Evidence map›Paper›PMID 38722553›Full record

SynthesisWorld journal of urology2024

Radiation exposure of urologists during endourological procedures: a systematic review.

Vincent De Coninck, Laura Hendrickx, Xavier Mortiers, Bhaskar Somani, Esteban Emiliani, Emre Tarik Sener, Amelia Pietropaolo, Patrick Jones, Andreas Skolarikos, Thomas Tailly and 3 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Review
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  6. Review
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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

13 authors.

Vincent De Coninck *Department of Urology, AZ Klina, Augustijnslei 100, 2930, Brasschaat, Belgium. vincent.de.coninck@klina.be.ORCID http://orcid.org/0000-0002-4983-5055
Laura Hendrickx *Department of Medicine, University of Antwerp, Campus Drie Eiken, Gebouw S, Universiteitsplein 1, 2610, Wilrijk, Belgium.
Xavier MortiersDepartment of Urology, AZ Klina, Augustijnslei 100, 2930, Brasschaat, Belgium.
Bhaskar SomaniDepartment of Urology, University Hospital Southampton, Southampton, UK.
Esteban EmilianiYoung Academic Urologists (YAU), Urolithiasis and Endourology Working Party, 6846, Arnhem, Netherlands.
Emre Tarik SenerYoung Academic Urologists (YAU), Urolithiasis and Endourology Working Party, 6846, Arnhem, Netherlands.
Amelia PietropaoloYoung Academic Urologists (YAU), Urolithiasis and Endourology Working Party, 6846, Arnhem, Netherlands.
Patrick JonesDepartment of Urology, Haukeland University Hospital, Bergen, Norway.
Andreas SkolarikosDepartment of Urology, National and Kapodistrian University of Athens, Athens, Greece.
Thomas TaillyDepartment of Urology, University Hospital of Ghent, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Stefan De WachterDepartment of Medicine, University of Antwerp, Campus Drie Eiken, Gebouw S, Universiteitsplein 1, 2610, Wilrijk, Belgium.
Olivier TraxerGRC No. 20, Groupe de Recherche Clinique sur la Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, Paris, France.
Etienne Xavier KellerYoung Academic Urologists (YAU), Urolithiasis and Endourology Working Party, 6846, Arnhem, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIonizing radiation is used daily during endourological procedures. Despite the dangers of both deterministic and stochastic effects of radiation, there is a lack of knowledge and awareness among urologists. This study reviewed the literature to identify the radiation exposure (RE) of urologists during endourological procedures.

methodsA literature search of the Medline, Web of Science, and Google Scholar databases was conducted to collect articles related to the radiation dose to urologists during endourological procedures. A total of 1966 articles were screened. 21 publications met the inclusion criteria using the PRIMA standards.

resultsTwenty-one studies were included, of which 14 were prospective. There was a large variation in the mean RE to the urologist between studies. PCNL had the highest RE to the urologist, especially in the prone position. RE to the eyes and hands was highest in prone PCNL, compared to supine PCNL. Wearing a thyroid shield and lead apron resulted in a reduction of RE ranging between 94.1 and 100%. Educational courses about the possible dangers of radiation decreased RE and increased awareness among endourologists.

conclusionsThis is the first systematic review in the literature analyzing RE to urologists over a time period of more than four decades. Wearing protective garments such as lead glasses, a thyroid shield, and a lead apron are essential to protect the urologist from radiation. Educational courses on radiation should be encouraged to further reduce RE and increase awareness on the harmful effects of radiation, as the awareness of endourologists is currently very low.

Indexed as

Occupational ExposureRadiation ExposureUrologistsHumansUrologic Surgical ProceduresUrologyEndourologyFluoroscopyLead shieldingPCNLRadiationRIRSSWLSystematic reviewUreteroscopyUrolithiasis

Identifiers

PMID38722553

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.