potentially put patients and health-care professionals at additional risk. We recommend that a standardised national training programme on the basic principles and safety of ionising radiation is implemented for all practicing orthopaedic surgeons. ADVANCES IN KNOWLEDGE: This paper is the first UK national survey amongst orthopaedic surgeons and is one of the largest reported internationally.
Indexed as
Identifiers
What OpenQuestion holds
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.